Employment Application

Personal Information
Name
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Email*
Phone
Cellular
Date Of Birth
MM slash DD slash YYYY
Social Security Number
Proof of Identity and Eligibility Will Be Required Upon Employment. If hired, can you prove that you have the lawful right to work in this country?*
- Yes
- No
Have you ever been convicted of a crime or violation other than a minor traffic violation?*
- Yes
- No
If yes, please explain:
A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.
Employment Desired
Position
Available Start Date
MM slash DD slash YYYY
Pay Rate Desired
Are you employed now?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Have you applied or been employed by our company before?*
- Yes
- No
When?
How were you referred to our company?
Education/Special Training

Name of School	Number of Years in School	Major Subject	Did You Graduate?	Type of Diploma or Degree	Year Graduated

What are you available to work?
- Full Time
- Part Time
If part time, what hours would you be available?
Professional Licenses

Professional Licenses

Type of License	State Granting License	License #

Professional Designations/Certifications

Designations-Certifications

Certifications/Designations	Organization Granting Certification/Designation	Date completed

Former Employers
Most recent first

Dates (month/year)	Company Name	Salary	Position	Reason for leaving

Military Service
Branch of Service & Serial Number
Present Selective Service Classification
Rank at Discharge
List Duties/Special Training
Your position might require driving, so please complete this section.
Drivers License #:
State:
CDL:
Class:
List any moving violation tickets received in the past (3) years:
*Note: By law, depending upon size of vehicle you may be required to drive, a physical exam may be required which may include drug testing.
Special Skills & Qualifications
Summarize special skills and qualifications acquired from employment or other experience:
What foreign languages do you speak, read and/or write?

References: Not related to you. Should be someone you work close with to be able to describe your work ethics.

Name	Relation	Phone Number

Agreement
The facts set forth above in my application for employment are true and complete. I understand that false statements or omission of information on this application or any other employment form may lead to dismissal or denial of employment. You are hereby authorized to make any investigation of my personal history, financial, criminal, credit and motor vehicle records through any investigative or credit agencies or bureaus of your choice. You are also authorized to administer personality profile tests and verify my background. A criminal record or sentence is not an automatic disqualification for employment. I agree to submit to any drug or alcohol testing prior to or after employment and I agree to submit to a medical evaluation, if required.
In making this application for employment, I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others with whom I am acquainted. This inquiry includes information as to my character, general reputation, personal characteristics and mod of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of this investigative consumer report. In exchange for the consideration of my employment application by this company, I hereby release and forever discharge the company (including its directors, officers, employees and agents) and my past and/or present employers (their directors, officers, employees and agents) from any liabilities which may result from an investigation of my past and/or present employment or from the disclosure of such information. I authorize the use of any information in this application to verify my statements, and I authorize the past employers, doctors, all references and any other persons to answer all questions asked concerning my ability, character, reputation and previous employment record.
I understand that if my application is accepted that employment with this company at all times is employment “at will.” It is further understood that this “at will” relationship may not be changed by any written document, verbal statements, or by conduct unless such change is specifically acknowledged by an authorized executive of the company. I further understand that my “at will” employment may be terminated at any time by myself or the company and includes no guarantee, contract or promise of employment for any specific length of time. I understand that the first ninety (90) days of employment is a new hire introductory period.
Do you agree?
- Yes
- No
Attach your resume.
Max. file size: 4 GB.
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Insight Group’s highly-skilled, collaborative team is focused on providing innovative geotechnical, environmental and construction materials engineering services. Our office is in North Charleston, South Carolina.

Personal Information

A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.

Employment Desired

Education/Special Training

Professional Licenses

Professional Designations/Certifications

Former Employers

Military Service

Your position might require driving, so please complete this section.

*Note: By law, depending upon size of vehicle you may be required to drive, a physical exam may be required which may include drug testing.

Special Skills & Qualifications

Agreement

Insight Group’s highly-skilled, collaborative team is focused on providing innovative geotechnical, environmental and construction materials engineering services. Our office is in North Charleston, South Carolina.

info@insightgrp.com

843.779.9824

Insight Group
3359 Meeting Street, suite 101
N. Charleston, SC 29405

Employment Application

Personal Information

A conviction record will not necessarily be a bar to employment. Factors such as job relations, age and time of the offense, seriousness and nature of violation and rehabilitation will be taken into account.

Employment Desired

Education/Special Training

Professional Licenses

Professional Designations/Certifications

Former Employers

Military Service

Your position might require driving, so please complete this section.

*Note: By law, depending upon size of vehicle you may be required to drive, a physical exam may be required which may include drug testing.

Special Skills & Qualifications

Agreement

Insight Group’s highly-skilled, collaborative team is focused on providing innovative geotechnical, environmental and construction materials engineering services. Our office is in North Charleston, South Carolina.

info@insightgrp.com

843.779.9824

Insight Group 3359 Meeting Street, suite 101 N. Charleston, SC 29405

Insight Group
3359 Meeting Street, suite 101
N. Charleston, SC 29405