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KJ Dugas Construction Employment Application
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
*
Home Phone
Email
*
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 Construction
What position are you applying for:
Can you travel, if required?
Yes
No
Travel radius
If applying for truck driving position, do you have a valid CDL?
Yes
No
Military
If 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 Training
Highest 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 History
Current Employer
Employed Since
Position Held
Previous Employer
Start and End Dates
Position Held
Duties
Reason for Leaving
Previous Employer 2
Start and End Dates
Position Held
Duties
Reason for Leaving
Additional Information
Include 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]:
Agreement
Please 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
