Application for Employment
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Available Start Date
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is your current employment status?
*
Employed
Self-Employed
Unemployed
Student
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Equipment qualifications and other skills
Position/s you are applying for
*
Desired Salary
*
Tractor and trailer experience?*
Yes
No
If employed, may we contact your employer?
Yes
No
Valid drivers license?
*
Yes
No
CDL?*
*
Yes
No
Endorsements
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Previous Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Referred By
Have you ever applied for employment with us before?
*
Yes
No
If Yes, when?
*
Have you ever been denied a license or permit to operate a motor vehicle?
*
Yes
No
If Yes, explain
Have you had any accidents in the past 3 years?
*
Yes
No
ACCIDENT RECORD (for the past 3 years)
Date of last accident
*
-
Month
-
Day
Year
Date
Nature of accident
*
Fatalities?
*
Yes
No
Injuries?
*
Yes
No
Hazardous spill?
*
Yes
No
Have you had any traffic convictions in the past 3 years?
Yes
No
Most Recent
Location
*
Date
-
Month
-
Day
Year
Date
Charge
Location
*
Date
-
Month
-
Day
Year
Date
Charge
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Education
Did you graduate high school?
Yes
No
School Name
*
Address
*
Date graduated
*
-
Month
-
Day
Year
Date
Last grade completed
*
Did you attend college?
*
Yes
No
School name
*
Address
*
Field of study
*
Did you graduate college?
Yes
No
Date graduated
*
-
Month
-
Day
Year
Date
Number of years attended
Did you attend trade school?
*
Yes
No
School name
*
Address
*
Field of study
*
Did you graduate trade school?
*
Yes
No
Date graduated
*
-
Month
-
Day
Year
Date
Number of years attended
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Employment History (LIST LAST 4, MOST RECENT (OR CURRENT) FIRST)
1) Employer Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Employed From
*
-
Month
-
Day
Year
Date
Employed To
*
-
Month
-
Day
Year
Date
Pay
*
Position
*
Reason for leaving
*
2) Employer Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Employed From
*
-
Month
-
Day
Year
Date
Employed To
*
-
Month
-
Day
Year
Date
Pay
*
Position
*
Reason for leaving
*
3) Employer Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Employed From
-
Month
-
Day
Year
Date
Employed To
-
Month
-
Day
Year
Date
Pay
Position
Reason for leaving
4) Employer Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Employed From
-
Month
-
Day
Year
Date
Employed To
-
Month
-
Day
Year
Date
Pay
Position
Reason for leaving
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MILITARY SERVICE (FOR EMPLOYMENT PREFERENCE FOR WAR VETERANS, SEE IDAHO CODE, TITLE 65, CHAPTER 5)
Have you ever served in the U.S. Armed Forces?*
Yes
No
Branch*
*
Date served from
*
-
Month
-
Day
Year
Date
Date served to
*
-
Month
-
Day
Year
Date
Type of discharge
*
SPECIAL MATTERS
As required under the Immigration Reform and Control Act, any person wishing to work for Granite Excavation, Inc., regardless of the nature of the job or the number of hours or months employed, will be required to show proof of his/her identity and U.S. Citizenship or legal authority to work in the U.S. prior to beginning employment.
Do you legally have the right to work in the U.S.?
*
Yes
No
Can you perform the essential functions of the job that you are applying for with or without reasonable accommodations?*
*
Yes
No
If you need reasonable accommodation to participate in the application process or interview session, please describe:
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PLEASE ANSWER THE FOLLOWING QUESTIONS IF POSSIBLE. THIS IS NOT MANDATORY.
What excavation experience do you have?
Do you have any certifications that are construction related? (IE: CDL, OSHA Training, CPR, Confined Space etc.)
Have you ever worked around live utilities, underground or overhead? If so, specify experience.
What is grade?
Do you know how to read a grade rod?
Yes
No
Do you have any asphalt or asphalt prep experience? If so, specify.
Have you worked with a pipe laser before?
Yes
No
Can you set up a transit over a pipe laser?
Yes
No
Do you know the difference between a flange and a mechanical joint?
Yes
No
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Signature of Applicant
By my signature below, I certify that all answers and statements on this application are true and complete. I understand that should an investigation disclose untruthful or misleading answers, my application may be rejected, my name removed from consideration, or my employment with Granite Excavation, Inc. be terminated.I understand that acceptance of an offer of employment does not create a contractual obligation upon Granite Excavation, Inc. to continue to employ me in the future.I authorize Granite Excavation, Inc. by my signature below, to conduct or have conducted a background investigation, reference checks, educational verifications, and a Motor Vehicles Records check. I understand that Granite Excavation, Inc. must provide, at my request, the name of the informational source so I may obtain from the source name and substance of the information supplied to Granite Excavation, Inc.I further understand, that should employment be offered to me, I must submit to a pre-employment drug screen. All offers of employment are contingent upon a negative (no drugs) test result on the drug screen.
Date
-
Month
-
Day
Year
Date
Signature
*
FILE UPLOAD FOR RESUME/REFERENCE LETTERS
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