Job Description

GPS Bulldozer/ Excavator Operator

Are you familiar with GPS equipped Bulldozer or Excavator? Do you enjoy seeing your progress in front of your very eyes?

We have the job for you. Currently seeking Full-Time GPS Bulldozer and Excavator Operators.

Variety of benefits are available.

Job Category: Equipment Operator

Job Type: Full Time

Job Location: Orwigsburg

LEW Site Construction LLC APPLICATION FOR EMPLOYMENT

EQUAL OPPORTUNITY EMPLOYER

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions

without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

First Name *

Middle Initial

Last Name *

Social Security #

Address *

City *

State *

Zip *

Have you lived at this address for three years or more? *

Yes No

Previous Address

Did you live at this address for three years or more?

Yes No

Email *

Phone *

Other Name(s) under which you attended school or were employed

How did you learn about our company? *

Employment Agency Walk-In Ad (specify below) Friend/Relative (specify below) Other (specify below)

Specify from Above

If you are under 18 years of age, can you provide proof of your eligibility to work?

Yes No

Note:

Proof of citizenship or immigration status will be required upon employment. (An I-9 form must be completed.)

Have you ever filed an application with us before? *

Yes No

If Yes, when?

Have you worked for LEW, LLC before? *

Yes No

If Yes, when?

Are you currently employed?

Yes No

Are you currently on "lay-off" status and subject to recall?

Yes No

Have you ever been convicted of or pled guilty or no contest to a misdemeanor or a felony? A criminal background check will be conducted. (An affirmative answer will not necessarily preclude employment.) *

Yes No

If yes, give date, place, charge and disposition

Do you have any limitations regarding hours that you can work? *

Yes No

If Yes, explain

Do you have any travel restrictions? *

Yes No

If Yes, explain

Do you have transportation available? *

Yes No

Do you have friends or relatives employed at LEW, LLC. *

Yes No

If Yes, list names

When are you available for work?

Do you have a current:

First Aid Certification CPR Certification OSHA 10 Hour Construction Safety Certification

Expiration Dates & Certifying Agencies for above (list all):

Do you have a current Driver's License? *

Yes No

State

Number

Class

Exp. Date

List all accidents and moving violations (other than parking) for the past 3 years. Include a description of any fatalities or injuries arising from any accidents.

Education

Complete Each Section and Include Name and Address of School, Courses of Study, Years Completed and Diploma/Degree achieved (if applicable)

High School or GED

College

Trade School

Apprenticeship

Military

Correspondence

Other (specify)

U.S. Military Experience

Branch of Service

Length of Service

Rank/Rate at Discharge

Are you a member of the Armed Services Reserve?

Yes No

Employment Experience (If you need additional space, use the Other Experience Box below).

Start with your present or most recent job. Include and complete fully all employment, including any job-related military

service assignments and volunteer activities. You may exclude organizations which indicate age, race, color, religion, gender,

national origin, disability or other protected status. All applicants to drive a commercial motor vehicle in intrastate or

interstate commerce must provide information on all employers for whom the applicant operated such vehicle during the past

ten years.

Name of Employer

Address (City & State)

Area Code/Telephone

May we call you at this number?

Yes No

Date Started

Starting Salary/Wage

Starting Position

Date Stopped

Ending Salary/Wage

Position At Time Of Leaving

Name & Title of Supervisor

May we contact your present employer prior to any employment offer?

Yes No

Reason for Leaving

Brief Description Of Your Responsibilities

Name of Employer

Address (City & State)

Area Code/Telephone

Date Started

Starting Salary/Wage

Starting Position

Date Stopped

Ending Salary/Wage

Position At Time Of Leaving

Name & Title of Supervisor

Reason for Leaving

Brief Description Of Your Responsibilities

Other Experience

Comments (including explanation of any gaps in employment)

List professional, trade, business, civic activities and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status).

References

Do Not List Relatives

Reference Name (#1)

Relationship/Years Known

Telephone

Reference Name (#2)

Relationship/Years Known

Telephone

Reference Name (#3)

Relationship/Years Known

Telephone

Reference Name (#4)

Relationship/Years Known

Telephone

CV / Resume

Upload CV/Resume (optional)

Drop files here or click to uploadMaximum allowed file size is 32 MB.

Allowed Type(s): .pdf, .doc, .docx

Important Authorization and Understanding

1. Completeness and accuracy of information. I represent that all of the information now or hereafter given by me in support of my application for employment is true and complete. I understand that, if I am hired, any false or misleading information in support of my application may subject me to discharge at any time during the period of my employment.

2. Authorization for release of information and release from liability. I authorize you to verify any of the information given during the application process with appropriate individuals, companies, or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of disclosure. I hereby release you and them from any liability whatsoever as a result of such inquiries and disclosures. A photocopy or other electronic reproduction of this authorization/release is binding, and may be relied upon.

3. Employment is at will. I understand that if I am employed, I will be an employee at will. This means that either the employer or the employee may terminate the employment relationship with or without cause at any time.

4. No written, oral, or implied contracts. I understand that any written Company documents, oral statements, or formal or informal policies are not to be construed as granting an express or implied employment contract and that I am not entitled to rely upon any such documents, statements or Company policies as stating employment terms. The employment relationship with the Company may be modified only in writing directed to me by the President of the Company.

5. Benefits may be altered. I understand that the Company at its option may change, delete, suspend, or discontinue any part or parts of its benefit program at any time without prior notice, both while person are actively employed and while retired or otherwise separated from employment with the Company.

6. I understand that a test for drug and alcohol misuse may be required as part of the interview process, and I hereby authorize the release of test results to the Company. I hereby consent to the performance of such medical examination and testing. I waive all claims arising out of these procedures against the Company and those performing the examination and tests. I understand and consent that as a condition of continued employment, I will submit to drug and alcohol testing in the future. I authorize the release of any such subsequent testing to the Company and waive all claims against it or those performing the examination and tests. I understand that I will be subject to immediate termination for failing to submit to examination or testing.

7. If an employment relationship is established, I agree to wear or use all protective clothing or devices as may be required by the Company and to comply with all safety policies and procedures.

I acknowledge that I have read and understand the above statement in its entirety, and have had the opportunity to ask questions regarding any aspect of this application, and that I accept the above terms.

By using this form you agree with the storage and handling of your data by this website. *

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