DIRECTIONS: Fill out all questions completely and accurately.
Required fields are marked with an asterisk (*)

Personal Information

Current Address

Contact Information

Most Recent Employer

Second Most Recent Employer

Third Most Recent Employer

Experience and Other Qualifications

Number of years you have either operated or performed the work listed:

1. Equipment

2. Carpentry and Concrete

3. Welding

4. Mechanic

5. Driver

6. Other


High School




Affirmative Action

Key Constructors, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws.

We invite you to voluntarily complete the following information solely to assist us in complying with federal and state Equal Employment Opportunity and Affirmative Action record keeping and other legal requirement. Refusal to complete this information will not subject you to adverse treatment. The information you provide is confidential and will be kept separate from any of your other employment-related information. The information will be not be considered when making any employment decisions.

Please check the items below that best describe you.

View EEOC Veterans & Disability Information

Referral Source

Employee Referral
Job Service
Newspaper Ad
Internet Web Page




American Indian/Alaskan Native
African American
Asian/Pacific Islander

Check any of the following, if applicable

Vietnam Era Veteran
Disabled Veteran
Recently Separated Veteran
Campaign Badge Holder
None of the Above

I certify that answers given herein are true and complete. I authorize investigation of statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization 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 I am required to abide by all rules and regulations of the employer.

I have read the above disclosure and agree.