Please complete all sections of this application. If you have a resume, there is a provision at the bottom to allow you to attach the resume' .
A mandatory pre-employment drug test is required. 

CONTACT INFORMATION

GENERAL INFORMATION

EMPLOYMENT / WORK EXPERIENCE
Please list your current and all previous employers for the last 10 years. Start with your most recent employer.

EMPLOYMENT / WORK EXPERIENCE
Please list your 2nd most recent job (if within the last 10 years)

EMPLOYMENT / WORK EXPERIENCE
Please list your 3rd most recent job (if within the last 10 years)

APPLICANT'S AUTHORIZATION, RELEASE, ACKNOWLEDGEMENT:
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I understand employment with Brumbaugh Construction is a voluntary one and is subject to termination by me or Brumbaugh Construction at will with or without cause, and with or without notice, at any time. Finally, I agree to allow Brumbaugh Construction, Inc., its representatives, employees or agents to conduct - at any time prior to or during my employment with Brumbaugh Construction, Inc. - background check, which may include, but are not limited to, my previous employers, my criminal history, and my driving record. 

Why are you being asked to complete this form?

We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years. 

Identifying yourself as an indifidual with a disability is volundary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 at the Rehabilitation Act, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: