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APPLICANT INFORMATION
Employment Application: We are an equal opportunity employer, dedicated to non-discrimination in employment on the basis of race, color, age, religion, sex, national origin, handicap, disability, veteran or marital status.
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Date
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MM
/
DD
/
YYYY
Name
*
Last, First, Middle Initial
Your answer
Address
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Include street address, city, state, and zip code
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Best way to contact you?
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Choose
Phone
Email
Text
Which position(s) are you interested in?
*
Check all that apply
Pipe Foreman
Excavator Operator (Pipe Crew)
Loader Operator (Pipe Crew)
Pipe Layer/Tailman
Dirt/Clearing Crew Foreman
Excavator Operator (Dirt & Clearing Crew)
Dozer Operator (Dirt & Clearing Crew)
Loader, Roller, Off-road Truck Operator
Motor Grader Operator
Laborer (Entry-Level)
Paving/Asphalt Crew
Other:
Required
Are you a citizen of the US?
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Yes
No
If no, are you authorized to work in the US?
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Yes
No
Have you ever worked for this company?
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Yes
No
If yes, when?
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Have you ever been convicted of a felony?
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Yes
No
If yes, explain:
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Are you related to anyone who works here?
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Yes
No
If yes, who?
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Were you referred to us by anyone who works here?
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No
If yes, who?
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Are you 18 years of age or older?
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Yes
No
Do you have a valid Drivers License?
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No
In Case of Emergency, please notify:
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Include name, phone number, and relationship
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