English Application | Employment | Southeastern Construction

All Applicants Have Rights Under Federal Employment Laws

Family and Medical Leave Act (FMLA)
Equal Employment Opportunity (EEO)
Employee Polygraph Protection Act (EPPA)
Are you 18 years of age or older?*
- Yes
- No
Date of Birth*
MM slash DD slash YYYY
Name*
Prefix First Middle Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

Any Subjects of Special Study or Research Work?*
Job Related Skills*
Activities Other Than Religious (Civic, Athletic, etc.)*
*exclude organizations, the name or character of which indicates the race, sex, color or national origin of its members.
Consent*
I agree to the consent policy.
Consent & Disclosure for Background Identification Verification
IN ORDER TO VERIFY MY IDENTITY FOR THE PURPOSES OF BACKGROUND IDENTIFICATION FOR EMPLOYMENT WITH DIXIE SOUTHERN & SOUTHEASTERN CONSTRUCTION AND MAINTENANCE, INC., I AM VOLUNTARILY RELEASING MY DATE OF BIRTH, SOCIAL SECURITY NUMBER, AND OTHER INFORMATION AS MAY BE REQUIRED TO VERIFY IDENTIFICATION AND BACKGROUND INFORMATION. I FULLY UNDERSTAND THIS INFORMATION IS FOR MY BENEFIT IN SEEKING EMPLOYMENT, AND THAT ALL DECISIONS FOR EMPLOYMENT ARE BASED ON LEGITIMATE NON-DISCRIMINATORY BASIS.
Phone
This field is for validation purposes and should be left unchanged.