Application For Employment
WE ARE AN EQUAL OPPORTUNITY EMPLOYER
Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have a valid driver's license?
Yes
No
Do you have reliable transportation to report to the designated meeting location and/or job site as scheduled?
Yes
No
Are you legally eligible for employment in the US?
Yes
No
Are you at least 18 years of age?
Yes
No
Were you referred by a current employee?
Yes
No
Please give the name of the employee
First Name
Last Name
Have you previously been employed by Platinum Concrete Cutting LLC?
Yes
No
Job Preferences
Date available to start
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What position are you applying for?
Concrete Cutting Operator
Concrete Cutting Operator/Helper
Equipment Mechanic
Sales
Schedule Preferences
Full Time
Part Time
Seasonal
Other
Are you available to work early mornings, with arrival times that may begin around 6:00 AM or earlier depending on the job?
Yes
No
Are you available to work occasional Saturdays?
Yes
No
Are you able to work extended hours when required by a job or project?
Yes
No
This position requires physical labor, including standing for extended periods, bending, lifting and carrying materials weighing up to 75 lbs., and working outdoors in varying weather conditions. Are you able to perform the essential functions of this position, with or without reasonable accommodation?
Yes
No
Have you been convicted of, pleaded guilty to, or pleaded no contest to a felony or misdemeanor within the past 7 years?
Yes
No
If yes, please briefly explain the offense, date, and disposition. Answering "Yes" will not necessarily disqualify you from employment. The nature of the offense, its relationship to the position, the time that has passed, and other relevant circumstances may be considered.
Work History
Please list your last 3 employers, starting with the most recent.
Work Related Skills
What concrete cutting skills or experience do you have?
Slab Saw
Hand Saw
Electric Saw
Core Drill
Wall Saw
GPR Scanning
Other Concrete Cutting Experience
What job related certification do you have?
CPR/First Aid
OSHA 10
OSHA 30
Other
Declaration
I, the applicant undersigned, agree with the following statements:
I declare that all information provided in this form 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 later.
IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.
I understand that any offer of employment may be contingent upon the successful completion of a background check and/or drug screening, as permitted by applicable law.
I acknowledge that I meet all required qualifications for this position and am able to perform the job responsibilities outlined in the job posting.
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
Submit
Submit
Should be Empty: