Home | Buckshot Construction LLC, Underground Utilities, Willow River

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Applicant Information

First Name

Last Name

Middle Name

Date:

Address

Phone

Date of Birth

Date available:

Desired hourly wage:

Position Applied for:

Are you a citizen of the United States?

Yes

No

If no, are you authorized to work in the U.S.?

Yes

No

Are you able to work out of town for at least 4 days in a row?

Yes

No

If yes, what is the max #?

Do you have a valid Driver’s License?

Yes

No

If no, when can you get it back:

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Education

High School:

Address:

From:

To:

Did you graduate?

Yes

No

Diploma

College

Address:

From:

To:

Did you graduate?

Yes

No

Degree

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Previous Employment

Company:

Phone

Address:

Supervisor

Job Title:

Starting Salary:$

Ending Salary:$

Responsibilities:

From:

To:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes

No

Are you SQUTI safety certified?

Yes

No

Employment Application Form

you can download the application form here or fill up the form below

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Employment Application Form

Application