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EMPLOYMENT APPLICATION (APLICACIÓN PARA EMPLEO)

NOTE: Full completion of this form is NOT a requirement to be considered for employment
NOTA: Llenar esta forma por completo NO es un requerimiento para ser considerado para empleo

Full Name: (Nombre Completo) *

First

Middle

Last

Street Address (Dirección de la Calle)

Apartment/Unit # (No de Casa/Apartamento)

City (Ciudad)

State (Estado)

ZIP Code (Código Postal)

Phone: (Teléfono)

Position Applied for: (Trabajo Deseado)

Desired Hourly Wage: (Salario por hora deseado)

Date You Can Start: (Fecha Para Iniciar)

Are you a citizen of the United States? (Es Ud. un Ciudadano de los US?)

Yes
No

If no, are you authorized to work in the U.S.? (Si no lo es, está Ud autorizado para trabajar en los US?)

Yes
No

Have you ever worked for this company? (Ha trabajado para IQ antes?)

Yes
No

If yes, when? (Si?, cuando?)

Do you have a valid driver’s license? (Tiene Ud una licencia de manejo válida?)

Yes
No

If yes, what State? (Si?, de que Estado?)

CDL?

Yes
No

Have you ever been convicted of a felony? (Ha sido Ud. convicto de una felonía?)

Yes
No

If yes, explain: (Si?, explique)

High School: (Colegio)

Address: (Dirección)

Did you graduate? (Se graduó Ud?)

Yes
No

College: (Universidad)

Address: (Dirección)

Did you graduate? (Se graduó Ud?)

Yes
No

Degree: (Título)

Please list one reference. (Por favor escriba una referencia)

Full Name, Company, Address, Relationship, Phone: (Nombre Completo, Compania, Dirección, Relación con Ud, Teléfono)

Previous Superintendent/ Foreman Experience (Experiencia Superintendente/ Capataz Previa)

Yes
No

Size of crew previously supervized: (Tamano del grupo que Ud supervisó antes)

Previous Operator Experience (Experiencia Operador Previa)

Yes
No

Types of Equipment: (Tipo de equipo/maquinaria)

Previous Concrete Finisher Experience (Experiencia Colocador/Terminador de Superficie Previa)

Yes
No

Types of concrete: (Tipos de concreto)

Types of concrete Forming: (Tipo de encofrados ejecutados)

Previous Carpenter Experience (Experiencia Carpintero Previa)

Yes
No

List any training certificates you have: (Escriba las certificaciones de entrenamiento que usted tiene)

Are you able to lift 50 pounds on a frequent basis with or without an accommodation?

Yes
No

Work with IQ Contracting may require continuous physical activity and a capacity to appropriately lift weights of up to 50 lbs. (Trabajo con IQ puede requerir actividad física continua y una capacidad de apropiadamente levantar un peso de hasta 50 lbs.

Previous Company Employment (Empleo Compania Previo)

Previous Company Address (Dirección Compania Previo)

Job Title: (Posición)

Starting Wage: (Sueldo al Entrar)

Ending Wage: (Sueldo al Salir)

Responsibilities: (Responsabilidades)

From: (Desde) To: (Hasta)

Reason for Leaving: (Razon de su salida)

Supervisor: (Supervisor)

Phone: (Telefono)

May we contact your previous supervisor for a reference? (Podemos contactar su supervisor previo como referencia?)

Yes
No

I certify that my answers are true and complete to the best of my knowledge. (Yo certifico que mis respuestas son verdaderas y completas) *

Yes

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. (Si esta aplicación resulta en un empleo, yo reconozco que mentiras y/o engaños en mi aplicación y/ o entrevista de trabajo pueden resultar en mi despido) *

Yes

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