Apply for Laborer - Staab Construction Corporation

Apply for Laborer

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:	Laborer
ID:	1109
Department:	Operations
Salary Range:	$23-33/hour based on experience
Benefits:	100% Employer paid premiums for health, dental, short-term disability, and long-term disability insurance. Paid time off plan. Other benefits include education reimbursement, paid company training, and profit sharing bonuses.
Retirement Benefits:	Average retirement plan contributions of 20-22% of eligible earnings into Employee Stock Ownership Plan and 401K Plan.
Contact Information
* First Name:
* Last Name:
* Middle Initial:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
Mobile Phone:
* Email:
Attachments
Resume:	Supported formats: Word, PDF, RTF, Text, and HTML.

	- or Upload from:


Cover Letter:	You can type in a Cover Letter or Copy/Paste from an existing document.

Employment Questionnaire

* Can you occasionally lift 100# ?

	Yes
	No

* Can you climb and work to 30' heights?

	Yes
	No

* Can you do strenuous work for at least 10 hours?

	Yes
	No

* Are you able to travel 300 miles and stay overnight 3 to 4 nights per week

	Yes
	No

* High School Diploma or HSED

	Yes
	No

What is your post-secondary education and/or training?

	Associate Degree
	Bachelor Degree
	Journeyman
	Supervisor

* Where did you hear about us?

* Please specify what location? IE-what newspaper, employee, etc

Application for Employment

PERSONAL INFORMATION

* Are you at least 18 years or older?:

Yes No

* When would you be available to begin work?:

* Hourly rate/salary desired:

* Have you ever applied to this company before?:

Yes No

EMPLOYMENT DESIRED

* Are you currently employed?:

Yes No

If so may we inquire of your present employer?:

Yes No

If presently employed, why are you considering leaving?:

How did you hear about us?:

Newspaper Referral Website

EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location	Did you Graduate?	Degree Received	Subjects Studied/Major
	Yes No
	Yes No
	Yes No

If you have completed any special courses, seminars, apprenticeships and/or training that would help you to perform the position for which you are applying, please describe:

EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

EMPLOYER 1

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

EMPLOYER 2

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

EMPLOYER 3

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

EMPLOYER 4

Dates Employed	Employer Name & Address	Employer Phone
From: To:
Job Title	Supervisor Name & Title	May we Contact?
		Yes No
Responsibilities	Reason for Leaving	Salary/Hourly Rate
		Start: End:

WORK REFERENCES Please provide three references not related to you, whom you worked with for at least one year.

Name	Relationship	Phone Number	Email
*	*	*	*

AUTHORIZATION, RELEASE AND CERTIFICATION I certify that the information in this application is true and understand that misrepresentations or false or omitted facts may result in my termination, regardless of the time of discovery by the company. I also understand that, if hired, my employment is for no definite period and may be terminated at any time without written notice and that, absent a written contract signed by the President of the company; I will remain an at will employee and can be terminated at any time without notice.
I authorize investigation of the statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information such references may have, personal or otherwise, and release all parties from liability for any damage that may result from furnishing same to you.
I understand that if I am offered employment with Staab Construction Corporation, I will be required to take a medical examination. I agree that if I begin working for Staab Construction Corporation prior to the receipt of the results of the medical examination by Staab Construction Corporation, I understand that Staab Construction Corporation may discharge me if the physical examination determines that I am unable to perform the essential functions of the job with reasonable accommodations.
I understand as a condition of employment, I shall be required to take a substance abuse test prior to the medical examination. If the result of the drug test is positive, Staab Construction Corporation shall withdraw the employment offer and I will not be allowed to reapply for a minimum of 30 days.
I understand that Staab Construction will obtain my motor vehicle report from the Wisconsin DOT upon hire.
I hereby certify that I have not executed any non-compete agreement, confidentiality agreement or other agreement that will prevent me from accepting employment with Staab Construction.

* Signature (type name):

* Date:

Voluntary Self-Identification of Disability CC-305

Voluntary Self-Identification of Disability

Form CC-305
Page 1 of 1

OMB Control Number 1250-0005
Expires 04/30/2026

Name:

Employee ID:

(if applicable)

Date:

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, 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?

A disability is a condition that substantially limits one or more of your "major life activities." If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

Alcohol or other substance use disorder (not currently using drugs illegally)
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
Blind or low vision
Cancer (past or present)
Cardiovascular or heart disease
Celiac disease
Cerebral palsy
Deaf or serious difficulty hearing
Diabetes

Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
Epilepsy or other seizure disorder
Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
Intellectual or developmental disability
Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
Missing limbs or partially missing limbs
Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports

Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
Partial or complete paralysis (any cause)
Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
Short stature (dwarfism)
Traumatic brain injury

Please check one of the boxes below:

Yes, I have a disability, or have had one in the past
No, I do not have a disability and have not had one in the past
I do not want to answer

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

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