Please indicate if expiration date is for worker or supervisor.
Your answer
ANTI-HARASSMENT TRAINING
ASPHALT LABORER
BILINGUAL
BLUEPRINT/PLAN READING EXPERIENCE
BOOM LIFT/SCISSOR LIFT CERTIFICATION
If yes, please list certification expiration date.
Your answer
CDL Endorsement
CERTIFICATION EXPIRATION DATE:
Please list expiration date for each endorsement held.
Your answer
CHUCK TENDER
CONCRETE
CERTIFICATION EXPIRATION DATE(S):
Your answer
CONCRETE SAW CUTTING
CONFINED SPACE CERTIFICATION
If yes, please list certification expiration date.
Your answer
C STOP CERTIFICATION
If yes, please list certification expiration date.
Your answer
DEMOLITION
DIRECTIONAL DRILL
DISASTER SITE WORK
DISTRIBUTION SCALE
DRIVERS LICENSE
LICENSE EXPIRATION DATE:
Your answer
FALL PROTECTION TRAINING
FIRST AID/CPR
If yes, please list certification expiration date.
Your answer
FLAGGING
CERTIFICATION EXPIRATION DATE:
Your answer
FOREMAN EXPERIENCE: (If yes, how many years?)
Your answer
GENERAL LABORER
Includes but not limited to: Clean-up, carpenter helper, fire/hole watch, form setter/stripper, plumber digger, tool room, plant safety, etc.
GRADE CHECKER
HAZARDOUS MATERIALS
CERTIFICATION EXPIRATION DATE:
Your answer
HIGH SCALER
HOD CARRIER
ICRA HOSPITAL RENOVATION:
If yes, please list certification expiration date.
Your answer
LANDSCAPER
LAGGING - SOIL STABILIZATION
LEAD ABATEMENT AWARENESS
If yes, please list certification expiration date.
Your answer
LOGISTICS (Schedule, unload, deliveries, material handler)
OSHA TRAINING
CERTIFICATION(S) EXPIRATION DATE(S):
Your answer
PIPELINER GENERAL LABORER - GAS
PIPELAYER
CERTIFICATION EXPIRATION DATE:
List expiration date for OQ and/or Pipeline Safety
Your answer
PIPELINE COATING
List certification type
Your answer
POWER TOOLS OPERATOR
RAILROAD LABORER
RESPIRATORY PROTECTION COURSE
If yes, please list certification expiration date.
Your answer
Rigging & Signaling Certification
If yes, please list certification expiration date.
Your answer
CERTIFICATION EXPIRATION DATE:
Your answer
SCAFFOLD
CERTIFICATION EXPIRATION DATE:
Please indicate course for each expiration date.
Your answer
SMALL EQUIPMENT
CERTIFICATION EXPIRATION DATE:
Please list expiration date for Forklift Card
Your answer
SOLAR WORKER
TIMBER FALLER
TMA DRIVER (TRUCK MOUNTED ATTENUATOR)
TRAFFIC CONTROL
CERTIFICATION EXPIRATION DATE:
Your answer
TWIC CARD
If yes, please list expiration date.
Your answer
WELDER
CERTIFICATION EXPIRATION DATE:
Your answer
SHIFTS *
Please indicate which shifts you are willing to work.
Required
ETHNICITY AND GENDER IDENTIFICATION
This is voluntary information used to assist with certain governmental job goals/requests.
REGIONS:
Please indicate which regions, designated by Counties, you are willing to travel to for work. See map below for visual reference. IF YOU ARE NOT WILLING TO ACCEPT A JOB CALL IN A REGION, PLEASE DO NOT MARK THAT REGION.
REGION MAP
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oregon & Southern Idaho Laborers-Employers Training Trust. Report Abuse