New Application Form

How did you hear about Landmark Construction?
Location of Billboard
Referring employee's name?
First Name*
Middle Name
Last Name*
Street Address*
City*
State*
Zip Code*
Phone Number*
Email*
Enter Email Confirm Email

1) Have you ever been employed by Landmark Construction?*
- Yes
- No
1-b) If you answered 'Yes' to #1, give dates*
Start Date End Date
2) Are you currently employed?*
- Yes
- No
2-b) May we contact your present employer?
- Yes
- No
3) Are you prevented from lawfully being employed in the United States because of Visa or immigration status?*
- Yes
- No
(Proof of citizenship or immigration status will be required upon employment)
4) Have you been convicted of a felony in the last 7 years?*
- Yes
- No
(Conviction will not necessarily disqualify an applicant from employment)
5) Do you have transportation to and from job sites?
- Yes
- No

Work Experience
Complete all information including rates of pay, and contact names / phone numbers of past employers. 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, disabilities or other protected status.
Employer
Address
Telephone Number
Supervisor
Reason for leaving
List type of work performed
Dates Employed
Start Date End Date
May we contact?
- Yes
- No
Employer
Address
Telephone Number
Supervisor
Reason for leaving
List type of work performed
Dates Employed
Start Date End Date
May we contact?
- Yes
- No
Employer
Address
Telephone Number
Supervisor
Reason for leaving
List type of work performed
Dates Employed
Start Date End Date
May we contact?
- Yes
- No
Explain any gaps in employment

Physical Requirements for Field Jobs
- Workers should be able to stand or walk for extended periods of time.
- Workers should be able to stoop, kneel, crouch, crawl, and climb; along with the ability to use their arms and legs fully.
- Workers should be able to maintain their balance on scaffolds and ladders.
- Workers will have good vision, either naturally or corrected.
- Workers should be able to push, pull, lift, and carry objects weighting fifty (50) pounds or more.
Upload Resume [PDF]
Accepted file types: pdf, Max. file size: 300 MB.

Voluntary Self-Identification of Disability
Why are you being asked to complete this form?

Because we do business with the government; we must reach out to, interview, 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 an impairment or medical condition.

Disabilities include, but are not limited to:
1. Blindness
2. Deafness
3. Cancer
4. Diabetes
5. Epilepsy
6. Autism
7. Cerebral palsy
8. HIV/AIDS
9. Schizophrenia
10. Muscular dystrophy
11. Bipolar disorder
12. Major depression
13. Multiple sclerosis (MS)
14. Missing limbs or partially missing limbs
15. Post-traumatic stress disorder (PTSD)
16. Obsessive compulsive disorder
17. Impairments requiring the use of a wheelchair
18. Intellectual disability (previously called mental retardation)
Your Disability Status*
- Yes, I have a disability (or previously had a disability)
- No, I don't have a disability
- I don't wish to answer

Applicant's Statement
I certify that the answers given here are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application will be considered active for a period of time not to exceed forty-five (45) days. Any applicant wishing to be considered for employment beyond the 45-day time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Landmark Construction 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 that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that during the course of my employment I am required to abide by all rules and regulations of Landmark Construction.
I certify that I agree to the Applicant's Statement*
- Yes
Type your first and last name to sign
Untitled

Application Form

Step 1 of 8

Specialized Skills / Equipment Operated

Heavy Equipment

Concrete Construction

Water / Sewer Installation

Education

Work Experience

Physical Requirements for Field Jobs

Invitation to Self-Identify

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

How do I know if I have a disability?

Applicant's Statement