Employment Opportunities

Employment opportunities at Urban Engineering include positions for civil engineers, engineers in training, draftsmen, surveyors and administrative staff. Benefits include a 401K retirement savings plan, dental insurance, major medical insurance, supplemental insurance, paid vacation and reimbursement for books and tuition for continuing education coursework. Please fill out the application for employment below if you are interested in a position within our company.

Application for Employment

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.

Personal Information

Full Name (First, Middle, Last)

Street Address

City

State

Zip

Home Phone

Business Phone

Social Security #

Pay Expected

Position Desired

Have you ever applied for employment with us?
Yes No	If Yes: Month and Year

Will you work overtime if asked?
Yes No

When will you be available to begin work?

Apart from absence for religious observance, are you available for full-time work?
Yes No	If not, what hours can you work?

Are you legally eligible for employment in the United States?
Yes No

Other special training or skills (languages, machine operation, etc.)

Employment Information

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Company 1

Company Name

Address

Name of Supervisor

Telephone

State Job Title and Describe Your Work

Employed - (State month and year)
From: To:

Weekly pay
Start: Last:

Reason for Leaving

Company 2

Company Name

Address

Name of Supervisor

Telephone

State Job Title and Describe Your Work

Employed - (State month and year)
From: To:

Weekly pay
Start: Last:

Reason for Leaving

Company 3

Company Name

Address

Name of Supervisor

Telephone

State Job Title and Describe Your Work

Employed - (State month and year)
From: To:

Weekly pay
Start: Last:

Reason for Leaving

We may contact the employers listed above unless you indicate those you do not want us to contact.

Do Not Contact:

Employer Number(s)

Reason

Education

Choose last year completed
Elementary High School College

Describe other education or training

Military

Did you serve in the U.S. Armed Forces?
Yes No	If Yes, in what Branch?

Describe any military training received relevant to the position for which you are applying

Additional Questions

The information requested below is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status and sexual preference.

Provide dates you attended school:
Elementary From: Elementary To:
High School From: High School To:
College From: College To:

Sex:
Female Male

Are you a U.S. Citizen?
Yes No

How long at present address?
Years

Are you over 18 years of age?
Yes No
If not, employment is subject to verification of age.

Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court?
Yes No
If "Yes," describe in full.

State names of relatives and friends working for us, other than your spouse.

Signature

The information provided in this Application for Employment is true, correct, and complete. If employed, any mistreatment or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtainied you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.

Date

Signature

If you are interested in a position within our company, please fill out our Application for Employment form below.