Underground Laborers & Operators

Pre-Application Information & Skills Assessment

This pre-screening tool will not be given consideration if you do not indicate your job preference.  The completeness of this form & an honest assessment of your skills is key to your being able to present your qualifications to a supervisor.  If your skills match our need, we will contact you.      

Since we are a construction contractor, persons under 18 cannot be considered for employment in the field.  Due to safety and insurance restrictions, drivers under 23 are generally not considered acceptable.  We do test for drugs and alcohol, both pre-employment, post accident and randomly in accordance with the law.  If you are even an occasional drug user or abuser, don’t waste your time. 

Female and minority candidates are encouraged to complete this consideration form.  We do not discriminate on the basis of sex or any other protected characteristic in accordance with State and Federal laws. 
 

Position Applied For

When Available

If Referred, By Whom?

First Name

Last Name

Nickname You Go By?

Street Address

City

State

Zip Code

Telephone # Incl. Area Code

Mobile Phone #

E-Mail Address

 

Last Three Employers

What Did You Do?

Time Employed

1) 

2) 

3) 

Skills Assessment

Please make an accurate assessment of your skills in the following areas for both New Installation &  Troubleshooting/Repair.       

 

OPERATING SKILLS/NEW INSTALLATION

TROUBLESHOOTING, MAINTENANCE & REPAIR

EXPERIENCE LEVEL

 

NONE

LIMITED

GOOD

EXCELLENT

NONE

LIMITED

GOOD

EXCELLENT

Underground Work

 

 

 

 

 

 

 

 

Shoring (OSHA) Certified

 

 

 

 

Traffic Controls

 

 

 

 

Rebar Cutting & Placement

 

 

 

 

Duct Bank

 

 

 

 

Manholes & Pull Boxes

 

 

 

 

Landscaping (New & Repair)

Concrete Work

 

 

 

 

 

 

 

 

Flat Work

 

 

 

 

Vertical Forming

 

 

 

 

Retaining Walls

 

 

 

 

Grade Work

 

 

 

 

 

 

 

 

Staking

 

 

 

 

Grading

 

 

 

 

Fiber Installation

 

 

 

 

 

 

 

 

Underground Fiber Pulling

 

 

 

 

Underground Fiber Blowing

 

 

 

 

Equipment Operation

 

 

 

 

 

 

 

 

Backhoe

Trencher

Bobcat

Rock Wheel

Directional Boring Units

Pneumatic Tool Usage

 

 

 

 

 

 

 

 

Jackhammer (Up To 90lb)

Piercing Tool

Clay Spade

Chipping Gun

Powder Actuated Tools

DMV Licenses & Record

Candidates possessing a Class A license with an acceptable driving record will be given preference.  

 

LICENSE CLASS

DMV RECORD

NONE

C

B

A

BAD

OK

GOOD

PERFECT

DMV License Type & Record

Additional Endorsements

Craft & CPR Training/Certificates 

 

NO

YES

HDD Mud School

OSHA 10 Hour Certification

Flagger/Traffic Control

First Aid Certification

Other Training/Certifications/Comments


 




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