Application for employment

Limoges Construction , Inc.
25732 Cottonwood Avenue

Fax: 605-543-5940


We are an equal opportunity employer


We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, martial or veteren status, or any other legally protected status. Limoges
Construction, Inc. participates in E-Verify program. All employees upon hire will be verified with the Federal Government.


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Date of Application:
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First Name
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Last Name
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Middle Name
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Email Address
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Address
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City
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State
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Zipcode
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Phone number
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Date to Contact
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Time to Contact
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FOR SAFETY ALL EMPLOYEES MUST BE ABLE TO SPEAK AND UNDERSTAND THE ENGLISH LANGUAGE.

Do you speak and understand English:
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If no, please explain
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How did you learn about this position?
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  • Advertisement
  • Friend
  • Inquiry
  • Employment Agency
  • Relative
  • Other
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Please Explain
Other
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If under 18 years of age, can you provide required proof of your eligibilty to work?
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Have you been employed with us before?
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From:
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To:
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Have you been convicted of a felony?
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Please explain
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Do you have friends or relatives who work here?
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Are you currently employed?
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May we contact your present employer?
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Are you prevented from lawfully being employed due to Resident Status?
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(Proof of citizenship or citizenship status will be required upon employment.)
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Date available for hire?
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Desired salary range?
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  • $0 - $1000
  • $1000 - $10000
  • $10000 - $20000
  • $20000 - $30000
  • $30000 and above
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Are you available to work?
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Are you currently on "lay-off" status and subject to recall?
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Can you travel if it is required?
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Do you have a valid driver's license?
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Do you have transportation available to get to and from work?
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Education

High School

School Name
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Course Name
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Year Completed
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Diploma/Degree
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Undergraduate College

School Name
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Course Name
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Year Completed
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Diploma/Degree
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Post Graduate

School Name
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Course Name
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Year Completed
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Diploma/Degree
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Other

School Name
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Course Name
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Year Completed
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Diploma/Degree
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WORK EXPERIENCE

Current Employer
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Address
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Phone number
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Position Held
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Dates Employed
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Duties Performed
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Hourly/Salary Rate
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Reason for leaving?
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May we contact?
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WORK EXPERIENCE

Previous Employer 1
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Address
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Phone number
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Position Held
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Dates Employed
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Duties Performed
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Hourly/Salary Rate
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Reason for leaving?
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May we contact?
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WORK EXPERIENCE

Previous Employer 2
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Address
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Phone number
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Position Held
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Dates Employed
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Duties Performed
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Hourly/Salary Rate
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Reason for leaving?
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May we contact?
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Describe any specialized training, apprenticeships orskills you have that may apply to this position.
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State any additional information you feel may be helpful to us in considering your application.
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Reference

1)
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2)
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3)
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DO NOT ANSWER THIS QUESTION UNTIL YOU HAVE BEEN INFORMED OF THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.


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A review of the activities involved in such a job or occupation have been given to you.
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Are you capable of performing in a resonable manner, the activities involved in the job or occupation for which you have applied?
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APPLICANT'S STATEMENT
| certify that answers given herein are true and complete.

| authorize investigation ofall statements contained in this application for employment as may be necessary in arriving at any employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to wheather 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 this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any tiem with or without cause. It is further understood that this "at will" employment relationship may not be changed by a written document or by ¢ onduct unsless change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, | understand that false or misleading information given in my appication or interview (s) may result in discharge. | understand, also, that |am required to abide by all rules and regulations of the employer.

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Date
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