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Employment
Current Openings
Cart
0
About
Products
Precast
Construction Supplies
Contact
Contact
Hours of Operation
Apply for Credit
Pay Invoice
Employment
Employment
Current Openings
Employee Login
Pay Invoice
Apply for Credit
Call Today
Application for Employment
Personal Information
Name
*
First Name
Last Name
Today's Date
*
MM
DD
YYYY
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Cell Phone
*
(###)
###
####
Email
*
Age
*
Are you at least 18 years of age?
< SELECT ONE >
YES
NO
Non-Compete
*
Are you currently under a non-disclosure or non-compete agreement?
< SELECT ONE >
YES
NO
If yes, please explain.
Position Desired
Position
*
< SELECT ONE >
Full Time
Part Time
Temporary
Position of Interest
*
Please indicate which position you are applying for. You may select more than one, or "open" if you wish to be considered for any opening.
Open
Accounts Payable
Front End Loader Operator
Production Foreman
Production Laborer
Carpentry Foreman
Quality Control Technician
Date Available
*
MM
DD
YYYY
Referal
*
How did you hear about Nansemond Pre-Cast Concrete
< SELECT ONE >
Internet
Referral
Other
If you answered Other, please explain:
Education
High School Name
High School State
Year Complete
GED
YES
NO
Trade School Name
Trade School State
Certifications
College Name
College Degree
Skills
Employment History
*
Have you ever been terminated by an employer for insubordination, poor performance, violation of a company policy, or tardiness?
YES
NO
If you answered yes, please explain:
START WITH THE MOST RECENT EMPLOYER
Company Name (1)
Immediate Supervisor
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Performed
Starting Pay
$
Ending Pay
$
Starting Date
MM
DD
YYYY
Ending Date
MM
DD
YYYY
Reason for Leaving
Company Name (2)
Immediate Supervisor
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Performed
Starting Pay
$
Ending Pay
$
Starting Date
MM
DD
YYYY
Ending Date
MM
DD
YYYY
Reason for Leaving
Company Name (3)
Immediate Supervisor
Company Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Performed
Starting Pay
$
Ending Pay
$
Starting Date
MM
DD
YYYY
Ending Date
MM
DD
YYYY
Reason for Leaving
History
Have you ever been employed by NPCC?
*
YES
NO
If you answered yes, please provide the following:
Starting Date
MM
DD
YYYY
Ending Date
MM
DD
YYYY
Reason for Leaving
Have you ever been convicted of a felony?
*
YES
NO
Have you ever ben convicted of a Misdemeanor?
*
YES
NO
If you answered yes to any of the above, please explain:
Do you require any accommondations to perform the essential functions of the position?
*
YES
NO
If you answered yes, please explain:
Emergency Contact Name
*
Emergency Contact Phone
*
(###)
###
####
Thank you!
Someone from our Human Resources Department will be in touch with you.
