Application

Desired Position

Date Available

Personal Information

First Name(Required)

Last Name(Required)

(Jr. , Sr. , etc.)

Preferred First Name

Permanent Address (This is where income tax information and other official documents will be mailed.)(Required)

City(Required)

State(Required)

ZIP(Required)

Phone Number

Email(Required)

Have you ever worked for PLI?

Yes

If so, when and where?

Supervisor Name

Reason for Leaving

I AGREE TO THE FOLLOWING AS A CONDITION OF EMPLOYMENT.

Physical/Drug Screen

Yes

Are you 18 years or older?

Yes

Valid Driver's License

Yes

Number of Years in Construction(Required)

Have you ever been convicted of anything other than a misdemeanor?

Yes

If yes, explain?

Do you have any physical disability that would limit you in working on a construction project?

Yes

If yes, explain?

Can you furnish proof of citizenship or authorization to work in the United States?

Yes

What languages do you speak fluently?

English

Spanish

Other

Other Languages

Please list surveying and construction equipment with which you have operational experience.

LIST TWO PERSONAL REFERENCES.

Name

Relationship

Phone Number

Name

Relationship

Phone Number

Previous Employment

Please provide positions for the last three to five years starting with the most recent.

Company Name

From

Permanent Address (This is where income tax information and other official documents will be mailed.)

City

State

ZIP

Type of Business

Rate of Pay

Reason for Leaving

Location of Work

Job Titles and Duties

Supervisor's Name

Phone Number

May we contact?

Yes

Company Name

From

Permanent Address (This is where income tax information and other official documents will be mailed.)

City

State

ZIP

Type of Business

Rate of Pay

Reason for Leaving

Location of Work

Job Titles and Duties

Supervisor's Name

Phone Number

May we contact?

Yes

Company Name

From

Permanent Address (This is where income tax information and other official documents will be mailed.)

City

State

ZIP

Type of Business

Rate of Pay

Reason for Leaving

Location of Work

Job Titles and Duties

Supervisor's Name

Phone Number

May we contact?

Yes

Company Name

From

Permanent Address (This is where income tax information and other official documents will be mailed.)

City

State

ZIP

Type of Business

Rate of Pay

Reason for Leaving

Location of Work

Job Titles and Duties

Supervisor's Name

Phone Number

May we contact?

Yes

Education

Grade School

Yes

Completed?

Yes

High School

Yes

Graduated?

Yes

Trade School

Yes

Graduated?

Yes

Last Year Completed

College

Yes

Graduated?

Yes

Last Year Completed

Attach Resumé

Max. file size: 2 MB.

Employment at Will - I understand and agree that my employment is "at will," which means that I have the right to end our work relationship at any time for any reason whatsoever, and conversely, the Company has the right to alter or modify the terms of employment or terminate the employment relationship at any time for any reason whatsoever, whether or not such reason constitutes equitable or just cause.

Signature(Required)

Date(Required)

EQUAL EMPLOYMENT OPPORTUNITY - It is the policy of this Company to abide by all applicable federal and state laws regarding EEO. We do not discriminate against any applicant for employment or any employee because of race, creed, color, national origin, sex, age, physical or mental disability.

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Employment Application

Personal Information

I AGREE TO THE FOLLOWING AS A CONDITION OF EMPLOYMENT.

LIST TWO PERSONAL REFERENCES.

Previous Employment

Education

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