PRELIMINARY EMPLOYMENT APPLICATION
Applicant: We deeply appreciate your interest in our organization and assure you that we are
sincerely interested in your qualifications. Please answer all of the following questions accu-
rately and completely. Benton-Georgia, LLC., is an Equal Opportunity Employer. We do not
discriminate on the basis of race, color, religion, age, sex , national origin, disability or any
other basis protected by federal, state, or local laws.


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Position Applied For *
If the position you are applying for does not match any of the below choices, please send your resume to resume@benton-georgia.com.
Region Of Interest *
Personal Information
First Name *
Last Name *
City *
State *
Telephone Number *
Email Address *
Are you at least 18 years old? *
Are you eligible for employment in the United States? *
Do you have a valid drivers license? *
If so, what class drivers license do you have?
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The 3E family of companies includes: Benton, Player and Company, Pipe Strong, Diversified Utility Construction, Moorhead Brothers, H3O Technologies, H1O Technologies, and 1155 Infrastructure Solutions.  Were you previously employed by any 3E company? *
If yes, which company, what year, and who was your supervisor?
Do you have any Natural Gas Experience?  If so, please describe:
Which best describes your Natural Gas Experience?
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Do you have other experience related to underground utility construction?
Education History
What is your highest level of education? *
Were You Referred By a Benton Employee?  If so, Enter their name here:
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