Excavation/Equipment Operator Job Application
DL Smith Concrete is a drug free and a non-discriminatory equal opportunity employer
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date Available to Start
-
Month
-
Day
Year
Highest Education
Please Select
No High School Diploma
High School Diploma/GED
Vocational/Technical Training
Some College
Associates Degree
Bachelor's Degree
Master's Degree
Doctorial Degree
If Vocational/College, program/degree did you complete?
Are you legally allowed to work in the U.S?
Yes
No
Do you have a valid drivers licence?
Yes
No
Are you a union member?
Yes
No
If so what union and/or local
Employment History
Have you been employed before?
Yes
No
If yes name most recent company of employment
Position
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
Date
Supervisor Name:
First Name
Last Name
Phone of Supervisor:
Please enter a valid phone number.
Format: (000) 000-0000.
Reason for Leaving:
Professional Refrences
Please list at least 2
1st profesional contact name
First Name
Last Name
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
2nd profesional contact name
First Name
Last Name
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
3rd profesional contact name
First Name
Last Name
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship
Skills
For this section there will be fill in boxes for certain skills. Please type a number for the years of experience that you have in the specific skill.
List any certifications:
OSHA 10 Hour
OSHA 30 Hour
Class A CDL
First Aid
Other
1. Installing pipeline (Storm, Sewer, Water Line)
2. Reading Hubs / Grades / Grade Checking
3. Loading and Unloading Equipment
4. Operating Dump Truck
5. Operating Semi
6. Concrete Sawing
7. GPS (Construction specific software or equipment)
8. GPS Base & Rover (Ex. TopCon)
9. Reading Plans
10. Excavator Experience
11. Dozer Experience
12. Curb Machine Experience
Is there any additional information you would like us to know about your skills, availability, or goals?
Signature
By signing this you certify that all information provided above is true and completed to the best of your knowledge. You understand that any false information or omissions may disqualify you from employment consideration or be grounds for termination
Submit
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