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Please fill out and completely return to Loveland Excavating. If we have an opening and your qualifications meet our needs, you will be contacted for an interview.
* indicates a required field
* Name: * Name:
* Phone: * Phone
* Address: * Address:
* City: * City:
* State: Select StateAL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareDC - District Of ColumbiaFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaPR - Puerto RicoRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - Wyoming
* Zip Code: * Zip Code:
* Are you at least 18 years of age? * Are you at least 18 years of age?: Yes No
* Are you legally eligible for employment in the United States? * Are you legally eligible for employment in the United States?: Yes No
* Date available to work: * Date available to work
* Will you work overtime if asked? * Will you work overtime if asked?: Yes No
* Do you have a valid driver's license? * Do you have a valid driver's license?: Yes No
* CDL Class A? * CDL Class A?: Yes No
* Have you ever been convicted of a felony or misdemeanor within the last 5 years? (Includes DUI) * Have you ever been convicted of a felony or misdemeanor within the last 5 years? (Includes DUI): Yes No
If yes, please explain: If yes, please explain:
* Are you currently employed? * Are you currently employed?: Yes No
If yes, may we contact your current employer? If yes, may we contact your current employer?: Yes No
* Hours desired: * Hours desired:
* Salary desired: * Salary desired:
* Have you ever applied to Loveland Excavating? * Have you ever applied to Loveland Excavating?: Yes No
If yes, where and when?: If yes, where and when?:
* Were you referred by a present employee? * Were you referred by a present employee?: Yes No
If yes, by whom: If yes, by whom:
Do they know you're using them as a reference? Do they know you're using them as a reference?: Yes No
* Were you referred by a classified ad? * Were you referred by a classified ad?: Yes No
If yes, which paper?: If yes, which paper?:
* Were you referred by an employment service? * Were you referred by an employment service?: Yes No
If yes, which one?: If yes, which one?:
Other referral: Other referral:
* High School: * High School:
* No. of years attended: * No. of years attended:
* Did you graduate? * Did you graduate?: Yes No
College: College:
No. Years Attended: No. Years Attended:
Did you graduate? Did you graduate?: Yes No
Subject Studied: Subject Studied:
Trade / Technical: Trade / Technical:
Other: Other:
Details: Details
Please list your current and all previous employers for the last 7 years. Start with your most recent employer. Attach additional sheets if necessary.
* Company Name: * Company Name:
* Position: * Position:
* Salary: * Salary:
* Employed from: * Employed from
* Employed to: * Employed to
* Reason for leaving?: * Reason for leaving?:
* Duties performed: * Duties performed:
Company Name: Company Name:
Position: Position:
Salary: Salary:
Employed from: Employed from
Employed to: Employed to
Reason for leaving?: Reason for leaving?:
Duties performed: Duties performed:
Experience Summary: Please attach a current resume and answer the following regarding your work experience.
* Have you ever supervised one or more construction crews? * Have you ever supervised one or more construction crews?: Yes No
If yes, how many people?: If yes, how many people?:
* Do you have experience in the following? * Do you have experience in the following?: Underground Utility Work Roadway Building Bridge Building Site Work Structural Concrete Concrete Flatwork Water Main Plumbing Sanitary Sewer Storm Sewer Earthmoving Blocklaying Pile Driving Pier Drilling Other Foundation Work None
* Can you read plans? * Can you read plans?: Yes No
* Can you operate any heavy equipment proficiently? * Can you operate any heavy equipment proficiently?: Yes No
If yes, list equipment and years of experience.: If yes, list equipment and years of experience.:
* Are you willing to perform physical work? * Are you willing to perform physical work?: Yes No
* Can you set up and perform basic survey tasks? * Can you set up and perform basic survey tasks?: Yes No
Please describe the type of position you are looking for.: Please describe the type of position you are looking for.:
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation may be terminated with or without cause and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice. Finally, I agree to allow Loveland Excavating, it's representatives, employees, or agents to conduct - at any time prior to or during my employment with Loveland Excavating - full background checks, which may include, but are not limited to, my previous employers, my criminal history, and my driving record.
* Signature: * Signature:
* Date: * Date
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