Job Application

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W. A. RANDOLPH, INC provides employment opportunities without discrimination with regard to age, ancestry, citizenship, color, disability, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other reason prohibited by law.

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General Information

All applicants must fill out this form completely. This application will be kept on file for one year. Wm. A. Randolph, Inc. provides employment opportunities without discrimination with regard to age, ancestry, citizenship, color, disability, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other reason prohibited by law.

What position are you applying for?(Required)

Name(Required)

First Last

Present Address(Required)

Street Address Address Line 2 City State ZIP Code

Former Address

Street Address Address Line 2 City State ZIP Code

Email Address(Required)

General Information (continued)

Home Phone

Mobile Phone

May we contact you at work?(Required)

Yes

Have you ever been employed by Wm. A. Randolph, Inc.?(Required)

Yes

What year did you start work at Wm. A. Randolph, Inc.?

How long did you work for us?

General Information (continued)

Are you legally able to work in the United States?(Required)

Yes

Visa status, if applicable:

Have you ever been convicted of a felony or in the past two years of a misdemeanor? (A conviction will not necessarily disqualify the applicant from employment.)(Required)

Yes

In the past three years, have you knowingly used any illegal controlled substance?(Required)

Yes

Have you ever been bonded?(Required)

Yes

Has your bond ever been refused?(Required)

Yes

Driver Information

Type of License(Required)

Driver's License Number(Required)

State(Required)

Expiration Date(Required)

MM slash DD slash YYYY

Has your driver's license been revoked or suspended in the last ten years?(Required)

Yes

If yes, please explain why:

Education (High School)

High School Name(Required)

High School Address(Required)

Street Address Address Line 2 City State ZIP Code

Last Year Completed(Required)

Did you graduate?(Required)

Yes

Education (College 1)

College / University Name(Required)

College / University Address(Required)

Street Address Address Line 2 City State ZIP Code

Major / Minor(Required)

Degree Earned(Required)

Did you graduate?(Required)

Yes

GPA(Required)

Education (College 2)

College / University Name(Required)

College / University Address(Required)

Street Address Address Line 2 City State ZIP Code

Major / Minor(Required)

Degree Earned(Required)

Did you graduate?(Required)

Yes

GPA(Required)

Employment & Experience (Company 1)

List your two previous employers in order, with last/current employer first.

Company Name(Required)

Employment Start Date(Required)

MM slash DD slash YYYY

Employment End Date(Required)

MM slash DD slash YYYY

Employment Address(Required)

Street Address Address Line 2 City State ZIP Code

Office Phone(Required)

Supervisor/Manager Name(Required)

First Last

May we contact them?(Required)

Yes

Last or current position held(Required)

Nature of business(Required)

Reason for leaving or considering change(Required)

Employment & Experience (Company 2)

Company Name(Required)

Employment Start Date(Required)

MM slash DD slash YYYY

Employment End Date(Required)

MM slash DD slash YYYY

Employment Address(Required)

Street Address Address Line 2 City State ZIP Code

Office Phone(Required)

Supervisor/Manager Name(Required)

First Last

May we contact them?(Required)

Yes

Last or current position held(Required)

Nature of business(Required)

Reason for leaving or considering change(Required)

Employment & Experience (continued)

Describe your work experience and skills. Please include office equipment and software you can operate.(Required)

References

Reference 1 Name(Required)

First Last

Reference 1 Phone(Required)

Reference 2 Name(Required)

First Last

Reference 2 Phone(Required)

Reference 3 Name(Required)

First Last

Reference 3 Phone(Required)

Resume

If you would like to submit a copy of your resume please do so here. If you do not have an electronic copy of your resume you may fax it to 847-856-0696.

Upload your electronic resume:

Accepted file types: jpg, pdf, png, gif, doc, docx, Max. file size: 256 MB.

Signature

Certification: I hereby declare that all the foregoing statements are complete and true, and I authorize you to consult my previous employers and/or supervisors. I understand that any false or dishonest answers may result in termination of employment.

Your Name(Required)

First Last

Today's Date(Required)

MM slash DD slash YYYY

Do you agree to the above statement?(Required)

Yes

Looking Forward

Today, we continue to push boundaries, delivering high-performance facilities across diverse sectors. No matter the project, our approach remains the same: expertly engineered, precisely executed, and built to last.

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