Application for Employment

To be considered for employment with ENTACT, LLC:

Complete the online application below
Upload your resume "Agree" with our Notification and Agreement Statement by checking
the "I Agree with the Above Statement" check box
Review your information
Click on the “Submit My Application” button

Please note: Fields marked with a * are mandatory, although we encourage you to fill out each field accurately and completely.

Application Information

Position Applied For:

Piece of equipment

Years of experience with excavators *

Years of experience with long reach excavators *

Years of experience with dozers *

Years of experience with loaders *

Years of experience with motor graders *

Years of experience with rubber tired backhoes *

Years of experience with cranes *

Years of experience with compactors *

Years of experience with articulated dump trucks *

Years of experience with mini-excavators *

Years of experience with skid steer loaders *

Date Available: *

(mm/dd/yyyy)

Expected Wage:

Hourly Example: $15.50 per hour ENTER 15.50; Salary Example: $30,000 ENTER 30000.00

Personal Information

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Have you ever applied or worked for the company before? If yes, list date when applied or location and dates worked: *

How were you referred?

General Information

Only U.S. citizens or aliens who have a legal right to work in the U.S. are eligible for employment. Can you, upon employment, provide genuine documentation establishing your identity and eligibility to be legally employed in the U.S.?

Yes No

Education

Please select highest education achieved:

None GED High School Diploma Associate Degree Bachelor Masters Other

Employment History

Most Recent Employer

Employer

Start Date

- Month - Day Year

End Date:

- Month - Day Year

Job Title:

Ending Salary:

Salary Example: $30,000 ENTER 30000.00

Describe Your General Job Duties:

Reason for Leaving:

Employer Address and Phone Number:

May We Contact This Employer?

Yes No

If No, Reason:

Explain Period Between Jobs:

Next Employer

Employer

Start Date

- Month - Day Year

End Date:

- Month - Day Year

Job Title:

Ending Salary:

Salary Example: $30,000 ENTER 30000.00

Describe Your General Job Duties:

Reason for Leaving:

Employer Address and Phone Number:

May We Contact This Employer?

Yes No

If No, Reason:

Explain Period Between Jobs:

Next Employer

Employer

Start Date

- Month - Day Year

End Date:

- Month - Day Year

Job Title:

Ending Salary:

Salary Example: $30,000 ENTER 30000.00

Describe Your General Job Duties:

Reason for Leaving:

Employer Address and Phone Number:

May We Contact This Employer?

Yes No

If No, Reason:

Explain Period Between Jobs:

Reason for Leaving:

Experience or Qualifications

List any skills or other qualifications which you believe should be considered in evaluating your qualifications.Please list all relevant certifications.
NOTE: Equipment Operators - please list all equipment you are qualified to operate.

Attendance and Punctuality Information

Consistent attendance and punctuality are essential requirements of every job with this company. Is there anything which would interfere with your regular attendance and punctuality if you are offered a job with the company?

Yes No

- If Yes, Please Explain:

Attach Resume

If you have a resume you can attach it here.
Your resume file should be a Word Document or Adobe PDF.

Attach File:

Notification and Agreement

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR HOW DISCOVERED. I AUTHORIZE THE INVESTIGATION OF ALL STATEMENTS AND INFORMATION CONTAINED IN THIS APPLICATION. I RELEASE FROM ALL LIABILITY ANYONE SUPPLYING SUCH INFORMATION AND I ALSO RELEASE THE EMPLOYER FROM ALL LIABILITY THAT MIGHT RESULT FROM MAKING AN INVESTIGATION. I UNDERSTAND IT IS THE POLICY OF THE COMPANY TO AFFORD EQUAL OPPORTUNITY TO ALL EMPLOYEES AND APPLICANTS FOR EMPLOYMENT WITHOUT REGARD TO AGE, RACE, RELIGION, COLOR, SEX, NATIONAL ORIGIN, MARITAL STATUS, PREGNANCY OR DISABILITY AND ANY OTHER CHARACTERISTICS PROTECTED BY FEDERAL, STATE OR LOCAL LAW. IF HIRED, I AGREE TO ABIDE BY ALL OF THE COMPANY RULES AND REGULATION, AND UNDERSTAND THAT, IF EMPLOYED, MY EMPLOYMENT IS THAT OF “AT-WILL”.

Your Full Name: *

Todays Date: *

/ Month / Day Year

*

I agree with the above statement