MARK HEUETT GEN CONT INC
PO Box 488, Clarkston, WA  99403
Fax to (509) 243-7844                                                                                        Date:__________________
Or email to info@mhgcinc.com

                                                           Employment Application


APPLICANT INFORMATION

Last Name _______________________________________  First _________________     M.I.________
       
Street Address ___________________________________________________________________       

Mailing Address ___________________________________________________________________

City ____________________________________ State ____________  ZIP ____________________       

Phone __________________________________ Cell ____________________________

E-mail Address _____________________________________     Date Available  ____________________    
      
Social Security No.  ___________________________                   Desired Salary $________________/Hr       

Position Applied for  { } Management  { } Administration { } Supervisor { } General Laborer { } EQ Operator      

Are you a citizen of the United States?        YES     NO  

If no, are you authorized to work in the U.S.?        YES     NO

Have you ever worked for this company?        YES    NO  If so, When______________________________________

Have you ever been convicted of a felony?     YES   NO   If yes, Explain____________________________________

EDUCATION (List facility and dates)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

REFERENCES (Please list three professional references.)

1.Full Name  ______________________________________  Title  _____________________________________

Company _______________________________________  Phone (_____)______________________________

Address  _______________________________________ City, State & Zip_______________________________

2.Full Name  ______________________________________  Title  _____________________________________

Company _______________________________________  Phone (_____ )______________________________

Address  _______________________________________ City, State & Zip_______________________________

3.Full Name  ______________________________________  Title  _____________________________________

Company _______________________________________  Phone (_____ )______________________________

Address  _______________________________________ City, State & Zip_______________________________

SPECIAL SKILLS (please list):__________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
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PREVIOUS EMPLOYMENT (list the last 3)
1. Company _______________________________________________   Phone  (_____)______________________

Address__________________________________________ Supervisor _________________________________        

Job Title_________________________________________ Ending Wage/Salary  $ __________________ /Hr/Mo

Responsibilities________________________________________________________________________________

____________________________________________________________________________________________      
  
From__________To _____________ Reason for Leaving_____________________________________________        

2. Company _______________________________________________   Phone  (_____)______________________

Address__________________________________________ Supervisor _________________________________        

Job Title_________________________________________ Ending Wage/Salary  $ __________________ /Hr/Mo

Responsibilities________________________________________________________________________________

____________________________________________________________________________________________      
  
From__________To _____________ Reason for Leaving_____________________________________________  

3. Company _______________________________________________   Phone  (_____)______________________

Address__________________________________________ Supervisor _________________________________        

Job Title_________________________________________ Ending Wage/Salary  $ __________________ /Hr/Mo

Responsibilities________________________________________________________________________________

____________________________________________________________________________________________      
  
From__________To _____________ Reason for Leaving_____________________________________________  

MILITARY SERVICE

Branch _______________________________  From __________  To   ___________________     

Rank at Discharge_______________________ Type of Discharge _______________________       

If other than honorable, explain  __________________________________________________________________

____________________________________________________________________________________________      

DISCLAIMER AND SIGNATURE
"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information,
omissions, or misrepresentation are discovered, my application may be rejected and, if I am employed, my employment may be
terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my
employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the
company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause,
and with or without notice, at any time by the company. I understand that no company representative, other than its president and assigned
general manager, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement
contract to the foregoing."


_______________________________________        ___________________________
Signature                                                                        Date        

                             

1. Are you willing to provide your own hand tools?                                   yes          no                                    
2. Are you willing to travel out of town - away from home?                        yes          no



Mark Heuett General Contractor Inc is an Equal Opportunity Employer
Mark Heuett General Contractor Inc is licensed and has operating authority in Oregon, Washington, Idaho
and Montana. All state rules are strictly complied with,  in respect to specific  Federal and State Labor &
Industry rulings, Prevailing and Minimum Wage requirements, Employment Laws and Drug and Alcohol
testing and reporting. (FMCSA)






                   You may attach a resume and letters of reference to this application. Thank you.