Cable Associates Application

APPLICATION FOR EMPLOYMENT
435 Redoubt Road, P.O. Box 1516, Yorktown, Virginia 23692

(757) 890-0143 - ctarpley@cableassociatesinc.com

ALL APPLICANTS MUST SHOW PROOF OF U.S. CITIZENSHIP, OR PROVIDE PROPER DOCUMENTATION ALLOWING YOU TO WORK IN THE U.S. A CURRENT DRIVERS LICENSE OR COMMERCIAL DRIVERS LICENSE OR LEARNERS PERMIT IS PREFFERED, BUT NOT REQUIRED.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Social Security Number
*Not required at initial application.
Are you 18 years or older?*

YesNo
Employment Desired
Position*
Date you can start*

MonthDayYear
Date
Salary Desired
Do you have any experience in the Utility Construction field?

YesNo
If yes, please explain.
Previous experience
Do you have any experience operating any of the following:

BackhoeDirectional DrillExcavatorTrenching Machine
Do you currently have a Commercial Driver's License?

YesNoLearner's Permit
Were you referred to Cable Associates?

YesNo
If yes, please provide their name
Education

Past Employment

Personal References

Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number for the Emergency contact listed above.
"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 can be terminated, with or without cause, and with or without notice, at any time, at either my or they 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, at any time by the company."
Signature of Applicant

Clear
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR EMPLOYMENT