Phone *
Alternate Phone
Email *
Have you ever worked for this company before? * Yes No
If yes, when?
Employment desired * Full-time only Part-time only Full or part-time
When available for work? *
Wage desired: *
Are you over 18 years old? * Yes No
Are you legally eligible to work in the United States? * Yes No
Can you travel if the job requires it? * Yes No
Are you on layoff or subject to recall? * Yes No
If Other, specify:
Did you graduate? * Yes No
Do you have a valid driver's license? * Yes No
Are you proficient at pulling a trailer? * Yes No Somewhat
What is your means of transportation to work?
Driver's License number *
State of issue *
Expiration Date *
Have you had any accidents during the past three years? * Yes No
If yes, how many?
Have you had any moving violations during the past three years? * Yes No
If yes, how many?
1. Lift and carry 30-50 lb forms? * Yes No
2. Receive and follow directions? * Yes No
3. Use a hammer, shovel, wheelbarrow? * Yes No
4. Read a tape measure? * Yes No
5. Operate power tools? * Yes No
If no, list the function(s) you are unable to perform and explain why you are unable to perform them.
Describe construction experience:
Describe equipment you are familiar with: *
Prior Work Experience? * Yes No
Name of employer
Phone
Your last job title
Starting employment date
Ending employment date
Starting salary/pay
Ending salary/pay
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of employer
Phone
Your last job title
Starting employment date
Ending employment date
Starting salary/pay
Ending salary/pay
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
Name of employer
Phone
Your last job title
Starting employment date
Ending employment date
Starting salary/pay
Ending salary/pay
Reason for leaving (be specific):
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company.
May we contact your present employer? * Yes No
Did you complete this application yourself? * Yes No
If not, who did?