THE BACCO CONSTRUCTION COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER.

Pre-Employment drug screening is required!!

Please completely fill out and submit the
Application for Employment
below.

If you prefer, print out the form and mail it to:
Bacco Construction Company
PO Box 458
Iron Mountain, MI 49801

Date of Application:  
First Name:  
Last Name:
Phone Number:  
Address:  
City:  
State:  
Zip Code:  
Social Security Number:  
Are you eligible to work in the U.S.:  
Yes       No
Position applied for:  
Union affiliation, if any:  
Can you perform all of the job     functions of the position for   
which you are applying:  


Yes       No
If not, describe how, with or   
without reasonable   
accommodation, you will be   
able to perform the job   
functions:  
Would you be willing to take   a screen test for illegal drugs:   

Yes       No
Were you ever convicted   
of a crime:  

Yes       No
If yes, when, where, and   
nature of offense:  
Date available for work:   

EMERGENCY INFORMATION

Person to notify in case of   emergency: 
Relationship:
Phone Number:
Address:
List any friends working for Bacco Construction Company
Name/Relationship:

EMPLOYMENT HISTORY AND EXPERIENCE
Have you ever served in an   
apprenticeship program:   

Yes       No
How long:  
When served:  
Where served:  
Trade:  
Mechanical experience:  
Are you employed now:  
Yes       No
Where: 

PREVIOUS EMPLOYERS
Employer Name: 
Employer Address:  
City: 
State: 
Zip Code: 
 Type of Work:  
Wage/Hour:  
Dates Employed: 
From: To:
Reason for Leaving: 
Employer Name: 
Employer Address:  
City: 
State: 
Zip Code: 
 Type of Work:  
Wage/Hour:  
Dates Employed: 
From: To:
Reason for Leaving: 
Employer Name: 
Employer Address:  
City: 
State: 
Zip Code: 
 Type of Work:  
Wage/Hour:  
Dates Employed: 
From: To:
Reason for Leaving: 

RECORD OF EDUCATION
High School (name):  
Address (city, state):  
College (name):  
Address (city, state):  
Other (name):  
Address (city, state):  

ADDITIONAL REMARKS

FOR DRIVER APPLICANTS ONLY-------------------------------------------------------------

If a commercial driver's license is required for the position you applied for per Section 391.21 of the Federal Motor Carrier Safety Regulation,
enter your Date of Birth:

LIST ALL STATES THAT A DRIVERS LICENSE WAS HELD DURING THE LAST 5 YEARS:

State:
License Number:
Type:
Expiration Date:
State:
License Number:
Type:
Expiration Date:
State:
License Number:
Type:
Expiration Date:
Have you ever been denied a  drivers  license,  permit, or  privilege to operate a  motor   vehicle:
Yes       No
If yes, explain:
Has any license, permit, or privilege ever  been suspended or revoked:
Yes        No
If yes, explain:

DRIVER EXPERIENCE AND RECORD

Class of Truck
Equipment Type
(van, truck, dump, etc.)
Dates
From - To
Total Miles
Driven
Dump Tractor
Tractor-2 Trailers
Tractor-Semi Trailer
Other

LIST ALL ACCIDENTS FOR THE PAST THREE (3) YEARS

Date
Nature of accident
(head on, rear-end, etc.)
Injuries
Fatalities

LIST ALL TRAFFIC VIOLATIONS AND FORFEITURES FOR THE PAST THREE (3) YEARS

Date
Location
Type of Charge
Penalty

----------------------------------------------------------------------------------------------------------------

TO BE READ AND ACCEPTED BY ALL APPLICANTS
I hereby authorize Bacco Construction Company to make such investigations and inquiries on my personal, employment, financial, or medical history and other related matters as may be necessary to arrive at an employment decision. I hereby release employers, schools or persons from all liability in responding to inquiries in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge of employment. I also understand that I am required to abide by all rules and regulations of Bacco Construction Company, as permitted by law.

I hereby understand that construction work is seasonal, and therefore, if hired, my employment will most likely be terminated at the seasons end or upon completion of the project for which I was hired.

I understand that all employment is terminable at the will of either the employee or Bacco Construction Company and any oral statements to the contrary should not be relied upon by any prospective or existing employee.

Bacco Construction Company recognizes that drug and alcohol abuse creates serious problems for employees.  Bacco Construction Company takes a cooperative and constructive effort to overcome drug and alcohol abuse by fostering and encouraging an environment that assures all employees are fit for duty while on the job.  Employees and applicants are subject to testing for the presence of alcohol, drugs or controlled substances.

I understand that this application will be kept on file at Bacco Construction Company for no more than ninety (90) days from the date of application. After ninety (90) days, if I still desire to seek employment with Bacco Construction Company, I will have to complete a new application.

Under the Michigan Handicapper's Civil Rights Act, a Handicapper may allege a violation of the Act regarding failure to accommodate only if the Handicapper notifies the employer in writing of the need for accommodation within 182 days after the date the handicapper knew or reasonably should have known that an accommodation was needed.

The Civil Right Act of 1964, as amended, prohibits discrimination in employment practice because of age, race, color, religion, sex and national origin.

 
Applicants Name
Check this box to accept terms of application
By checking this box, I certify that this application has been completed by me, and that all information given is true and complete to the best of my knowledge.
 
 
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