BRIDGES EXCAVATING LLC

WE "DIG" WORKING FOR YOU !

PLEASE PRINT THIS PAGE & EMAIL, MAIL OR FAX BACK

 

Application for Employment

 

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status.

 

Date _________­­­­­­­­­­_____________                E-mail  ____________________________________

Last name ______________________ First name ________________ Middle name__________

Street Address _________________________________________________________________

City ____________________________  State _______  ZIP __________

Telephone ___________________________ Cell Phone # ___________________________

Social Security# ______________________________________

Drivers License # ______________________ Is this a CDL  q Yes  q No

Date of Birth _____________________________

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? (You may be required to provide documentation.) q Yes  q No

Are you looking for full-time employment? q Yes   q No

If no, what hours are you available? ______________

Have you ever been convicted of a felony? (This will not necessarily affect your application.)

q Yes   q No

If yes, please describe conditions. _________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

 

Employment Desired

Position applied for __________________________________________

How did you hear of this opening? __________________________________________

Have you ever applied for employment here? q Yes   q No

When? ___________________________________

Have you ever been employed by this company? q Yes   q No

When? ___________________________________

 

 

Are you presently employed? q Yes   q No

Are you available for full-time work?q Yes  q No   Are you available for part-time work? q Yes  q No

Are you available to work overtime and Saturdays? q Yes   q No 

Date you can start_______________________________________________________________

Desired position________________________________________________________________

Desired starting wage___________________________________________________________

Education

            School Name and Location                                        Year     Major          Degree

High School ________________________________________       ______ _________ ______

College ___________________________________________         ______ _________ ______

Other Training ______________________________________        ______ _________ ______

In addition to your work history, are there are other skills, qualifications, or experience that we should consider? ______________________________________________________________________________

______________________________________________________________________________

Please list any scholastic honors received and offices held in school.

______________________________________________________________________________

Are you planning to continue your studies?   q Yes   q No

If yes, where and what courses of study?_____________________________________________

Experience

Have you ever run an excavator?  q Yes q No   What Make & Model__________­___________

Have you ever run a skid steer?     q Yes q No   What Make & Model__________­___________

Have you ever run a dozer?           q Yes q No   What Make & Model__________­___________

Have you driven a dump truck?    q Yes q No   What Make & Model__________­___________

Have you ever plowed snow?       q Yes q No   What Make & Model__________­___________

Have you ever used a laser to check grade before?  q Yes q No 

Have you ever installed pipe before?  q Yes   q No

If yes, where and what types?

______________________________________________________________________________

Can you back up a truck and trailer?  q Yes   q No

List any violations and or endorsements you have on your driver’s license. _____________________________________________________________­­­­­_________________

­­­­­­­______________________________________________________________________________

List all equipment and vehicles you have operated or driven.

______________________________________________________________________________

______________________________________________________________________________

Employment History             (Start with most recent employer)

 

Company Name ________________________________________________________________

Address ________________________________________Telephone ______________________

Date Started ____________  Starting Wage ____________  Starting Position _______________

Date Ended _____________  Ending Wage ____________  Ending Position ________________

Name of Supervisor ____________________________________

May we contact? q Yes   q No

Responsibilities ________________________________________________________________

______________________________________________________________________________

Reason for leaving ______________________________________________________________

 

 

Company Name ________________________________________________________________

Address _______________________________________ Telephone ______________________

Date Started ___________  Starting Wage ____________  Starting Position ________________

Date Ended _____________  Ending Wage ____________  Ending Position ________________

Name of Supervisor ____________________________________

May we contact? q Yes   q No

Responsibilities ________________________________________________________________

______________________________________________________________________________

Reason for leaving ______________________________________________________________

 

 

References

List three personal references, not related to you, who have known you for more than one year.

Name ____________________________ Phone ____________________Years Known_______

Address ______________________________________________________________________

Name ____________________________ Phone ____________________Years Known_______

Address ______________________________________________________________________

Name ____________________________ Phone ____________________Years Known_______

Address ______________________________________________________________________

 

 

 

Emergency Contact

In case of emergency, please notify:

Name ______________________________________________ Phone ____________________

Address ______________________________________________________________________

Name ________________________ Phone ____________________

Address ______________________________________________________________________

 

Please Read Before Signing:

I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application.

I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements.

 

 

Signature _______________________________________________  Date_________________

 

WE “DIG” WORKING FOR YOU !

Phone: 330-339-PIPE (7473)   Mobile: 330-440-5512    Fax: 330-470-6412

583 CREEK STREET, UHRICHSVILLE, OH 44683

www.Bridges-Excavating.com           Brian@Bridges-Excavating.com