Personal Information

Employment Desired

Education

Former Employment

List below last four employers, starting with your current or most recent employer first.

INS COMPLIANCE: Proof of right to work in the United States is required.

DRUG-FREE WORK PLACE: In our pursuit for a drug free workplace, we require pre-employment drug testing, post accident drug testing and random drug testing.

Acknowledgment and Authorization

By digitally signing below:

• I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed, falsified statements on this application shall be grounds for dismissal. I acknowledge that employment at the company is "at will'' and that employment may be terminated at any time, for any reason.
• I authorize investigation of all information concerning my previous employment and any pertinent information that may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
• I understand that employees of Leonard Contracting may act as agents of the company in verifying the above information, and that any subsequent offer of employment or employment agreement may be made solely by the employer of record.