KJ Dugas Construction Employment ApplicationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Home PhoneEmail* Are you at least 18 year of age?* Yes No How did you hear about this job?Can you perform the duties of this position that you have applied for with or without reasonable accommodations?* Yes No If accomodations are needed, describe:Were you ever employed by KJ Dugas Construction? Yes No Previous Position at KJ Dugas ConstructionWhat position are you applying for:Can you travel, if required? Yes No Travel radiusIf applying for truck driving position, do you have a valid CDL? Yes No MilitaryIf you were in the U.S. Armed Forces, describe your job duties as they related to the position(s) you are applying for:Education and TrainingHighest Grade Completed Some high school High School Diploma GED Trade School, College/University Some trade school Trade school certificate Some college College diploma Do you have a current Maine Driver's License? Yes No Other licenses/certifications or OSHA credentials:Employment HistoryCurrent EmployerEmployed SincePosition Held Previous EmployerStart and End DatesPosition HeldDutiesReason for LeavingPrevious Employer 2Start and End DatesPosition HeldDutiesReason for LeavingAdditional InformationInclude any other information such as volunteer or unpaid work experience that relates directly to your qualifications for the job applied for [equipment, tools and hobbies]:AgreementPlease read the following statements carefully.I agree*I hereby affirm that the information provided on this application is true and complete to the best of my knowledge. I agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date. I authorize persons, schools, current employer (if applicable) and previous employers named in the application to provide you with any relevant information that may be required to arrive at an employment decision. FEMALES AND MINORITIES ARE ENCOURAGED TO APPLY I agree to the tems of this application
