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Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, handicap, veteran status, marital status, sexual orientation, or any other characteristic protected by law. We are equal opportunity employer.
The field descriptions in RED text are required.
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| First Name: |
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Last Name: |
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| Address: |
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| City: |
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State: |
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| Zip: |
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Phone: |
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| E-mail: |
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| Desired Position: |
Click here to view descriptions |
| If Other: |
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Attach resume:
ACCEPTABLE FORMATS: .doc, .txt, .pdf |
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Employment History
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| Please list chronologically, beginning with most recent experience. |
| Employer: |
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Address/City: |
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| From (MM/YYYY): |
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To (MM/YYYY): |
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| Supervisor: |
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Phone: |
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| Pay: Start $ |
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Pay: Final $ |
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| Job Title and Duties: |
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| Reason for Leaving: |
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| Employer: |
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Address/City: |
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| From (MM/YYYY): |
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To (MM/YYYY): |
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| Supervisor: |
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Phone: |
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| Pay: Start $ |
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Pay: Final $ |
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| Job Title and Duties: |
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| Reason for Leaving: |
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| Employer: |
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Address/City: |
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| From (MM/YYYY): |
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To (MM/YYYY): |
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| Supervisor: |
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Phone: |
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| Pay: Start $ |
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Pay: Final $ |
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| Job Title and Duties: |
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| Reason for Leaving: |
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Education
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Personal Information
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Are you legally authorized to work in the U.S.?:
(If hired, you will be required to provide proof of work authorization.) |
Yes
No |
| Are you at least 18 years of age?: |
Yes
No |
| Briefly describe skills you may have that you acquired in other employment or armed forces: |
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| Have you ever been convicted of a crime (felony)?: |
Yes
No |
If yes, give details:
(A conviction will not necessarily disqualify an applicant for employment) |
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| What skills or additional training do you have that relate to the job for which you are applying?: |
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| What machines or equipment can you operate that relate to the job for which you are applying?: |
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| Do you have any other skills you wish to mention?: |
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| Are you presently employed?: |
Yes
No |
| If so, may we contact your present employer?: |
Yes
No |
| Have you worked or attended school under any other names?: |
Yes
No |
| If yes, give names: |
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| Have you ever been fired from a job or asked to resign?: |
Yes
No |
| If yes, please explain: |
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| If hired, when would you be available?: |
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Employment References
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| List two references familiar with your job qualifications (Not relatives or former employers). |
| 1) Name of Reference: |
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2) Name of Reference: |
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| Address: |
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Address: |
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| City/State/Zip: |
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City/State/Zip: |
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| Phone: |
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Phone: |
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| Relationship: |
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Relationship: |
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| How long known: |
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How long known: |
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Identify for Affirmative Action Purposes
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Landtech Contractors, Inc., is committed to the employment and advancement of minorities, females, veterans and individuals with disabilities. If you fall into one of these protected classifications, we invite you to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future.
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| Gender: |
Male |
Female |
| Indicate The Appropriate Race/Ethnic Group: |
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| How Were You Referred To This Job?: |
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Please read carefully before submitting your application
I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand I may be required to successfully pass a drug screening examination. I hear by consent to a pre- and/or post-employment drug screen as a condition of employment, if required.
I understand that if I am extended an offer of employment it may be conditional upon my successfully passing a complete pre-employment physical examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
Check this box to certify that you have read and accept the above statement. |
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