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2019 Pharaoh Award Recipient

INTEGRITY BUILT

Application for Employment

Frontier Bridge does not discriminate in its hiring decisions or in any other employment decision on the basis of race, color, gender, religion, citizenship, national origin, veteran status, age, physical or mental disability which is unrelated to the applicant’s ability to perform the essential functions of the position.

If you are interested in joining our winning team, fill out the employment form below.

General Employment Application

If you are human, leave this field blank.

Date of Application *

Desired Starting Date *

Name (First, MI, Last) *

Address *

City *

State / Zip *

Home Number *

Cell Number *

Date of Birth *

Gender *

Male

Female

Referred By *

Emergency Contact Name, Number & Address *

Emergency Contact Relationship *

Check All That Apply *

I'm Over 18 Years of Age

I Agree To Follow The No-smoking Policy

I'm Legally Employable In The US

I Have Not Been Convicted Of A Crime

I Have Been Convicted Of A Crime

I Understand My Driving Record Will Be Checked For Job Positions Requiring Transportation

Desired Position *

Desired Salary *

Available Working Hours *

Days

Evenings

Weekends

Check All That Apply

Employment Type *

Full Time

Part Time

Check All That Apply

U.S. Military Branch

Leave Blank If Not Applicable

U.S. Military Date Entered

Leave Blank If Not Applicable

U.S. Military Date Discharged

Leave Blank If Not Applicable

U.S. Military Discharge Type

Leave Blank If Not Applicable

Current or Previous Employer Name *

If Currently Unemployed, Type Unemployed

Current or Previous Employer Address *

If Currently Unemployed, Type Unemployed

Current or Previous Employer Phone *

If Currently Unemployed, Type Unemployed

Current or Previous Employer Supervisor *

If Currently Unemployed, Type Unemployed

Current or Previous Employer Position *

If Currently Unemployed, Type Unemployed

Current or Previous Employer Starting Date *

If Currently Unemployed, Type Unemployed

Current or Previous Employer End Date

If Currently Unemployed, Type Unemployed

May We Contact Your Current or Previous Employer? *

Yes

No

Have You Ever Been Terminated or Asked To Resign From A Position? *

Yes

No

If Yes, Please Explain

Type N/A If Not Applicable

List Educational Schools Attended With Degrees, Diplomas or Certificates Recieved *

List Name, Relationship & Phone Number of 3 References Not Related or Former Employers *

I Have Experience In

Knowledge of OSHA Requirements

Knowledge of Hazerdous Materials

Check All That Apply

Have You Ever Applied To This Company Before? *

Yes

No

Have You Ever: 1.) Been Arrested; 2.) Been Charged; 3.) Pled Guilty or No Content; 4.) Been Convicted; 5.) Received A Deferred Sentence; and/or 6.) Been Sentenced For Any Criminal Offense In Any State or US Jurisdiction? *

Yes

No

If You Answered Yes To Any of The Previous Questions, Please Explain. *

Type N/A If Not Applicable

I Understand The Employer Has The Right To Proceed With Any Criminal Background Check. *

Yes

No

I Understand If I am Hired I Will Be Required To Produce Proof That I Have A Legal Right To Work In The USA In Accordance With The IRCA Of 1986. *

Yes

No

I Understand This Application Is Not An Employment Contract. *

Yes

No

If You Answered No To Any of The Previous Questions, Please Explain. *

Type N/A If Not Applicable

It Is Unlawful For Any Person To Provide False Information Regarding A Criminal Conviction On This Uniform Employment Application For Nurse Aides. Providing False Information Regarding A criminal Conviction Is A Misdemeanor Under Title 63 Of The Oklahoma Statutes, Section 1-1950.4a. Providing False Information About A Criminal Conviction On This Application Is Punishable By A Fine Not To Exceed Five Hundred Dollars ($500.00), By Imprisonment In The County Jail For A Term Of Not More Than One (1) Year, Or By Both Such Fine And Imprisonment. *

NOTICE: By Typing Your Full Name Above, You Agree To This Notice. I Understand Providing False Or Misleading Information To A Training Program, A Facility, Or The Department Is Grounds For Denial, Suspension, Withdrawal, and/or Non-renewal Of Certification. I Also Understand Providing False Information or Omission Of Facts May Disqualify Me From Employment And May Cause Termination If Discovered At A Later Date. Click The Submit Button To Send This Form.

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7820 NW Expressway, Okarche OK 73762
405.263.4683

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