Work with Perry, fill up the form below and apply to be part of the most amazing construction company in all Long Island. Our headquarters are located in Bohemia, NY and we serve all towns around Suffolk and Nassau County.

The age discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.

Filling and sending this application you are authorizing PHS to investigate all statements contained in this application. You understand that misrepresentation or omission of facts called for is cause for dismissal, further, you understand and agree that the employment is for no definite period and may, regardless of the date of payment of you wages and salary, be terminated at any time without any previous notice.

This form has been created to comply with State and Federal Fair Employment Practice Laws prohibiting discrimination on the basis of an applicant sex or minority status. Questions directly or indirectly reflecting such status have been included only where needed to determine a bona fide occupational qualification or for other permissible purposes, such questions are appropriately noted on the application. Notwithstanding these efforts, the manufacturer of this form assumes no responsibility and hereby disclaims any liability in this form, of any question upon which a violation of State and Federal Fair Employment Practice Laws my be based.

    PERSONAL INFORMATION

    EMPLOYMENT DESIRED

    Are you employed?

    YesNo

    Ever applied to this Company before?

    YesNo

    U.S. Military or Naval Service

    YesNo

    Present Membership in National Guard or Reserves

    YesNo

    SPECIAL QUESTIONS

    Citizen of the United States

    YesNo

    SPECIAL QUESTIONS

    Do you have any physical disability that reclude you from performing any work for which you are being considered?

    YesNo

    Were you ever injured?

    YesNo

    Have you any disabilities?

    HearingVisionSpeech

    In case of emergency notify

    FORMER EMPLOYERS

    write every each one of the details per line date from to, Name and Adresss of employer, Salary, Position Reason for leaving.

    write every each one of the details per line date from to, Name and Adresss of employer, Salary, Position Reason for leaving.
    write every each one of the details per line date from to, Name and Adresss of employer, Salary, Position Reason for leaving.

    REFERENCES

    Write one reference per line: Name / Address / Business / Years known