Job Application
Please complete the form below to apply for a position with us.
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Position Applied
*
Please Select
Operator
Laborer
Mechanic
Superintendent
Foreman
Office Admin
Desired minimum annual salary?
*
How did you hear about us
Please Select
LinkedIn
Event
Social Media
Company Website
Family / Friend
Available Start Date
.
Month
.
Day
Year
Date
Are you looking for full time or part time?
*
Full Time
Part Time
On Call
If answered Part time or On call what time/days are you available?
Rows
Sun
Mon
Tues
Wed
Thurs
Fri
Sat
Hours
Do you have reliable transportation?
*
Yes
No
Are you willing to work at multiple rates?
*
yes
No
If hired for a field/laborer position, are you willing to work swing shift?
*
Yes
No
Are you willing to work out of state?
*
Yes
No
Are you willing to work/camp in remote areas at project locations?
Yes
No
Do you have camp gear, camper, trailer, or motor home?
Yes
No
Your position might require you to have proper Personal Protective Equipment (PPE) (i.e. steel toe boots,hard hat, safety vest, rain gear, gloves) Do you have this equipment?
Yes
No
If “NO,” what do you need?
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Driving
Only fill out this area if the position requires you to drive for LKE Corporation
Do you have insurance and a current driver’s license?
*
Yes
No
Drivers License #
blanks
*
Issued State:
Date
*
Expiration date:
Date
*
Is this driver’s license a CDL?
*
Yes
No
Do you have a current medical card?
Yes
No
If “YES”, what is the expiration date?
-
Month
-
Day
Year
Date
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
*
Yes
No
If “YES,” please have a statement giving full details.
Trucking experience
Rows
Equipment Type
Dates to and from
Approx # of miles
Straight Truck
Tractors / Semi Trailers
Tractors/2 Trailers
Other
Other
Do you have any driving record accidents?
Yes
No
If “YES”, record all accidents for the past 3 years below. (Attach extra sheet if more space is needed.)
Rows
Dates
Nature of accident
Fatalities
Injuries
1
2
3
Do you have any traffic convictions or forfeitures for the past 3 years (other than parking violations?
Yes
No
If “YES,” please list any such convictions and forfeitures in the table below:
Rows
Dates
Location
Charge
Penalty
1
2
3
4
Heavy Equipment: The following is to gauge the type of equipment you are PROFICIENT in.
Rows
Size/weight of equipment
Dates to and from
Approx # of hours
Excavator
Dozer
Loader
Grader
Other
Other
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Other proficiency's
What is your Software proficiency? (Please specify year of software, i.e. Word 2007/2010)
Do you have any other skills, certifications, or qualifications? (i.e. flagging certification card, CPR training, OSHA, Fall Protection, CESCL, etc.)
What other construction industry experience can you offer to LKE Corporation? (flagging, safety crew, erosion control, cement mason, forms carpenter, steel/iron laborer, pipe layer, truck driver, grade checker,surveyor, asphalt layer, driver, electrician, drywall, carpenter, roofer,quality control officer, safety officer, CDL, etc.)
Because we feel it is highly unprofessional,LKE does not tolerate immodest clothing in the workplace. Are you willing to represent the LKE image in how you dress for work?
*
Yes
No
Can you work alone for a week?
Yes
No
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Work History
Company Name
Company Name
Supervisor
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Started
Start Date
Position
Date Ended
Ended
Position
May we contact them?
Yes
No
Responsibilities and/or equipment you were responsible for
Reason for leaving
Company Name
Company Name
Supervisor
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Started
Start Date
Position
Date Ended
Ended
Position
May we contact them?
Yes
No
Responsibilities and/or equipment you were responsible for
Reason for leaving
Company Name
Company Name
Supervisor
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Started
Start Date
Position
Date Ended
Ended
Position
May we contact them?
Yes
No
Responsibilities and/or equipment you were responsible for
Reason for leaving
Reference
*
Name
Phone #
Relationship
Reference
*
Name
Phone #
Relationship
Reference
*
Name
Phone #
Relationship
I certify that the facts outlined in this employment application are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered enough cause for dismissal. This company is hereby authorized to make any investigations of my prior education and employment history. No manager, supervisor, or employee of LKE Corporation has any authority to enter into an agreement for employment for any specified period or to make any agreement for employment other than at-will.Only the president of LKE Corporation has the authority to make any such agreement and then only in writing. All employment will continue on that basis. No supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing.
*
Submit
Should be Empty: