Employment Application

Lang Stone is one of Columbus’ oldest family businesses and the nation’s oldest stone company.

All applicants are considered for all positions without regard to race, religion, color, sex, gender, sexual orientation, pregnancy, age, national origin, ancestry, physical or mental disability, medical condition, military or veteran status, genetic information, marital status, ethnicity, citizenship or immigration status or any other protected classification, in accordance with applicable federal, state, and local laws. By completing this application, you are seeking to join a team of hardworking professionals dedicated to consistently delivering outstanding service to our customers and contributing to the financial success of the organization, its clients, and its employees. Equal access to programs, services, and employment is available to all qualified persons.

Those applicants requiring accommodation to complete the application and/or interview process should contact a management representative.

Contact Information

Position(s) Applied for

Name(Required)

First Middle Last

Address

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Desired Wage

Referred By

Available Start Date

MM slash DD slash YYYY

Employment

Employment Experience

Employer Name	Date Employed From	Date Employed To	Actions

There are no Jobs.

Maximum number of jobs reached.

Have you ever been involuntarily terminated from any job?

Yes

Please explain your termination.

Explain any gaps in your employment history.

List any other experience, job related skills, additional languages, or other qualifications that you believe should be considered in evaluating your qualifications for employment.

Education

Schooling Information

School Name	Years Completed	Diploma or Degree?	Actions

There are no Schools.

Maximum number of schools reached.

References

Professional References

List three professional references of individuals who are not related to you.

Name	Title	Relationship	Actions

There are no References.

Maximum number of references reached.

Personal References

List three people who know you well.

Name	Title	Relationship	Years Acquainted	Actions

There are no References.

Maximum number of references reached.

General Information

Have you ever worked for this company before?

Yes

Please provide dates and position

Are you available to work?

Full-time

Part-time

Days and hours you are available to work:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

If hired, would you have a reliable means of transportation to and from work?

Yes

Can you travel if the position requires it?

Yes

Are you at least 18 years old?

If under 18, hire is subject to verification that you are of minimum legal age.

Yes

If hired, can you present evidence of your identity and legal right to work in this country?

Yes

Are you able to perform the essential job functions of the job for which you are applying with or without reasonable accommodation?

We comply with the ADA and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions.

Yes

Applicant Statements and Agreement

Read and agree to each paragraph below. If there is anything that you do not understand, please ask.

I hereby authorize the Lang Stone to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the prior employers and references I have listed to disclose to the Lang Stone 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 Lang Stone, 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.

I agree.

If I am employed by the Lang Stone, I understand that I am required to comply with all rules and regulations of the Lang Stone.

I understand.

If hired, I understand and agree that my employment with the Lang Stone is at-will, and that neither I, nor the Lang Stone is required to continue the employment relationship for any specific term. I further understand that the Lang Stone or I may terminate the employment relationship at any time, with or without cause, and with or without notice. I understand that the at-will status of my employment cannot be amended, modified, or altered in any way by any oral modifications.

I understand and agree.

I understand that safety of employees is extremely important to the Lang Stone and that Lang Stone is committed to ensuring a safe working environment. I understand that I, and every employee, have a responsibility to prevent accidents and injuries by observing all safety procedures and guidelines and following the directions of my site supervisor. I understand and agree to comply with federal, state, and local regulations related to on-the-job safety and health.

I understand.

I hereby certify 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 on 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.

I agree.

I understand that as a candidate for hiring by Lang Stone that if I receive an offer of employment, the offer will be conditional based in part upon my consent and submission to a drug test; that this drug test will be performed on a urine specimen that I will give voluntarily; and that, for accuracy, if the initial test is positive the test will be confirmed through a second, more comprehensive test.

I understand.

I understand that if any term, provision, or portion of this Agreement is declared void or unenforceable, it shall be severed and the remainder of this Agreement shall be enforceable.

I understand.

Signature

My signature indicates that I have read, understand, and agreed to all of the above terms.

Do you have a resume?(Required)

Yes

Upload Resume(Required)

Please upload a current resume.

Accepted file types: pdf, jpg, doc, docx, Max. file size: 500 MB.

What qualifies you to work for Lang Stone?(Required)

Please fill out your previous employment above and let us know what you feel best qualifies you for employment at Lang Stone.

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Questions?

For questions or to submit resumes by email, contact Careers@LangStone.com or call
614-235-4099.

Contact Information

Employment

Education

References

General Information

Applicant Statements and Agreement

Questions?

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