Name
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First Name
Last Name
Email
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Phone
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Current City of Residence
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How did you hear about Sawtooth
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If you heard about us through one of our employees, what was the employees name?
Have you applied with this company before?
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Do you have a valid drivers license?
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Are you eligible to work in the United States?
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Are you at least 18 years of age?
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Are you currently employed?
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If currently employed: name of company, job title, and current wage:
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If currently employed please give the employment starting date:
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MM
DD
YYYY
Available starting date if hired to work for Sawtooth:
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MM
DD
YYYY
Are you able to pass a drug test?
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Desired Pay
*
Did you graduate High School?
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Name of last High School attended
*
If you graduated what year did you graduate?
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Please list any trade/college/business or other schools attended
Please list any other prior construction experience, special training, and/or relevant certifications held
Name of employer
*
Ending Salary
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Position
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Reasoning for leaving
*
Name of employer
*
Ending salary
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Position
*
Reasoning for leaving
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Self-Identification Information
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(Applicants are considered for all positions without regard to age, citizenship, color/race, disability, ethnic background, gender identity, genetic information, marital status, national origin, pregnancy, race, religion, religious beliefs, sex, sexual orientation, or veterans’ status. As an Affirmative Action/Equal Opportunity Employer, Absolute Caulking and Waterproofing Inc., complies with government regulations and affirmative action responsibilities. You are invited to complete the Applicant Self-Identification Form to assist us with government record keeping, reporting, and other legal requirements. That data is for analysis and affirmative action purposes. Submission of information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual. Completion of information below is voluntary. Thank you for your cooperation.)
Voluntary Self-Identification of Disability
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Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such and impairment or medical condition.
Disabilities include, but are not limited to:
Blindness; Autism; Bipolar disorder; Post-traumatic stress disorder (PTSD); Deafness; Cerebral Palsy; Major Depression; Obsessive compulsive disorder; Cancer; HIV/AIDS; Multiple sclerosis (MS); Impairments requiring the use of a wheelchair; Diabetes; Schizophrenia; Epilepsy; Muscular dystrophy; Missing limbs or partially missing limbs; Intellectual disability (previously called mental retardation)
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
