Pre-Employment Job Application.

We are an Equal Opportunity Employer and a Drug Free Workplace.

Date of Application: Apr 24, 2014

Position(s) Applied For? (click all that apply)
Mechanic/Welder/Fuel-Lube Tech Superintendent/Foreman Equipment Operator
Laborer Accounting/Payroll Project Manager/Project Engineer
Clerical/Administrative CDL - Class A Truck Driver Estimating/CAD
Survey/Grade Check/GPS Other

Certifications? (click all that apply)
OSHA 10 HR OSHA 30 HR MSHA Dust Control
HAZMAT      

Which State do you want to work in? (click all that apply)
Arizona California Colorado Nevada
New Mexico Texas Utah No Preference

How Did You Hear About Us?
Advertisement Relative Inquiry  
Employment Agency Friend Other

Last Name:
First Name:
Middle Name:
Sex:
Male Female

Street Address City State Zip Code

Telephone Number(s)
Email

Best time to contact you at home is? AM
PM

If you are under 18 years of age, can you provide required proof of your eligibility to work ?
Yes No

Have you ever been convicted of a felony?
Yes No

Have you ever filed an application with us before?
Yes No

Have you ever been employed with us before ?
Yes No

Do any friends or relatives other than spouse, work here ?
Yes No
Are you currently employed
Yes No
May we contact your present employer ?
Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status ? - Proof of citizenship or immigration status will be required upon employment
Yes No
Are you currently on a "lay-off" status and subject to recall ?
Yes No

Date available to start work?

What is your desired salary range?

Can you travel if job requires it ?
Yes No
If you are seeking Full-Time please indicate shift availabilty.
1st 2nd 3rd
If you are seeking Part-Time please indicate shift availabilty.
1st 2nd 3rd
If you are seeking Temporary work please indicate dates available. From: To:

Education:

Yes
No
Yes
No
Yes
No




Employment Experience:


Please list your last three employers starting with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.


1.
Employer Name
 
Address
 
Telephone Number
 
Job Title
 
Supervisor
 
Reason for Leaving
 
Dates Employed
From
To
 
Salary $
Hourly Weekly Monthly




2.
Employer Name
 
Address
 
Telephone Number
 
Job Title
 
Supervisor
 
Reason for Leaving
 
Dates Employed
From
To
  Salary $ Hourly Weekly Monthly




3.
Employer Name
 
Address
 
Telephone Number
 
Job Title
 
Supervisor
 
Reason for Leaving
 
Dates Employed
From
To
 
Salary $
Hourly Weekly Monthly





Specialized Skills (check skills/equipment operated)

Office Equipment (select all) Machinery (select) Machinery or Other (list)
PC/MAC  
Microsoft Office
       (Excel, Word, Outlook, Project)
AutoCAD  
HCSS / Heavy Bid  
Primavera  
Carlson  
Terramodel  





References

1.
Name

Phone
 
Street Address

City

State

Zip

2.
Name

Phone
 
Street Address

City

State

Zip

3.
Name

Phone
 
Street Address

City

State

Zip


Applicant's Statement


I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is futher understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.



I agree to the above terms



We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Check if you have read this statement.