Employment Application - Lee Reger Builds Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Email *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo You Have Reliable Transportation? *YesNoCan You Work Overtime If Necessary? *YesNoCan You Work The Afternoon Of Midnight Shift If Necessary? *YesNoAre You Willing To Travel For This Position? *YesNo Have Travel Been Have You Ever Been Previously Employed By LRBuilds? *YesNoHave You Been Convicted Of A Crime In The Last 7 Years? *YesNoIf Yes Please Explain. (Conviction Will Not Automatically Bar Employment)Do You Have A Valid Drivers License? *YesNoDrivers License NumberEmployment History *Please include your last two employers information. Company Name, Position Held, Company Phone Number, Supervisor Name & Title, Dates Employed (From & To), Salary / Pay Information, and Reason For Leaving. Resume * Click or drag a file to this area to upload. Please upload your resume here. Supported Extensions are PNG, JPEG, JPG, PDF, DOC, & DOCXSubmit
