Plaska Contractors | Application

*PERSONAL INFORMATION:

First Name:

Middle Name:

Last Name:

Phone:

Email:

Address:

City:

State:

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Zip:

* For what job are you applying?

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EDUCATION: High School

Name:

High School Location:

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City:

State:

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Zip:

EDUCATION: College

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College Location:

Address:

City:

State:

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Zip:

EDUCATION: Trade School

Name:

Trade School Location:

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City:

State:

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Zip:

EMPLOYMENT HISTORY: List most recent first

EMPLOYMENT #1:

Employer Name:

Address:

Phone Number:

Job Title:

Supervisor:

May we Contact?

Start:

Open the calendar popup.

End:

Open the calendar popup.

Hourly Rate/Salary
Start:

End:

Reason for Leaving:

Work Performed/Responsibilities:

EMPLOYMENT #2:

Employer Name:

Address:

Phone Number:

Job Title:

Supervisor:

May we Contact?

Start:

Open the calendar popup.

End:

Open the calendar popup.

Hourly Rate/Salary
Start:

End:

Reason for Leaving:

Work Performed/Responsibilities:

EMPLOYMENT #3:

Employer Name:

Address:

Phone Number:

Job Title:

Supervisor:

May we Contact?

Start:

Open the calendar popup.

End:

Open the calendar popup.

Hourly Rate/Salary
Start:

End:

Reason for Leaving:

Work Performed/Responsibilities:

*PERSONAL REFERENCE #1: Name, Phone Number and Relationship

*PERSONAL REFERENCE #2: Name, Phone Number and Relationship

*Are you applying for an office position?

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PLEASE COMPLETE THE FOLLOWING IF YOU ARE APPLYING FOR AN OFFICE POSITION

Can you type?

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How many words per minute?

Computer Skills?

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Please provide any additional computer or software knowledge below:

*Do you have your CDL?

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PLEASE COMPLETE THE FOLLOWING IF YOU HAVE YOUR CDL

What type of CDL do you have?

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Please list any endorsements you your CDL:

Please list any additional licenses or certifications:

You may attach any documents or resumes here:

By clicking submit, I certify that all statements made herein and on the above resume are true and correct to the best of my knowledge. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application.

Application.