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APPLICATION FOR EMPLOYMENT

AT&T Park in San Francisco, CA Exterior façade panels brick on precast made in our San Juan Bautista plant.

Employee Owned Since 1999

WHO WE ARE We are:

Craftsmen Engineers Laborers

Carpenters Draftsmen Welders

Operators Mechanics

WHAT WE DO We make:

Precast Concrete Glass Fiber Reinforced Concrete

Thinshell Concrete Stone-Clad Concrete Brick-Clad Concrete

We make these products in our San Juan Bautista and Hollister casting plants. We combine raw

materials of cement, aggregates, and steel to create Architectural Concrete panels. The completed panels are then delivered to jobsites all over California.

WHO WE WORK FOR We work for ourselves

We work for our co-workers We are employee-owned

As employee-owners, each of us has a stake in the success of the company. When we work smart

and safely, we all make more money. When we produce a quality product, we get repeat customers and have more work in the future.



INSTRUCTIONS FOR APPLICANTS 1. Fill out the application on the following pages. Print legibly or type. Sign the last

page of the application. 2. Include any relevant certificates (such as welding certifications or vocational

degrees on 8.5”x11” size). 3. All applicants must be authorized to work in the United States. You must be able

to provide a valid identification and a valid social security card before you can begin work.

4. The office will contact you if are selected to come in for an interview with the superintendent.

5. If you are not hired right away, there is still an opportunity to work for Willis Construction as new projects come on-line. We will retain your contact information so that we can offer you work in the future when it becomes available. If you have already found other work, or are no longer interested in working at Willis Construction, let us know and we will remove your contact info from our hire list.

6. Scan your application and attachments, if any, to a single PDF file and email it to: [email protected]

7. You can also mail or hand-deliver the application to our main office: 2261 San Juan Highway, San Juan Bautista, CA 95045. The office is on the 2nd floor- ask for Aurora. The office phone number is 831-623-2900 if you have questions.

8. Good Luck. We look forward to growing our family of employee-owners here at Willis Construction!

mailto:[email protected]

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2261 SAN JUAN HIGHWAY, SAN JUAN BAUTISTA, C.A. 95045, LIC. NO. 398748 (83 1) 623-2900 • FAX (831) 623-2585


An Equal Opportunity Employer

EMPLOYMENT APPLICATION

PLEASE PRINT DATE: __________________________ Name _______________________________________________________________________

Last First Middle Telephone No. ( )______________ Social Security No. _______ --- _________ ---________ Address: _____________________________________________________________________________ No. Street City State Zip Employment applying for (Check all that apply): Manufacturing Laborer _____ Manufacturing Foreman _____ Welder_____ Mechanic_____ Other__________________________ Are you available for full-time work (40 hours/week)? Yes _____ No ______

Are you available for part-time work (20 hours/week)? Yes_____ No ______

Are you available for seasonal full-time work (3 to 6 months per year)? Yes ____No_____

The typical shift is from Monday to Friday 7:00 AM to 3:30 PM, however some crews begin as

early as 5:00 AM and some crews begin as late as 8:00 AM.

Are you available to work during these times? Yes _____No_____

Are you available to work on Saturdays? Yes _____No_____

Are you available to work overtime, if necessary? Yes _____No_____

If hired, on what date could you start work? Immediately _____ or Date______________

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Empleados Propietarios desde 1999

Empleador ofrece igualdad de oportunidades en el empleo

APLICACION DE EMPLEO

POR FAVOR ESCRIBIR CLARAMENTE FECHA: ___________ Nombre: _______________________________________________________________________ Apellido Nombre Segundo Nombre Teléfono ( ) _____ - _______ Seguro Social _______ --- ____ ---________ Domicilio: _____________________________________________________________________________ Numero Calle Ciudad Estado Zip Tipo de trabajo que busca (Marque todo lo que corresponda): Obrero _____ Mayordomo _____ Soldador_____ Mecánico _____ Otro __________________ Está disponible para trabajar tiempo completo (40 horas)? Sí _____ No ______

Está disponible para trabajar medio tiempo (20 horas)? Sí_____ No ______

Está disponible para trabajar temporalmente (3 a 6 meses por año)? Si ____No_____

La jornada de trabajo normal es de lunes a viernes de 7:00 am a 3:30 pm, pero algunos

empiezan a las 5:00 am y otros empiezan a las 8:00 am.

Está disponible para trabajar en estos horarios? Si _____No_____

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Está disponible para trabajar los sábados? Si _____No_____

Está disponible para trabajar horas extras? Si _____No_____

Qué fecha está disponible para empezar a trabajar? Inmediatamente _____ o fecha_______

EDUCATION, TRAINING AND EXPERIENCE No. of Years Name and City/State Completed High Diploma: Yes_____ No_____ School ____________________________ ________________________________ College/ Degree: University____________________________ ______________________________ Vocational/ Certification: Business ____________________________ _________ __ _________�� Health Certification: Care ____________________________ ________ ______________________ Do you speak, write, or understand any foreign languages? Yes_____ No_____ If yes, which languages? _______________________________________________________ Do you have any other experience, training, qualifications or skills which you feel make you especially suited for work at Willis Construction Company Inc.? If so, please explain: _____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ If you are applying for a welding position, please list all types of welding performed and list the types of welds for which you are currently certified: Weld type:___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Weld type: ___________________ currently certified? Yes_____ No_____ Please attach a copy of your certifications to this application.

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Other Certifications: __________________________________________________________ If you are applying for a foreman position, please list any experience in managing people (work as a foreman, shift leader, team leader, etc): ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ EDUCACION, CAPACITACION Y EXPERIENCIA Años Nombre y Ciudad/Estado Completados Escuela Diploma: Si_____ No_____ Secundaria_________________________ ________________________________ Colegio/ Licenciatura: Universidad___________________________ ______________________________ Certificado: Capacitación________________________ _________ __ _________�� Cuidado de Certificado: Salud____________________________ ________ ______________________ Usted habla, escribe o comprende algún idioma extranjero? Sí_____ No_____ Cuáles idiomas? _______________________________________________________ Tiene alguna experiencia, capacidad o habilidad, que lo hace especialmente adecuado pare el trabajo en Willis Construction Company Inc.? Por favor explique: _____________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Si está solicitando un puesto de soldador, enumere todos los tipos de soldadura realizada y certificaciones: Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____ Tipo de soldadura:___________________ Certificado? Si_____ No_____

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Adjunte una copia de sus certificados. Otros Certificados: __________________________________________________________ Si está solicitando un puesto de mayordomo, enumere la experiencia que tiene (trabajo como mayordomo, jefe de turno, líder del equipo, etc.): ________________________________________________________________________________________________________________________________________________________________ PERSONAL IN.FORMATION Have you ever applied to or worked for Willis Construction before? Yes_____ No_____ If yes, when? ________________________________________________________________ Do you have any friends or relatives working for Willis Construction? Yes____ No_____ If yes, state name and relationship: _____________________________________________ Willis Construction operates 2 manufacturing plants in San Benito County. The main plant is located at 2261 San Juan Highway, San Juan Bautista near the corner of Hwy 129 and Hwy 101. The second plant is located in West Hollister at 2310 San Juan Hollister Road, Hollister, CA. Are you able to provide your own transportation to and from work at either plant? Yes ____No_____ Do you have a valid California Driver's License? Yes_____ No_____ Are you at least 18 years old? Yes_____ No_____ (If you are under 18, hire is subject to verification that you are of minimum legal age.) If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? Yes_____ No_____ Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation? Yes_____ No_____ If no; describe the functions that cannot be performed: ______________________________________________________________________________

____________________________________________________________________________

(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and skill and agility tests.)

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Are you currently employed? Yes____ No____

If so, may we contact your current employer? Yes____ No____

INFORMACION PERSONAL Alguna vez ha aplicado o trabajado por Willis construcción? Si_____ No_____ Cuando? ________________________________________________________________ Tiene amigos o familiares que trabajen para Willis Construction? Si____ No_____ Nombre y relación: _____________________________________________ Willis Construction opera 2 plantas de fabricación en el Condado de San Benito. La planta principal se encuentra en 2261 San Juan Highway, San Juan Bautista, cerca de la esquina de la carretera 129 y la autopista 101. La segunda planta está situada en Hollister en 2310 San Juan Hollister Road, Hollister, CA. Tiene su propio transporte para ir al trabajo? Si ____No_____ Tiene licencia de conducir de California? Si_____ No_____ Tiene al menos 18 años de edad? Si_____ No_____ (Si es menor de 18 años, se verificara que tiene la edad mínima para trabajar.) Si es contratado, puede presentar evidencia de su ciudadanía o prueba de su derecho legal de vivir y trabajar en este país? Sí_____ No_____ Es capaz de realizar las funciones esenciales del trabajo, ya sea con o sin ajustes razonables? Si_____ No_____ Si no; describir las funciones que no se pueden realizar: ______________________________________________________________________________

____________________________________________________________________________

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Nota: Nosotros cumplimos con la ADA y consideramos medidas de adaptación razonable que puedan ser necesarias para los solicitantes elegibles / empleados para realizar las funciones esenciales puede estar sujeto a la aprobación de un examen médico y pruebas de habilidad y agilidad Está trabajando ahora? Si____ No____

Podemos contactar a su empleador? Si____ No____

EMPLOYMENT HISTORY List below all present and past employment starting with your most recent employer (the last 10 years is sufficient): Employer: ______________________________________ Phone: ( ) _______________ Date of employment: Started ___________ Ended: _____________

Position/Duties:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Reason for leaving: ____________________________________________________________ . Employer: ______________________________________ Phone: ( ) _______________ Date of employment: Started ___________ Ended: _____________


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Position/Duties:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Reason for leaving: ____________________________________________________________ . List any experience you may have working as a volunteer (such as service organizations, charity groups, etc): __________________________________________________________________________________________________________________________________________________________ HISTORIAL DE TRABAJO Listar abajo todo el empleo presente y pasado comenzando con su empleador más reciente (los últimos 10 años es suficiente): Empleador: ______________________________________ Tel: ( ) _______________ Fecha de Empleo: Inicio ___________ Termino: _____________

Posición:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Motivo por dejar el trabajo:_____________________________________________________ . Empleador: ______________________________________ Tel: ( ) _______________ Fecha de Empleo: Inicio ___________ Termino: _____________

Posición:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Motivo por dejar el trabajo:_____________________________________________________ . Empleador: ______________________________________ Tel: ( ) _______________

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Fecha de Empleo: Inicio ___________ Termino: _____________

Posición:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Motivo por dejar el trabajo:_____________________________________________________ . Empleador: ______________________________________ Tel: ( ) _______________ Fecha de Empleo: Inicio ___________ Termino: _____________

Posición:_________________________________________________________________________________________________________________________________________________________________________________________________________________________ Motivo por dejar el trabajo:_____________________________________________________ . Lista de cualquier experiencia que puede haber trabajo como voluntario (como organizaciones de servicios, grupos de caridad, etc.): __________________________________________________________________________________________________________________________________________________________ PLEASE READ AND SIGN BELOW

I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery. _______ Initials

I hereby authorize Willis Construction Company, Inc., to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize my former employers to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the company, my 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. ________ Initials

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I understand that nothing contained in the application or conveyed during any interview which may be granted is intended to create an employment contract between me and the company. In addition, I understand and agree that if I am employed, my employment is AT- WILL for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the company's designated representative. ________ Initials Date: ________ Applicant's Signature: __________________________________ Revised (1/1/18) LEA Y FIRME ABAJO Por la presente certifico que no he ocultado ninguna información que pudiera afectar adversamente mis oportunidades de empleo y que las respuestas dadas por mí son verdaderas y correctas de acuerdo a mi conocimiento. Además, certifico que yo, el solicitante que suscribe, he completado esta aplicación. Entiendo que cualquier omisión o declaración errónea de hechos materiales en esta solicitud o cualquier documento que se utiliza para asegurar el empleo será motivo de rechazo de esta solicitud o para la despido inmediato si soy empleado, independientemente del tiempo transcurrido antes del descubrimiento. _____ Iniciales

Por la presente autorizo a Willis Construction Company, Inc., para investigar a fondo mis referencias, historial de trabajo, la educación y otros asuntos relacionados con mi capacidad para el empleo y, además, autorizo a mis antiguos empleadores a informar a la Sociedad cualquier y todas las cartas, informes y otra información relacionada con mis registros de trabajo, sin darme previo aviso de dicha divulgación. Además, por este medio libero a la compañía, mis antiguos empleadores ya todas las personas distintas, corporaciones,

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sociedades y asociaciones de cualquier y todos los reclamos, demandas o responsabilidades que surjan de o en cualquier manera relacionada con dicha investigación o de la divulgación. _____ Iniciales

Tengo entendido que nada de lo contenido en la solicitud o comunicado durante cualquier entrevista que se podrá conceder tiene por objeto crear un contrato de trabajo entre la compañía y yo. Además, entiendo y acepto que si soy empleado, mi empleo es a la voluntad y por ningún período definido o determinable y puede ser terminado en cualquier momento, con o sin previo aviso, a elección de mí ni de la empresa, y que ninguna promesa o representación contraria a la anterior son vinculantes para la empresa a no ser que se haga por escrito y firmado por mí y el representante designado por la empresa. _____ Iniciales

Fecha: ________ Firma del Solicitante: __________________________________ Revisada (01/01/18)

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