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Home
About
Services
Utilities & Site Infrastructure
Residential & Commercial Plumbing
Flatwork and Specialty Concrete
Concrete Recycling
Careers
Contact
402.421.6316
Employement
Application
Step
1
of
6
16%
It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status.
PERSONAL INFORMATION
Name:
(Required)
First Name
Middle Initial
Last Name
Current Address:
(Required)
Street & Apt #
City
State
Zip Code
Telephone:
(Required)
Driver's License:
(Required)
State:
(Required)
I am a US Citizen or otherwise authorized to work in the United States on an unrestricted basis:
(Required)
Yes
No
If applicable, please list your visa type, visa # and expiration:
Have you ever been convicted of a felony?
(Required)
Yes
No
Have you ever served in the US Military?
(Required)
Yes
No
Branch of Service:
(Required)
Rank at time of separation:
(Required)
I served from
(Required)
To
(Required)
Special Honors:
(Required)
EXPERIENCE AND QUALIFICATIONS- DRIVERS
Drivers License
(Required)
Drivers Licenses No.
State
Type
Add
Remove
Driving Experience
(Required)
Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
From
To
Approx. # of Miles
Add
Remove
Accident Records for the Past 3 Years or More
(Required)
Dates
Nature of Accident (Head-on, Rear-end, etc.)
Fatalities
Injuries
Add
Remove
Traffic Convictions and Forfeitures for the Past 3 Years
(Required)
Location
Date
Fatalities
Injuries
Add
Remove
A. Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
(Required)
Yes
No
B. Have any licenses, permit or privilege ever been suspended or revoked?
(Required)
Yes
No
Attach Statement Giving Details
(Required)
Drop files here or
Select files
Max. file size: 128 MB.
Employment History
Present or most recent employer
Employer
(Required)
Address
(Required)
Your Position:
(Required)
Duties
(Required)
Dates of Employment – From:
(Required)
To:
(Required)
Supervisor:
Title:
May we contact?
(Required)
Yes
No
Reason for Leaving:
(Required)
Prior Employer
Employer
(Required)
Address
(Required)
Your Position:
(Required)
Duties
(Required)
Dates of Employment – From:
(Required)
To:
(Required)
Supervisor:
Title:
May we contact?
(Required)
Yes
No
Reason for Leaving:
(Required)
Prior Employer
Employer
(Required)
Address
(Required)
Your Position:
(Required)
Duties
(Required)
Dates of Employment – From:
(Required)
To:
(Required)
Supervisor:
Title:
May we contact?
(Required)
Yes
No
Reason for Leaving:
(Required)
EDUCATION
High School Attended:
(Required)
Did you graduate?
(Required)
Yes
No
Attended from
(Required)
to
(Required)
Special honors or awards:
(Required)
Technical or Vocational School Attended:
(Required)
Did you graduate?
(Required)
Yes
No
Attended from
(Required)
to
(Required)
Did you receive your GED?
(Required)
Yes
No
Special honors or awards:
(Required)
College or University Attended:
(Required)
School Attended:
(Required)
Did you graduate?
(Required)
Yes
No
Attended from
(Required)
To
(Required)
Did you receive your GED?
(Required)
Yes
No
Special honors or awards:
(Required)
College or University Attended:
(Required)
School Attended:
(Required)
Did you graduate?
(Required)
Yes
No
Attended from
(Required)
To
(Required)
Did you receive your GED?
(Required)
Yes
No
Special honors or awards:
(Required)
POSITION INFORMATION
Position applying for:
(Required)
How did you hear about this job?
(Required)
What hours are you willing to work?
(Required)
Would you be able to work weekends?
(Required)
Yes
No
Are you willing to travel for the job?
(Required)
Yes
No
When would you be able to start?
(Required)
Desired Salary
(Required)
Per
(Required)
SKILLS
Please describe any skills you have in the following areas:
(Required)
Experience with construction/Excavation Equipment:
(Required)
Languages Spoken (Other than English)
(Required)
Any Medical Conditions that would make it difficult for you to work outdoors in all weather:
(Required)
Submission
Consent
(Required)
Certify
(Required)
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior education and employment history.
Furthermore, I understand that if I am hired, employment with this company is “at will”, which means that either the company or I can terminate my employment for any reason not prohibited by state or federal law.
Signature:
(Required)
Date:
(Required)
MM slash DD slash YYYY
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