Employment Application

LEEWARD CONSTRUCTION, INC.

9 Collan Park, Honesdale, PA 18431 - Phone: (570) 253-4090 - Fax: (570) 253-4346

An Equal Opportunity /Affirmative Action Employer

If you are disabled and need an accommodation to assist you in the application process, please contact the EEO Officer at (570) 253-4090

Leeward Construction, Inc. is an equal opportunity employer. Employment decisions including all hiring decisions are made without regard to race, color, religion/creed, sex, sexual orientation, martial status, gender identity, national origin, ancestry, age, pregnancy, non-job related disability, physical or mental disability, military status or unfavorable discharge from military service, possession of a General Education Development Certificate as compared to a high school diploma, or any other trait protected by applicable federal, state, or local laws. We strive to hire the hardest working and most qualified individuals.

Instructions: Please complete the entire application truthfully. Even if you are attaching a resume, the entire application must be complete or it will not be considered. Any falsifications or omissions may be grounds for immediate dismissal. If a given question is not applicable to you, you should answer N/A.

LEEWARD CONSTRUCTION, INC.

9 Collan Park, Honesdale, PA 18431 - Phone: (570) 253-4090 - Fax: (570) 253-4346

APPLICATION AUTHORIZATION CERTIFICATION
PLEASE READ CAREFULLY

In submitting this application for employment, I authorize the Company to investigate all statements contained in it, and I understand that my current and/or former employers and references, whom I have listed, may be contacted to provide information concerning my suitability for employment. I expressly authorize the Company to conduct such inquiries and I release the Company and any responding parties from any and all liability associated with such inquiries.

I understand that neither the completion of this application nor any part of my consideration for employment establishes any obligation for Leeward Construction, Inc., to hire me. I understand that in the event that I am hired, I will be hired as an at-will employee; that either Leeward Construction, Inc., or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Leeward Construction, Inc., has the authority to make any assurance to the contrary.

I understand and agree that I will undergo a post-offer, pre-employment testing for ilegal drugs and alcohol as a condition of employment. Any applicant with a verified, confirmed positive test results or other non-negative results or refuse to test shall be denied enployment. The Company will not discriminate against applicants for employment because of history of drug or alcohol abuse. Therefore, individuals who have failed a post-offer test may initiate another inquiry with the Company after they are drug and alcohol free.

I certify that I have read this entire employment application, including all information that I have provided on the application, and the entire statement set forth immediately above. I further certify that all of the information that I have provided on this employment application is true and complete. No requested information has been concealed. If any information I have provided is untrue, a misrepresentation, or I have concealed material information, I understand that this will constitute cause for denial of employment or immediate dismissal post-hire.

THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE SIGNED/DATED ABOVE.

CONSIDERSATION FOR EMPLOYMENT AFTER 60 DAYS REQUIRES A NEW APPLICATION.