Engineering Heavy Construction Services In Atwater MN

Employment Application

Litzau Farm Drainage, Inc.
14101 60th Ave SE
Atwater, MN 56209
Phone: 320-905-8645

Personal Information

First Name

Middle Initial

Last Name

Home Phone

Mobile Phone Number

Birthdate

Address

Address Line 2

City

State

Zip

Position

Are you authorized to work in the U.S.?

Yes

Are you 18 or older?

Yes

Days/Hours available to work?

Monday-Friday

Saturday

Sunday

When can you start?

What hourly rate of pay are you looking for?

Expected Hourly Wage:

Expected Weekly Earnings:

Have you ever had a felony?

Yes

If yes, please explain.

Do you have a vaild driver license number? (Number and Expiration)

Do you have your CDL?

Yes

Experience

Employer 1 (Most Recent)

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

May we contact your previous employer?

Yes

Employer 2

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

May we contact your previous employer?

Yes

Employer 3

Employer

Phone

Job Title

Supervisor Name

Start Date

End Date

Reason for leaving

May we contact your previous employer?

Yes

Education

School 1 (Most Recent)

School

Location

Start Date

End Date

Did you graduate?

Yes

Degree

Additional

Please list any additional relevant licenses, certifications or registrations that you hold.

Tell us why you would be a good fit for this position.

How did you hear about this position?

From a Friend

From a Current Employee

Radio Ad

Social Media

Internet Search

Other

If you heard of us by a current employee, who referred you?

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