Employment Questionnaire Please enable JavaScript in your browser to complete this form. – Step 1 of 2Name *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeThe crew comes to the office 5 miles South of Altamont every day and drives to the jobsite in the crew truck. We work within 30 to 45 mile radius of Altamont. What is your height and weight? *Age *Construction Work History (describe the types of construction you've done as a job) *Are you married? *YesNoDo you smoke cigarettes? *YesNoDo you smoke pot? *Yes, dailyYes, occasionallyNoConsumption of alcoholic beverages and marijuana is prohibited by employees before starting work or at any time during work. Illegal drug use is prohibited by employees both on and off duty.Do you have a Valid Drivers License? *YesNoValid means no restrictions and not currently suspended.Do you have reliable transportation? *YesNoThis does not include having someone give you a ride to work.Do you currently have any pending court cases that would require time off? *YesNoIf yes, please give more details in the additional information at the bottom of the form.Are you currently working? Where? Describe your job? *Any physical limitations? Any prior injuries? *Please list if you have any back problems, carpel tunnel or other relevant injuries.Do you have any issues with heights? *YesNoCould be working up to 30′ in the air on open frame work.Have you ran a forklift or a manlift? *Yes, frequentlyYes, occasionallyNo, neverCan you read a tape measure? *Yes with no problem.Yes but not often.NoCan you swing a hammer? *Yes, driving a 6″ nail will be no problem.Yes but need some practice.NoIf hired, when would you be able to start? *Additional InformationPlease include any additional information to the above questions if needed.Date NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
