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Roughneck Employment Application

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ROUGHNECK CONCRETE DRILLING AND SAWING COMPANY is an Equal Opportunity Employer. ROUGHNECK CONCRETE DRILLING AND SAWING COMPANY does not discriminate on the basis of race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Personal Information

* required information
  First Name *
  Middle Name *
  Last Name *
  Nickname
  Email Address *
  Street Address *
  Apt. / Building #
  City *
  State *
  Zip *
  Home Phone Number *
  Alternate Phone Number
  Identify (i.e., friend, relative)
  Have you been convicted of a Felony? * (Prior convictions are not necessarily a bar to employment consideration)   
  If yes, please explain (include dates)
  Misdemeanor? *   
  Been on Parole?   
  DL# *
  State *
  List all driving violations or accidents in the past 5 years (include dates)

Employment Preferences

 
  Are you available to work overtime(more than 40 hours per week)? *   
  Are you available to work with little or no notice? *   
  Are you available to work nights? *   
  Position applied for
  Salary Information: Previous $ hourly rate *
  Minimum $ hourly rate accepted *

Educational History

 
Please list most recent education first  
1.) Name of School *
  Location *
  Completion Level / Degree *
  Subject / Training
  GPA *
  Scale
  Diploma / Degree *   
     
2.) Name of School
  Location
  Completion Level / Degree
  Subject / Training
  GPA
  Scale
  Diploma / Degree   

Employment History

 
Please list most recent employment first  
1.) Employer *
  Location *
  Length of Employment * Start Date     End Date
  Presently Employed *   
  Starting Salary *
  Ending Salary *
  Additional Bonus *
  Position Title *
  Department / Division *
  Supervisor's Name and Title *
  Phone Number *
  Reason For Leaving *
     
2.) Employer
  Location
  Length of Employment Start Date     End Date
  Presently Employed   
  Starting Salary
  Ending Salary
  Additional Bonus
  Position Title
  Department / Division
  Supervisor's Name and Title
  Phone Number
  Reason For Leaving
     
3.) Employer
  Location
  Length of Employment Start Date     End Date
  Presently Employed   
  Starting Salary
  Ending Salary
  Additional Bonus
  Position Title
  Department / Division
  Supervisor's Name and Title
  Phone Number
  Reason For Leaving
     
4.) Employer
  Location
  Length of Employment Start Date     End Date
  Presently Employed   
  Starting Salary
  Ending Salary
  Additional Bonus
  Position Title
  Department / Division
  Supervisor's Name and Title
  Phone Number
  Reason For Leaving
     
5.) Employer
  Location
  Length of Employment Start Date     End Date
  Presently Employed   
  Starting Salary
  Ending Salary
  Additional Bonus
  Position Title
  Department / Division
  Supervisor's Name and Title
  Phone Number
  Reason For Leaving

Resume

 
  Attach Your Resume
     
   
   


By submission the Applicant/employee authorizes Roughneck Concrete Drilling & Sawing to obtain and review motor vehicle records (MVR) on a regular basis.

  * required information