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Basic Info

Multi-line address

Employment Information

Position Applying For
Are you currently employed?
Yes
No
Date Employed
Month
Day
Year
Are you available to travel out of state for extended periods of time for work?
Yes
No
Are you physically capable of lifting and carrying up to 75lbs as part of the job duties?
Yes
No
With reasonable accommodation
If hired, can you provide evidence of your identity and legal right to work in the United States?
Yes
No

This information is required to comply with federal employment eligibility verification laws (Form I-9).


Do you currently hold a valid driver’s license?

Upload a clear photo of the front of your state issued drivers license.

Are there any restrictions on your driver’s license?
Yes
No

(Example: corrective lenses, ignition interlock, etc.)

In the past 3 years have you had any accidents or major traffic convictions?
Yes
No
In the past 3 years, have you tested positive or refused to complete any drug or alcohol test required by an employer?
Yes
No

Include the date, employer, and any relevant details you’d like us to consider. This information will be kept confidential

Have you ever been convicted of a felony or misdemeanor (other than a minor traffic violation)?
Yes
No

Answering “Yes” does not automatically disqualify you from employment. All convictions will be considered based on the nature of the offense, how long ago it occurred, and its relevance to the job. Include the type of offense, date, and any details you feel are important. This information will remain confidential.

Have you ever been involuntarily terminated or asked to resign from any job?
Yes
No

Include the employers name, date, and reason if you feel comfortable. This information will be kept confidential and considered in the context of the overall application.

Education

What is the highest level of education you have completed?
Graduation Date
Month
Day
Year

Experience & Skills

Examples include: OSHA 10 or 30, CDL (Class A, B, or C), First Aid/CPR, forklift certification, rigging, welding, or any trade-specific license.

  • PDF or Word doc preferred.

Business References

(Provide at least two professional references we may contact.)

Background Check Authorization

I certify that the information I have provided in this application is true and complete to the best of my knowledge. I understand that as part of the employment process, Netting Contractors LLC may investigate my background, or utilize an outside firm or firms to verify information related to my criminal history, prior employment, qualifications, and other relevant details in order to evaluate my suitability for the position for which I am applying.


I understand that any false or misleading information provided may result in the rejection of my application or, if hired, the termination of my employment.


I authorize any individual, company, firm, corporation, or public agency to disclose all information or records pertaining to me to Netting Contractors LLC and/or its authorized agents. I further release Netting Contractors LLC, my current and former employers, and all individuals, corporations, partnerships, public agencies, and organizations from any and all claims, demands, or liabilities arising out of or related to the background investigation or disclosure of such information.


Todays Date
Month
Day
Year
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