Employment Application

This company is an equal employment opportunity employer. We assure you that your opportunity for
employment with T&H Keith Incorporated depends solely on your qualifications. Applicants may be
tested for illegal drugs.

Personal Info:

Your Name (required)

Your Address (required)

Your Email (required)

Your Phone Number (required)

Basic Questions:

What type of employment are you seeking? (required)
Full TimePart TimeEither Full or Part Time

Do you have the legal right to work in the United States? (required)
YesNo

Which division of our company are you seeking work in?
ConstructionElectricalOffice

Do you have a specific position you are seeking?

What is your means of transportation? (required)

Have you had an accident within the last three years? (required)
YesNo

Please provide a copy of your driver's license with this application (PDF or JPG format recommended)

Are you a veteran? (required)
YesNo

Do you have any job-related experience in the military? (required)
YesNo

If security clearance is necessary, can this be achieved? (required)
YesNo

References:

Please list at least two personal references that we can contact: (required)

Name of 1st Reference:

Phone:

How do you know them?

Name of 2nd Reference:

Phone:

How do you know them?

Education:

Please explain the extent of your education (GED, high school, college, etc.) or certification related to this job below (required):

Work Experience:

Please list your last three employers starting with the most recent:

1st Company:

Number of Months Employed:

Salary/Pay:

Contact Person:

Contact Phone:

Your Job Duties:

Why did you leave?

2nd Company:

Number of Months Employed:

Salary/Pay:

Contact Person:

Contact Phone:

Your Job Duties:

Why did you leave?

3rd Company:

Number of Months Employed:

Salary/Pay:

Contact Person:

Contact Phone:

Your Job Duties:

Why did you leave?

Additional Information:

Please list any information you think is relevant that we didn't cover (feel free to attach a copy of your
resume):

Upload your resume here (PDF format recommended)

Terms and Conditions:

In exchange for the consideration of my job application by T&H Keith Incorporated (hereinafter called the Company), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of T&H Keith Incorporated, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and T&H Keith Incorporated may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I also understand that (1) the Company has a drug and alcohol policy that provides for preemployment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job related physical examinations.

I understand that, in connection with routine processing of your employment application, the Company may request from a consumer reporting agency an investigation consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of Ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

By checking this box I understand and agree to the above Terms and Conditions

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