Online Application for Employment

TO APPLICANT: We deeply appreciate your interest in our company. Thank you for taking the time to complete this application.

We consider all applicants without regard to race, color, religion, sex, national origin, age, marital status, the presence of a non-job-related medical condition or handicap, or any other legally protected status.


    General LaborerPipe LayerEquipment OperatorForemanSuperintendent



    Personal Information










    YesNo


    YesNo


    YesNo





    YesNo


    YesNo



    Employment Experience

    Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations, which indicate race, color, religion, gender, national origin, handicap or other protected status.



















    Equipment Operating Experience

    Please indicate level of experience with any of the following:








    Employment Data Record

    Employees are treated during employment without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally, protected status.

    As an employer with an AFFIRMATIVE ACTION PROGRAM, we comply with government regulations, including AFFIRMATIVE ACTION responsibilities where they apply.

    The purpose of this Data Record is to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. Please note that all Data Records are kept in a Confidential File as a part of your Application for Employment personnel file.


    YesNo



    YesNo


    MaleFemale





    WhiteHIspanicAmerican Indian/Alaskan NativeBlackAsian/Pacific IslanderOther

    Vietnam Era VeteranDisabled VeteranHandicapped


    Foot Inches

    Pounds


    YesNo

    SingleEngagedDivorcedSpearatedMarriedWidowed

    Hendrix-Barnhill is a Drug Free Workplace. Employment is subject to a negative pre-employment drug screen, and employment includes random, for-cause and post accident drug testing.


    YesNo


    YesNo








    Record of Education

    Education

    Name & Address of School

    Course of Study

    Last Grade Level Completed

    Did You Graduate?

    List Diploma or Degree






    Personal References

    (Not Former Employees or Relatives)

    Name & Occupation

    Address

    Phone Number


    Please Read and Sign Below

    The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me.

    I hereby acknowledge that any employment relationship with this company is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood this "at will" employment relationship may not be changed by written document or by conduct unless an authorized executive of the company specifically acknowledges such change in writing.

    I understand, also, that if employed, I would be required to abide by all rules and regulations of the employer, including participation in the company's substance abuse program.

    I certify all of the above information is true and correct to the best of my knowledge.



    I agree that this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature.


    We are an Equal Opportunity Employer and a drug free workplace.