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Last
Address
City
State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasaKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zipcode
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Phone
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High School: yesno
Years Completed
GED: yesno
College: yesno
Degree yesno
Institution
(select all that apply)
Laborer: Concrete Floor Placement Concrete Wall Placement Fine Grade Backfill / Compaction Form Handling Vibration Concrete Pump Hose Man Line and Grade Crane / Material Hoisting
Carpenter: Framing / Finish Decks High Walls Low Walls Edge Forms Line and Grade Blueprint Reading
Finisher: Specialty Finishes (i.e. exposed aggregate, patterned paving, etc) Edge Forms Line and Grade Blueprint Reading Commercial Flatwork 'Super Flat' Slabs Point, Patch and Rub Walk-Behind Trowel Machine Riding Trowel Machine
Iron Worker: Reinforcing Steel Structural Line and Grade Blueprint Reading Wire Mesh
Truck Driver: Light Truck Tractor Trailer
Operator: Excavation Equipment Crane Concrete Pump Paving Equipment
Mechanic: Small Engine Light Truck Heavy Truck
Construction Market You Have the Most Experience In: ResidentialLight CommercialHeavy CommercialIndustrialHeavy and Highway
Degree of Skill Achieved in the Position Applied For: Apprentice/TraineeJourneymanForemanSuperintendentOther Other
Are you willilng and able to work overtime as requested or required?
yesno
Are you willing and able to work all shifts as requested or required?
Are you willilng and able to work in the states of OH, IN, and KY?
Do you have reliable transportation to travel to the various job sites?
As a condition of employment, a drug test will be required after an offer of employment has been made. All tests must be negative. Are you willing and able to take a drug test?
Start with your present or most recent position.
Employer 1: Address Title Reason for Leaving
Start Date End Date HourlySalary Starting Salary Ending Salary
Duties / Responsibilities
Employer 2: Address Title Reason for Leaving
Employer 3: Address Title Reason for Leaving
Employer 4: Address Title Reason for Leaving
Office Equipment:
Computer Skills: MS WordWordperfectExcelPublisherPowerPoint
Other Software:
Special or unusual skills, licenses, professional designations:
American Concrete Pumping Co. is an Equal Opportunity Employer. American Concrete Pumping Co. will not discriminate against employees or applicants for employment on any legally recognized basis including, but not limited to race, age (as defined in the Age Discrimination in Employment Act, as amended), color, religion, sex, marital status, pregnancy or other related illnesses arising from pregnancy or childbirth, national origin, physical or mental disability or veteran status. Employees are expected to abide by the Company Substance Abuse and Drug Free Workplace Policy.
Nothing on the application is intended to create or imply a contractual relationship. If hired, the employee understands that employment is at will, i.e., that is not for any specific time period or duration, and can be terminated by either the employee or American Concrete Pumping Co. with or without reason at any time. While employment policies or procedures may change from time to time, only a written agreement signed by the Company President can change the employee's at will status.
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the Company's Policies. I understand that consideration for employment is conditioned upon the results of a reference check, and that the employer is authorized to investigate all statements made by the applicant on the application/resume and to contact former employers and references.
I agree to the terms and conditions above.
Applicant Name
Date:
