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Civil Construction Operator
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Civil Construction Operator
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Applicant Information
Your Name
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Your Phone Number
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Your Address
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Street Address
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ZIP Code
Are you legally authorized to work in the U.S.?
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Are you at least 18 years old?
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Desired Position
Your Desired Position(s)
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(choose all that apply)
Project Manager/Estimator
Foreman
Operator
Pipe Layer
Laborer
Employment Availability
Available Start Date
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Preferred Work Schedule
*
(check all that apply)
Full Time
Part Time
Weekends
Overtime
Do you have reliable transportation to job sites?
*
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Yes
No
Are you willing to travel to different job sites?
*
Select one
Yes
No
Skills & Experience
Do you have prior construction experience?
*
Select one
Yes
No
If yes, please explain
*
Please list any tools/equipment you are experienced with.
Please list any certifications or training (e.g., OSHA 10/30, First Aid)
Employment History
(1) Employer Name
Job Title
Start Date
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End Date
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Reason for Leaving
Supervisor's Name
Supervisor's Phone Number
(2) Employer Name
Job Title
Start Date
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1932
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1922
1921
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End Date
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Month
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2019
2018
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2016
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1931
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1921
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Reason for Leaving
Supervisor's Name
Supervisor's Phone Number
References
(1) Reference Name
*
First
Last
Relationship
*
Phone
*
(2) Reference Name
*
First
Last
Relationship
*
Phone
*
Additional Questions
Are you able to lift 50 lbs repeatedly throughout the day?
*
Select one
Yes
No
Do you have any physical limitations that may affect your ability to perform construction work?
*
Select one
Yes
No
If yes, please explain
*
Have you ever been convicted of a felony?
*
Select one
Yes
No
If yes, please explain
*
Signature
Certification
*
I certify that the information provided is true and complete. I understand that false information may be grounds for immediate dismissal.
Signature
*