Click here to print a PDF version of this application.
Please fill out completely and return to Loveland Excavating. If we have an opening and your qualifications meet our needs, you will be contacted for an interview.
* indicates a required field
* Name: * Name:
* Phone: * Phone
* Address: * Address:
* City: * City:
* State: Select StateAL - AlabamaAK - AlaskaAZ - ArizonaAR - ArkansasCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareDC - District Of ColumbiaFL - FloridaGA - GeorgiaHI - HawaiiID - IdahoIL - IllinoisIN - IndianaIA - IowaKS - KansasKY - KentuckyLA - LouisianaME - MaineMD - MarylandMA - MassachusettsMI - MichiganMN - MinnesotaMS - MississippiMO - MissouriMT - MontanaNE - NebraskaNV - NevadaNH - New HampshireNJ - New JerseyNM - New MexicoNY - New YorkNC - North CarolinaND - North DakotaOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaPR - Puerto RicoRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVT - VermontVA - VirginiaWA - WashingtonWV - West VirginiaWI - WisconsinWY - Wyoming
* Zip Code: * Zip Code:
* Are you at least 18 years of age? * Are you at least 18 years of age?: Yes No
* Are you legally eligible for employment in the United States? * Are you legally eligible for employment in the United States?: Yes No
* Date available to work: * Date available to work
* Will you work overtime if asked? * Will you work overtime if asked?: Yes No
* Do you have a valid driver's license? * Do you have a valid driver's license?: Yes No
* CDL Class A? * CDL Class A?: Yes No
* Have you been convicted of a felony or misdemeanor within the last 5 years? (Includes DUI) * Have you been convicted of a felony or misdemeanor within the last 5 years? (Includes DUI): Yes No
If yes, please explain: If yes, please explain:
* Are you currently employed? * Are you currently employed?: Yes No
If yes, may we contact your present employer? If yes, may we contact your present employer?: Yes No
* Hours desired: * Hours desired:
* Salary desired: * Salary desired:
* Have you ever applied to Loveland Excavating? * Have you ever applied to Loveland Excavating?: Yes No
If yes, where and when?: If yes, where and when?:
* Were you referred by a present employee? * Were you referred by a present employee?: Yes No
If yes, by whom: If yes, by whom:
Do they know you are using them as a reference? Do they know you are using them as a reference?: Yes No
* Were you referred by a classified ad? * Were you referred by a classified ad?: Yes No
If yes, which paper?: If yes, which paper?:
* Were you referred by an employment service? * Were you referred by an employment service?: Yes No
If yes, which one?: If yes, which one?:
Other referral: Other referral:
* High School: * High School:
* No. Years Attended: * No. Years Attended:
* Did you graduate? * Did you graduate?: Yes No
* Subject Studied: * Subject Studied:
College: College:
No. Years Attended: No. Years Attended:
Did you graduate? Did you graduate?: Yes No
Subject Studied: Subject Studied:
Trade / Technical: Trade / Technical:
Other: Other:
Details: Details
Please list your current and all previous employers for the last 7 years. Start with your most recent employer. Attach additional sheets if necessary.
* Company Name: * Company Name:
* Position: * Position:
* Salary: * Salary:
* Employed from: * Employed from
* Employed to: * Employed to
* Reason for leaving?: * Reason for leaving?:
* Duties performed: * Duties performed:
Company Name: Company Name:
Position: Position:
Salary: Salary:
Employed from: Employed from
Employed to: Employed to
Reason for leaving?: Reason for leaving?:
Duties performed: Duties performed:
Heavy Equipment and Work Experience Summary: Below, please list specific types of equipment you have operated, work you have performed, and the number of years experience with each. You may attach additional lists or a resume.
* Crane * Crane: Yes No
No. Years: No. Years:
Duties Performed: Duties Performed:
* Track Excavator * Track Excavator: Yes No
* Dozer * Dozer: Yes No
* Rubber Tire Backhoe * Rubber Tire Backhoe: Yes No
* Wheel / Track Loader * Wheel / Track Loader: Yes No
* Scraper / Loader * Scraper / Loader: Yes No
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation may be terminated with or without cause and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice. Finally, I agree to allow Loveland Excavating, it's representatives, employees, or agents to conduct - at any time prior to or during my employment with Loveland Excavating - full background checks, which may include, but are not limited to, my previous employers, my criminal history, and my driving record.
* Signature: * Signature:
* Date: * Date
Upload a Resume (optional)
File Upload: Select file (doc, docx, pdf, txt) max: 4mb
