Equal Opportunity Employer / Drug Free Workplace

Position Applied For

Contact Information



NOTE: A conviction will not necessarily disqualify applicant from employment.

Educational Background

Please list High School, Trade, Business or College attended.

Former Employers

List below the last three employers, starting with the most recent.


Please list three that you are not related to, whom you have known for at least one year.

Reference One

Reference Two

Reference Three

Applicant Statement

I hereby authorize Nelson Engineering Construction to thoroughly investigate my references, work records, education and other matters related to my suitability for employment and, further, authorize my current employers to disclose to the company any and all letters, reports and other information pertaining to my employment with them, without giving me prior notice of such disclosure. In addition, I hereby release Nelson Engineering Construction, my current and former employers, and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that if offered employment, the offer may be contingent on my passing a pre-employment alcohol and drug screen and a pre-employment physical. By signing this application, I voluntarily agree to submit to a pre-employment alcohol / drug screen and pre-employment physical upon request. I understand that failure to pass the alcohol / drug screen and/or physical will result in withdrawal of the employment offer.

If hired, I also agree to submit to alcohol or drug testing as a condition of employment. I agree that Nelson Engineering Construction may conduct alcohol or drug screening at its sole discretion with or without notice and failure to pass the alcohol / drug screen may be grounds for termination of employment. I also understand that refusal to submit to an alcohol / drug screen will be considered a voluntary resignation of employment.

I understand that nothing contained in the application or conveyed to me during any interview, which may be granted, is intended to create any employment contract, implied or explicit, between Nelson Engineering Construction and myself. In addition, I understand and agree that if I am employed, my employment relationship with Nelson Engineering Construction is strictly voluntary and at our mutual will. I understand that if employed, my employment is for no definite period and may be terminated at any time, with or without notice, with or without cause or reason, at the option of either myself or Nelson Engineering Construction.

In consideration of my employment, I agree to conform to the company’s rules and regulations.

I understand that the employer does not unlawfully discriminate in employment and no question of the application is used for the purpose of limiting or excusing any application from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and the federal immigration laws require me to complete an I-9 Form in this regard.

My signature below certifies that I have read and understand this complete Applicant Statement, and agree to the terms and conditions outlined in this document.