Skills Sheet
Please indicate the skills, certifications and training you possess. Only check the boxes where you can SKILLFULLY perform the work, so that we can ensure successful, safe projects. If you do not posses the skill, just leave it blank. If you would like training in a particular area, please contact the Local Union or visit the training school's website, www.oregonlaborers.com.
Name *
First and Last Name
Last 4 SSN *
Address (Street) *
City *
State *
Phone Number *
Email Address
ABATEMENT/REMEDIATION
CERTIFICATION EXPIRATION DATE:
Please indicate if expiration date is for worker or supervisor.
ASPHALT LABORER
BILINGUAL
BLUEPRINT/PLAN READING EXPERIENCE
BOOM LIFT/SCISSOR LIFT CERTIFICATION
CERTIFICATION EXPIRATION DATE:
CDL Endorsement
CERTIFICATION EXPIRATION DATE:
Please list expiration date for each endorsement held.
CHUCK TENDER
CONCRETE
CONCRETE SPECIALIST
CONFINED SPACE CERTIFICATION
CERTIFICATION EXPIRATION DATE:
C STOP CERTIFICATION
CERTIFICATION EXPIRATION DATE:
DEMOLITION
DIRECTIONAL DRILL
DISASTER SITE WORK
DISTRIBUTION SCALE
DRIVERS LICENSE
FIRST AID/CPR
CERTIFICATION EXPIRATION DATE:
FLAGGING
CERTIFICATION EXPIRATION DATE:
Please list expiration date for each card held.
FOREMAN EXPERIENCE: (If yes, how many years?)
GENERAL LABORER
Includes but not limited to: Clean-up, Carpenter Helper, Fire Watch, Form Setter/Stripper, Plumber Digger, Tool Room, Plant Safety
GENERAL LABORER PIPELINER - GAS
GRADE CHECKER
HAZARDOUS MATERIALS
CERTIFICATION EXPIRATION DATE:
HIGH SCALER
HOD CARRIER
ICRA HOSPITAL RENOVATION:
If yes, please list certification expiration date.
MSHA- MINER SAFETY TRAINING:
If yes, please list certification expiration date.
OSHA TRAINING
CERTIFICATION EXPIRATION DATE:
PIPELAYER
CERTIFICATION EXPIRATION DATE:
List expiration date for OQ and/or Pipeline Safety
POWDERMAN CERTIFICATION:
If yes, please list certification expiration date.
POWER SAW OPERATOR
POWER TOOLS OPERATOR
RAILROAD LABORER
RESPIRATORY PROTECTION COURSE
If yes, please list certification expiration date.
RIGGING & SIGNALING
CERTIFICATION EXPIRATION DATE:
SAWCUTTING
SCAFFOLD
CERTIFICATION EXPIRATION DATE:
Please indicate course for each expiration date.
SHIPYARD
SMALL EQUIPMENT
CERTIFICATION EXPIRATION DATE:
Please list expiration date for Forklift Card and/or Small Equipment Operator Card.
TIMBER FALLER
TUNNEL MINER
TWIC CARD
If yes, please list expiration date.
WELDER
CERTIFICATION EXPIRATION DATE:
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
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