APPLICATION FOR EMPLOYMENT

"*" indicates required fields

Step 1 of 7

I acknowledge that I have read the Notices to Applicants regarding EEO/AAP, Employment Requirements and Period of Consideration prior to submitting my application.*

Yes

APPLICATION (Non-Driver)

PERSONAL INFORMATION

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone*

Email*

Are you 18 years of age or older?*

Yes

EMPLOYMENT DESIRED

Position Applying for:*

Laborer

Grade Foreman

Pipe Layer

Pipe Foreman

Heavy Equipment Operator

Date Available to Start*

MM slash DD slash YYYY

Have you been employed by Hudgins Contracting Corp. before?*

Yes

If yes, when?

Who was your supervisor?

Reason for leaving?

How did you hear about us?*

Are you currently employed?*

Yes

May we contact your employer?*

Yes

RECENT WORK EXPERIENCE

List your last three employers, starting with the most recent. You may also upload a resume and/or any supplemental documents that may assist us in determining your suitability for a position.

I have not been previously employed.

Employer Name #1*

Position*

Immediate Supervisor*

Phone

Start Date*

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason left

Employer Name #2

Position

Immediate Supervisor

Phone

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason left

Employer Name #3

Position

Immediate Supervisor

Phone

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason left

Special Skills or Certifications

Optional: Upload Your Resume

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 10 MB.

Optional: Upload Additional Documents

Relevant documents help us evaluate your suitability for a role. Examples may include: First Aid Certifications, Operator Certifications, Safety Trainings, Special Licenses, etc.

Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 10 MB.

REFERENCES

List the names of three persons, not related to you, whom you have known at least one year.

Reference #1*

Phone or Email*

Relationship to you*

Reference #2*

Phone or Email*

Relationship to you*

Reference #3*

Phone or Email*

Relationship to you*

EDUCATION

Choose the highest grade completed:*

List any courses or degrees received beyond high school, for example from trade schools or colleges:

School Name / Location

Course(s) Taken

# of Yrs Completed

Degree/Certificate Received

School Name / Location

Course(s) Taken

# of Yrs Completed

Degree/Certificate Received

TRANSPORTATION

Our job sites are located throughout Hampton Roads including Hampton, Newport News, Williamsburg, Gloucester, Suffolk, Smithfield, Virginia Beach, Norfolk, Chesapeake and Portsmouth.

Do you have reliable transportation?*

Yes

Do you have a valid Driver’s License?*

Yes

Employment Eligibility

For purposes of compliance with the Immigration Reform and Control Act, are you legally eligible for employment in the United States?*

Yes

NOTICE: Prior to starting work, you will be required to show the following three (3) forms of ID for badging purposes:

ORIGINAL BIRTH CERTIFICATE
CURRENT STATE-ISSUED PHOTO IDENTIFICATION CARD – or – DRIVERS LICENSE
RESIDENT ALIEN CARD – or – WORK VISA IF NOT A US CITIZEN

Have you been ever been convicted of a felony (including any pending cases)?*

Yes

Have you been convicted of any misdemeanors within the past five (5) years – not including minor traffic offenses? (Please include any pending cases.)*

Yes

NOTICE TO ALL APPLICANTS: Failure to accurately disclose criminal history will end consideration for hire or, if hired, will be cause for termination for misconduct. Background investigations including a criminal history will be obtained prior to offer of employment.

ACKNOWLEDGMENT

View/download Hudgins Contracting EQUAL EMPLOYMENT and AFFIRMATIVE ACTION Policies here.

I acknowledge that I have read Hudgins Contracting Corp's policies as an Equal Opportunity and Affirmative Action Employer.*

I acknowledge that I have read Hudgins Contracting Corp's policies as an Equal Opportunity and Affirmative Action Employer.

View/download Hudgins Contracting INDIVIDUALS WITH DISABILITIES AND PROTECTED VETERANS Policies here.

I acknowledge that I have read the document INDIVIDUALS WITH DISABILITIES AND PROTECTED VETERANS.*

I acknowledge that I have read the document INDIVIDUALS WITH DISABILITIES AND PROTECTED VETERANS.

Do you wish to self-identify as an individual with a disability?*

Yes

If you are hired and have marked “yes”, you will be given the opportunity to fully disclose more information during your employee orientation. Please remember, you may self-identify now, or at any time in the future, without any negative effect on your employment.

Do you wish to self-identify as a protected veteran?*

Yes

AUTHORIZATION AND CONSENT

I authorize investigation of all statements contained in this application. I understand that any misrepresentation or omission of facts called for is cause for ending consideration for hire or, if hired, be a cause for termination for misconduct. I hereby authorize and request any previous employer, healthcare facility, law enforcement agency, school, military records custodian, credit reporting service and State/Federal Agency to supply information regarding me to Hudgins Contracting Corp. and further, I release any and all liability to any provider of such information. I understand that I will be required to pass a drug test before a final offer of employment is made. By signing my name below, I consent to this procedure. I understand that any employment relationship with Hudgins Contracting Corp. is “at-will” which means that the employee may resign at any time and Hudgins Contracting Corp. may discharge the employee at any time, with or without cause, and without liability for doing so. I also understand that this at-will employment relationship may not be changed by any written documentation or by any behavior unless the change is specifically acknowledged in writing by Hudgins Contracting Corp.

Signature*

Date*

MM slash DD slash YYYY

CAPTCHA

Phone

This field is for validation purposes and should be left unchanged.

IMPORTANT DOCUMENTS

Equal Opportunity and Affirmative Action Employer Policies
Individuals with Disabilities and Protected Veterans Policies
Downloadable/Printable Application (Non-Driver)
Downloadable/Printable Application (Driver)

Hudgins Contracting Corp. is a drug-free workplace. Pre-employment drug testing is required, and background screening is required for access to some jobsites.

We are an Equal Employment Opportunity and Affirmative Action employer. All qualified applications will be considered for employment without regard to race, color, religion, sex, national origin, genetic information, sexual orientation, gender identity, age, disability, veteran status, or any other characteristic protected by law. Qualified females, minorities, veterans, and those with disabilities are strongly encouraged to apply.

APPLICATION FOR EMPLOYMENT

APPLICATION (Non-Driver)

PERSONAL INFORMATION

EMPLOYMENT DESIRED

RECENT WORK EXPERIENCE

REFERENCES

EDUCATION

TRANSPORTATION

Employment Eligibility

ACKNOWLEDGMENT

View/download Hudgins Contracting EQUAL EMPLOYMENT and AFFIRMATIVE ACTION Policies here.

View/download Hudgins Contracting INDIVIDUALS WITH DISABILITIES AND PROTECTED VETERANS Policies here.

AUTHORIZATION AND CONSENT

IMPORTANT DOCUMENTS

Equal Opportunity and Affirmative Action Employer Policies

Individuals with Disabilities and Protected Veterans Policies

Downloadable/Printable Application (Non-Driver)

Downloadable/Printable Application (Driver)

Hudgins Contracting Corp. is a drug-free workplace. Pre-employment drug testing is required, and background screening is required for access to some jobsites.

105 E Street, Ste 400 • Hampton, VA 23661

757-873-0199 •
757-873-3010

© Hudgins Contracting