Ruscilli Construction Company

Current Newsletter - Ruscilli Resource

March 22, 2010
Ruscilli Construction has been selected by National Church Residences as the General Contr....
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December 9, 2009
Ruscilli Construction has been selected as the General Contractor for the Scioto Country C....
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October 23, 2009
Ruscilli Construction has been selected by National Church Residences as the general contr....
»Read more

EMPLOYMENT APPLICATION
Ruscilli Construction Co., Inc. is an EQUAL OPPORTUNITY EMPLOYER. Qualified applicants receive consideration for employment without regard to their race, religion, color, ancestry, age, sex, or disability. To be considered for employment, this application must be completed fully, including its addenda. Your responses to the questions in this application form must be accurate and complete and they will be judged in relation to the requirements of the job you are seeking. Applications remain active for three months. Applicants selected for employment will be required to prove U.S. citizenship or a legal right to work in the U.S. as determined by the U.S. Immigration and Naturalization Service. Ruscilli is an "at will" employer, which means employment may be terminated by the employee or the company at any time, with or without notice, and for any reason or no reason at all.

**IDENTIFICATION**
Last Name	First Name	Middle Name

Address

City	State	Zip

Phone Number	E-mail Address
( ) -
Are you at least 18 years old?

EMPLOYMENT DESIRED
Position Desired

Applying for
Full Time Part Time Either	Regular Temporary Either
Which shift will you work?
Any Day Evening Night Rotating
Salary or hourly rate expected	Date available to start
per

SKILLS
Office and Computer Skills
Typing Skills	If Yes, approximate w.p.m
Yes No
Shorthand	If Yes, approximate w.p.m.
Yes No
Dictaphone
Yes No
10-Key Calculator
Yes No
Other office machines or equipment

Computer Software Skills (Check all that apply)
MS Word MS Excel MS Access MS PowerPoint
Other office, accounting, HR, PR software:
Other presentation, publishing, or CAD software:
Construction Equipment and Machinary
Construction equipment and machinary you are qualified to operate:

Licenses, Registrations, Certifications	Issuing Agency or Organization	Cert. or ID No.	Expiration Date

EDUCATION/TRAINING
	Name and location of school/training	No. Years Completed	Diploma/Degree	Program or major courses	Grade Average
Last High School
College/University, Professional, Business or Technical Schools
Grad School
Subject of special study or research:
Extracurricular activities in high school and/or college:

EMPLOYMENT HISTORY
List all employment and periods of unemployment during the last fifteen years. You may list employment prior to fifteen years ago which is related to the job you are seeking or if you wish to have it considered. You are not required to list military service, but you may do so if it is related to your career an you wish to have it considered.
Have you ever been employed by this company? Yes No		If YES, give details in the employment section.
Name any relatives working for this company. (This is neither an advantage nor disadvantage. It helps us with placement.)

Present Employer (Company Name) or period of unemployment		Telephone No.	From Mo./Yr.	To Mo./Yr.

Employer's Address	City	State	Zip

Department		Supervisor
Your Job Title	You name at the time	Salary/Wage	Full Time Part Time
			Regular Temp
Describe duties, equipment operated and special accomplishments

Reason for leaving


Previous Employer (Company Name) or period of unemployment		Telephone No.	From Mo./Yr.	To Mo./Yr.

Employer's Address	City	State	Zip

Department		Supervisor
Your Job Title	You name at the time	Salary/Wage	Full Time Part Time
			Regular Temp
Describe duties, equipment operated and special accomplishments

Reason for leaving


Previous Employer (Company Name) or period of unemployment		Telephone No.	From Mo./Yr.	To Mo./Yr.

Employer's Address	City	State	Zip

Department		Supervisor
Your Job Title	You name at the time	Salary/Wage	Full Time Part Time
			Regular Temp
Describe duties, equipment operated and special accomplishments

Reason for leaving


Previous Employer (Company Name) or period of unemployment		Telephone No.	From Mo./Yr.	To Mo./Yr.

Employer's Address	City	State	Zip

Department		Supervisor
Your Job Title	You name at the time	Salary/Wage	Full Time Part Time
			Regular Temp
Describe duties, equipment operated and special accomplishments

Reason for leaving


Previous Employer (Company Name) or period of unemployment		Telephone No.	From Mo./Yr.	To Mo./Yr.

Employer's Address	City	State	Zip

Department		Supervisor
Your Job Title	You name at the time	Salary/Wage	Full Time Part Time
			Regular Temp
Describe duties, equipment operated and special accomplishments

Reason for leaving

REFERENCES
List three persons who have known you for at least one year. Please exclude relatives or present/former supervisors.
Name	Address	Phone No.	Business

GENERAL INFORMATION

Have you ever been convicted of any violation of law by any court other than for a minor traffic offense?

Yes N o

If YES, please explain, giving date, offense, and disposition.

Conviction of a crime is not an automatic bar to employment. All circumstances will be considered.

Please identify where you learned about an employment opportunity with this organization.

Employee Referral
Newspaper Ad
Recruiter
State Employment Service
Tech School/College Placement
Temporary Service
Other

AFFIRMATIVE ACTION FORM

Government agencies require reports on status of applicants. This data is for analysis and affirmative action only. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect any consideration you may receive for employment or later advancement in employment.

Sex:

Male Female

Race/ethnicity:

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (Not Hispanic or Latino ) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five races.

Veteran Non-Veteran

STATEMENT OF CERTIFICATION, AUTHORIZATION, AND AGREEMENT
I certify that the information I have provided in this application form, in my resume, and interview(s) is complete and accurate. I authorize all my former employers and personal references to answer inquiries made by Ruscilli Construction Co., Inc. and I herby release all such parties including their employees, contractors, and agents from liability as a result of doing so. I agree that if, in the exclusive opinion of Ruscilli or its agents, I have made any misrepresentation, or the results of the investigation are not satisfactory, any offer of employment may be withdrawn or, if already hired and working, I may be terminated without liability, except for payment at the rate agreed upon for services actually rendered. I understand this authorization to investigate my background is extended to and covers the entire period of my employment with Ruscilli. A copy of this agreement and certification can serve as an original. I understand and agree that Ruscilli is an “at will” employer and that this means that my compensation can be changed by the company at any time or my employment can be terminated by me or Ruscilli at any time and for any reason, or for no reason at all, and that no one, except the President of Ruscilli, is authorized to enter into a contract or agreement of employment with me for any specific period of time or offer me any benefits different than those generally available to other similarly situated employees as stated in the company’s benefit plans and employee policy manual. Any such agreement must be in writing and signed by me and the President of Ruscilli. Any other such agreements, oral or written, by anyone else are considered null and void. If I am hired, I understand I will be required to complete all forms and documentation the company requires for its new hire processing. My failure to do so may result in withdrawal of any employment offer or termination if I have already started to work. After employment, I understand that I will be required to complete all documentation the company requires upon demand including, but not limited to, tax withholding, personal information changes, benefit enrollment forms, performance appraisals, and warning notices and other corrective actions. My failure to do so may result in disciplinary action up to and including termination, as deemed appropriate by the company. I understand I must adhere to the policies and procedures of Ruscilli while I am an employee of the company. I agree