Apply for Heavy Equipment Operator

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Summary
Title:Heavy Equipment Operator
ID:1011
Location:Eldersburg, MD
Department:Grading
Salary Range:$20.00 - $24.00 Based on Experience
Company:MT Laney
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Contact Information
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Application for Employment
PERSONAL INFORMATION
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Yes   No
Yes   No
Yes   No
EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
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Yes   No
EDUCATION

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School 1

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School 2

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School 3

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School 4

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School 5

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DRIVER LICENSE INFORMATION

Licenses 1

License 2

License 3
EMPLOYMENT HISTORY

Please complete past employment history for the past 3 years starting with the most recent and working backward.

Employer 1

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Employer 2

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Employer 3

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Employer 4

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Employer 5

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AUTHORIZATION

Disclaimer & Authorization - By signing, I hereby certify that the above information is correct to the best of my knowledge. I understand that falsification of this information may prevent me from being hired, or lead to my dismissal, if hired.

I understand and agree that employment is conditional on the successful completion of a background check and I hereby provide consent to a background check which may include pre-employment drug screening, motor vehicle records, SSN verification, criminal records and sex offender searches, and/or Workers’ Compensation data searches.

Grading Questions
Please answer all the questions listed.
* Do you hold a valid driver's license?:
Yes
No
Do you have a good driving record?
Yes
No
* Do you have any experience operating any of the following equipment?:
Bobcat/Skidloader
End Dump
Dirt Roller
Excavator
Loader
* Do you have reliable transportation?
Yes
No
* Are you able to pass a drug test?
Yes
No
Field Equipment Operator
* How many years of Heavy Equipment Experience do you have?
* Please list the type of equipment you feel you can operate efficiently .
* Please list the companies and dates of services where you previously received experience operating equipment.
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
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