Asphalt Employment Services

Employee Candidate Application

 

CLARENCE RICHARD COMPANY

3908 Tonkawood Rd, MINNETONKA, MN 55345

TOLL FREE 800-564-4346 FAX 952-938-3304

email Clarence@clarencerichard.com web www.clarencerichard.com

Candidate Name___________________________ Title_________________ SSN__________________ Address______________________________________________________City______________________

Home phone________________ Work phone_______________Fax_________ Home-Own___Rent__

HOME: what days and times , if any, may we contact you there? ______________________________

WORK: what days and times , if any, may we contact you there? ______________________________

Position Wanted _________________________________ Are you sending us a resume’?____________

Job duty expectations at:

spring startup_________________________________________________________________

__________________________________________________________________________________

construction season____________________________________________________________

__________________________________________________________________________________

winter shutdown_______________________________________________________________

__________________________________________________________________________________

Salary/Wage Range_________________________

What kind of vacation or lay off time is important to you?______________________________

__________________________________________________________________________________

How many mile radius from home will you travel for work?_______Are you willing to relocate?_____

If so, where is desirable?______________________________________________________________

Where are you not willing to relocate to?_________________________________________________

Starting date; desired when?_____________What is earliest acceptable starting date?_____________

Education :High school______________location________If graduated, when?___

Technical school_______________location_____________ years____If graduated when?___

Course title________, course description________________________________________

Technical school_______________location_____________ years____If graduated when?___

Course title________, course description________________________________________

College_________________location_____________ years____If graduated when?___,

Course title________, course description________________________________________

College_________________location_____________ years____If graduated when?___,

Course title________, course description________________________________________

What pieces of equipment or tasks are you certified, qualified or proficient at doing? __________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Work history starting with most recent employer

  1. Employer__________________, Office location ___________ May we contact them?_____
  2. If no, why? _______________ ______________________________________________________

    If yes, write in contact name_________________, Title__________, Phone number_______________

    Start salary/wage$_________per____End Salary/Wage $_________per____Start Date_____End____

    Job description when hired____________________________________________________________

    __________________________________________________________________________________

    Job description before leaving__________________________________________________________
    __________________________________________________________________________________

    What did you like about the job and people?______________________________________________

    __________________________________________________________________________________

    What did you not like about the job and people?___________________________________________

    Why did you leave?__________________________________________________________________

  3. Employer__________________, Office location ___________ May we contact them?_____
  4. If no, why? _________________________________________________________________________

    If yes, write in contact name_________________, Title__________, Phone number_______________

    Start salary/wage$_________per____End Salary/Wage $_________per____Start Date_____End____

    Job description when hired____________________________________________________________

    __________________________________________________________________________________

    Job description before leaving__________________________________________________________
    __________________________________________________________________________________

    What did you like about the job and people?______________________________________________

    __________________________________________________________________________________

    What did you not like about the job and people?___________________________________________

    __________________________________________________________________________________

    Why did you leave?__________________________________________________________________

    __________________________________________________________________________________

  5. Employer__________________, Office location ___________ May we contact them?_____
  6. If no, why? _______________ _________________________________________________________

    If yes, write in contact name_________________, Title__________, Phone number_______________

    Start salary/wage$_________per____End Salary/Wage $_________per____Start Date_____End____

    Job description when hired____________________________________________________________

    __________________________________________________________________________________

    Job description before leaving__________________________________________________________
    __________________________________________________________________________________

    What did you like about the job and people?______________________________________________

    What did you not like about the job and people?___________________________________________

    Why did you leave?__________________________________________________________________

  7. Employer__________________, Office location ___________ May we contact them?_____
  8. If no, why? _______________ ______________________________________________________

    If yes, write in contact name_________________, Title__________, Phone number_______________

    Start salary/wage$_________per____End Salary/Wage $_________per____Start Date_____End____

    Job description when hired____________________________________________________________

    __________________________________________________________________________________

    Job description before leaving__________________________________________________________
    __________________________________________________________________________________

    What did you like about the job and people?______________________________________________

    What did you not like about the job and people?___________________________________________

    Why did you leave?__________________________________________________________________

  9. Employer__________________, Office location ___________ May we contact them?_____

If no, why? _______________ ____________________________________________________________

If yes, write in contact name_________________, Title__________, Phone number_______________

Start salary/wage$_________per____End Salary/Wage $_________per____Start Date_____End____

Job description when hired____________________________________________________________

__________________________________________________________________________________

Job description before leaving__________________________________________________________
__________________________________________________________________________________

What did you like about the job and people?______________________________________________

What did you not like about the job and people?___________________________________________

Why did you leave?__________________________________________________________________

 

 

 

RECRUITERS SERVICES EMPLOYMENT AGREEMENT

DEAR PROSPECTIVE EMPLOYMENT CANDIDATE:

Welcome to an industry of many challenging opportunities. Along with the fascination and personal growth that undertaking opportunities have come risks of many types.

You must understand the agreement you make with a potential employer is between you and the employer only. Clarence Richard Company (C R Co.) shall not to be liable for any misunderstandings , misdeeds, misrepresentations between employer and employee. Any agreement between them concerning compensation and expenses of any type is no concern to Clarence Richard Company (other than Employer Paid Fee) and it is agreed that C R Co. shall not be held liable for any damages incurred by either party.

It is to your benefit to have in writing any and all important terms of your agreement signed and dated by both you and your future employer. We find this will help both parties have a more lengthy and successful relationship.

We look forward to helping you shop for opportunities to your future.

I, the prospective employment candidate have read and understand the above and assume all risks with future employment opportunities furnished by Clarence Richard Company.

 

_____________________ _________________________ ___________

Print Name Sign Name and Date if you agree to the above