Today's Date:                         January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 27 28 29 30 31   2005 2006 2007 2008 2009 2010 2011 2012 2013

 Last Name:                           

First Name:                            

Middle Initial:                          

Address 1:                              

Address 2:                              

City:                                         

State:                                       

Zip:                                            

Phone #:                                    

E-Mail:                                        

Enter Age If Under 18:              

Position Applied For:            Starting Salary Expected:

Date Available to Start:     Willing to Work:  Full Time Part Time Seasonal Temporary Contract

Are there any days, shifts or hours you cannot work? Yes No

If Yes, Please Explain:  

Work Authorization: U.S. Citizen Lawful Permanent Resident Temporary Lawful Resident Applicant for Temporary Resident Refugee Aslyee

Have you ever been convicted of, entered a plea of no contest, had prosecution deferred, or adjudication withheld for a crime, or do you currently have any criminal charges pending against you? This would include Pre-Trail Intervention or Diversion Programs and all traffic crimes, including DUI, but not excluding minor traffic infractions.

Yes No

If Yes, When & Where. Please explain the circumstances.

Do you have a reliable form of transportation to and from work?      Yes No

 List any work related skills, training, or experience you believe are relevant to the job you applied for:

List Computer Skills:        Typing Speed: WPM

Please provide three (3) Professional references:

                              Name                                                    Phone Number

Employer #1

Employment Dates:        

From:                                       To:

Name:                                   

Address:                             

City:                                     

State:                                   

Zip:                                      

Telephone:                         

Type of Business:             

Starting Salary:                 

Ending Salary:                   

Job Title & Description:    

Reason for Leaving:          

May We Contact?:               Yes No                  Supervisor: 

Employer #2

Employment Dates:        

From:                                       To:

Name:                                   

Address:                             

City:                                     

State:                                   

Zip:                                      

Telephone:                         

Type of Business:             

Starting Salary:                 

Ending Salary:                   

Job Title & Description:    

Reason for Leaving:          

May We Contact?:               Yes No                  Supervisor:

Employer #3

Employment Dates:        

From:                                       To:

Name:                                   

Address:                             

City:                                     

State:                                   

Zip:                                      

Telephone:                         

Type of Business:             

Starting Salary:                 

Ending Salary:                   

Job Title & Description:    

Reason for Leaving:          

May We Contact?:               Yes No                  Supervisor:

Explain any gaps in your employment:

Have you ever been discharged or asked to resign from a former employer?:     Yes No

I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application and release all such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to request and receive such information.

As part of the procedure for processing this application, or at any time, I understand that an investigative report may be made, by Watson Construction Co., Inc. or through an agency. If employed, I agree to conform to the policies and practices of Watson Construction Co., Inc. and acknowledge that they may be changed, interpreted, withdrawn, or added to at any time, at The Company's sole option with or without any prior notice to me.

I understand and agree that my employment is governed by applicable law and is for no definite period of time and may, regardless of the date of payment of my wages and salary, be terminated at any time, without any previous notice, and without liability to me for wages or salary, except such as may have been earned at the date of such termination.

I agree to give the Company two weeks prior notice of resignation, if possible, should I terminate my service after accepting employment. It is understood that the Company may supply to any prospective employer a complete record of my employment with no responsibility to the Company or any of its staff.

I understand that I have no expectation of privacy with regard to any property owned or operated by the Company, including equipment, computer data (whether generated by me or by others), storage, desk and locker, all of which are subject to inspection at any time. I further understand that I may be asked to submit for inspection all personal belongings, including clothes, which I wear or bring to the job site. If illegal or unauthorized drugs, alcohol, firearms, weapons or stolen property are found during inspection, or if I refuse to submit to a search of my effects, I will be required to vacate the premises immediately and may be disciplined up to and including discharge.

I understand that if I am offered employment, post job offer but before my employment begins, the Company may require a medical evaluation which may include a physical examination by a physician selected by the Company to which I consent.

This evaluation may also include a pre-employment drug screening examination administered by a professional laboratory as part of my application for employment to which I also consent. I understand that either refusal to submit to the pre-employment drug screening examination or failure to qualify according to the standards established by the Company for this examination may disqualify me from further consideration for employment. The results of this examination shall be held in confidence and furnished only to the authorized officer of the Company from which I am now seeking employment for use solely in consideration relevant to my employment. I further understand that upon commencement of employment with the Company I may again be required, for reasonable suspicion, to submit to a drug screening examination administered by a professional laboratory. I understand that refusal to take a requested drug screening test or failure to meet the standards set for the examination may result in immediate suspension or discharge.

I understand that I may be asked to voluntarily submit to a polygraph examination as part of an ongoing investigation if the Company has sustained an economic loss or injury as a result of actions such as theft or embezzlement.

I understand that according to federal law, all individuals who are hired must, as a condition of employment, produce certain documents to establish their identity and employment eligibility to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce the required documentation within the time period required by law.

I understand that, in accordance with Illinois Law that if hired, I will be placed on a 90-day introductory probationary period. I further understand that if I am terminated for unsatisfactory performance within the 90-day probationary period, the Company will contest any unemployment benefits I might attempt to obtain as a result of my termination.

I understand that, if I am employed, a photograph may be later required for attachment to my personal file.

I hereby acknowledge that I have read the above statements and understand them.

Date:   January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 27 28 29 30 31   2005 2006 2007 2008 2009 2010 2011 2012 2013

Name: (Last, First)