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Join Our Team at Con Sur Inc.

Contact Information

* Name:

* Address 1:






​ * Date of Birth 

Application for Employment


* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment): 

* Are you at least 18 years or older? (If no, you may be required to provide authorization to work): 

* Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years?
     (A conviction will not necessarily result in the denial of employment): 

   If Yes, please explain:                                                      

* Have you ever worked for this Company before?:             

    If Yes, please provide details (Where/When/Job Title):  

Position Applying For? 

* When would you be available to begin work?:  

* Hourly rate/salary desired:  

* Are you currently employed?: 

If so, may we inquire of your present employer?

If presently employed, why are you considering leaving?:  

    Give your Last two employment record, starting with your current or most recent employment

                                                                                       * EMPLOYER 1

Dates Employed                                                Employer Name & Address                                             Employer Phone



Job Title                                                            Supervisor Name & Title                                                  May we Contact ?

Responsibilities                                                         Reason for Leaving                                                 Salary/Hourly Rate

                                                                                      EMPLOYER 2

Dates Employed                                               Employer Name & Address                                             Employer Phone



Job Title                                                             Supervisor Name & Title                                               May we Contact ?

Responsibilities                                                          Reason for Leaving                                              Salary/Hourly Rate

    Please provide three references (not relatives).

Name                                                                              Relationship                                                            Phone Number


The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

 I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company 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 the company has the authority to make any assurance to the contrary.

 I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):  

* Date:  

Equal Opportunity Employment

We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.



A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment 

A person having origins in any of the Black racial groups of Africa 

A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race 

A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam 

A person having origins in any of the original peoples of Europe, North Africa, or the Middle East 

A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands 

All persons who identify with more than one of the above races 



Please fill out the form below and click Submit to submit your application for consideration. Fields with (*)  are required.
Hispanic or Latino
American Indian or Alaska Native (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Asian (Not Hispanic or Latino)
White (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
I Choose Not to Respond