The information requested below is needed to measure the effectiveness of our
recruitment efforts and is in conformity with federal government guidelines which
require Lydig to compile statistical information concerning applicants for employement.

You are not required to furnish the requested information but are encouraged to do so.

Federal Law provides than an employer may not discriminate on the basis of the
information provided nor on whether or not you choose to provide it. This information
will not be provided to the hiring manager.

Lydig Construction Inc. is an equal opportunity employer and does not discriminate on the basis of race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, veteran status or disability.

Interviews are given on a competitive basis, using job-related factors, after a resume has been received and reviewed. Because of the large number of applicants, not everyone who applies for a vacant position will be interviewed.

I understand that, if selected, I will be required to provide proof of my identity and my legal right to work in the United States prior to actual employment with Lydig Construction.

I understand that any offer of employment is contingent upon passing a pre-employment drug screening.

I certify that all information I have provided is truthful and I have not knowingly withheld any pertinent information. I understand that a misrepresentation or material omission may result in my being eliminated from further consideration for employment. I further understand that, if accepted for employment, any misrepresentation or material omission which becomes known to Lydig Construction may result in immediate termination of my employment.

I authorize all previous employers and supervisors, including all persons with and for whom I have worked, to give Lydig representatives any and all information regarding my previous employment. I release Lydig Construction, and all previous employers and supervisors from liability for any damages that may result from furnishing information to Lydig Construction.