Todays Date:

The Position You are Applying For

Personal Information

Your Full Name (required):

Date of Birth:

Current Address (123 Main St SE, Grand Rapid MI 49501):

Cell Phone:

Alt Phone:

Do you have Gen. Liability Coverage?

Previous Employment:

Company:

Supervisor's Name:

Company Phone Number:

Starting Wage:

Ending Wage:

Length of Employment:

Position or Title:

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Company:

Supervisor's Name:

Company Phone Number:

Starting Wage:

Ending Wage:

Length of Employment:

Position or Title:

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Availability and Accountability

Hours Desired:

Any Days You Cannot Work
 Sun. Mon. Tues. Wed. Thurs. Fri. Sat.

On a scalre of 1-10 what is your comfort level with HEIGHTS? (1=low, 10=high)

Do you have any prior or pending convictions, misdemeanors or other crimes?

If so, please specify:

What do you strive for in construction: "quality" or "efficiency"?

Do you have a clean driving record?

Do you have a valid driving license?

Do you have a CDL?

Do you have reliable and dependable transportation?

Are you willing to travel for work?

Are you willing/able to work 10-12 hr shifts, 6 days/wk?

Are you certified to operate heavy equipment?

If so, please specify:

How many years have you been working in construction?

Are you a "leader" or "follower"?

What type of construction are you most skilled at?

Have you ever supervised other employees?

If so, how many employees>

Due to our contractual agreements and our company's policy; drugs, tobacco,
and alcohol are prohibited on-site. Will you comply with this policy?

Given your skill level and work experience,
what is your wage requirement?

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References

Name:

Phone Number:

Company:

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References

Name:

Phone Number:

Company:

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By clicking submit I am verifying that the above information is true to the best of my knowledge.

Contact Us

Main: 616-855-2558
Fax: 616-827-9429
Email Us
5780 Crossroads
Commerce Pkwy SW
Wyoming, MI. 49519