Apply for MOT / Site Foreman

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Summary
Title:MOT / Site Foreman
ID:1073-FTM
Location:Fort Myers, Fl
Department:Paving
Resume
Resume:
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Contact Information
* First Name:
Middle Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Application Information
* Source:
Source - Select from the list above how you heard about this job?
Other:
If an employee referred you, enter their full name. If source who referred you is not on our list, enter source above.
Opt-In Confirmation
I authorize recruiters from OHLA USA to send text messages from 8446995191 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
1. Application for Employment - All Applicants
PERSONAL INFORMATION
Yes   No
Yes   No
Yes   No
Yes   No
EMPLOYMENT DESIRED
Full Time   Part Time   Seasonal
Yes   No
Yes   No
EDUCATION

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

School 1

Yes   No

School 2

Yes   No

School 3

Yes   No

School 4

Yes   No

School 5

Yes   No
EMPLOYMENT HISTORY

Give your full employment record, starting with your current or most recent employment

Employer 1

Yes   No

Employer 2

Yes   No

Employer 3

Yes   No

Employer 4

Yes   No

Employer 5

Yes   No
REFERENCES

Please provide three references (not relatives).

Reference 1

Reference 2

Reference 3
AUTHORIZATION

The facts set forth in this application and any supplemental information are true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

** Q - Advanced MOT Certificate

First Name

Last Name

* Do you currently have an ACTIVE FLAGGER Certificate (different than an Advanced MOT Certificate)?
Yes
No
* Do you currently have an ACTIVE Advanced MOT Certificate (different than Flagger)?
Yes
No
* Are you in the process of obtaining an Advanced MOT Certificate?
Yes
No
If you are in the process of obtaining an Advanced MOT Certificate, when are you scheduled for test?
2. Application for Employment - All Applicants
* HAVE YOU EVER BEEN TERMINATED OR ASKED TO RESIGN YOUR JOB?
¿ALGUNA VEZ HA SIDO DESPEDIDO O SE LE HA PEDIDO RENUNCIAR A SU TRABAJO?
Yes
No
If you answered yes, please explain:
Si respondió afirmativamente, por favor explique:
* HAVE YOU EVER BEEN A DEFENDANT IN A CIVIL SUIT ON AN INTENTIONAL TORT (ASSAULT, BATTERY, FALSE IMPRISONMENT, INVASION OF PRIVACY, INTENTIONAL INFLICTION OF EMOTIONAL DISTRESS, INTENTIONAL WRONGFUL DEATH?)  

¿HA SIDO ALGUNA VEZ UN ACUSADO EN UNA DEMANDA CIVIL POR UN AGRAVIO INTENCIONAL (ASALTO, AGRESIÓN, ENCARCELAMIENTO FALSO, INVASIÓN DE LA PRIVACIDAD, INFLICACIÓN INTENCIONAL DE ANGUSTIA EMOCIONAL, MUERTE POR NEGLIGENCIA INTENCIONAL?)
Yes
No
If yes, please provide date and details of each:
Si respondió afirmativamente, por favor proporcione la fecha y los detallas de cada uno:
* HAVE YOU EVER PLED GUILTY OR "NO CONTEST" TO A CRIME, BEEN CONVICTED OF A CRIME, HAD ADJUDICATION WITHHELD, PROSECUTION DEFERRED OR DO YOU HAVE ANY CRIMINAL CHARGES PENDING?
Note: Answering "Yes" to this question does not constitute an automatic bar to employment.  Only those crimes which are substantially related to the position you are seeking will be considered.

¿ALGUNA VEZ SE HA DECLARADO CULPABLE O "NO CONCURSO" DE UN DELITO, HA SIDO CONDENADO POR UN DELITO, LE HA RETENIDO LA ADJUDICACIÓN, EL PROCESO APLASTADO O TIENE ALGÚN CARGO PENAL PENDIENTE?
Nota: Responder "Sí" a esta pregunta no constituye una prohibición automática de empleo. Sólo se considerarán aquellos delitos que estén sustancialmente relacionados con el puesto que busca.
Yes
No
If yes, please provide date and details of each:
Si respondió afirmativamente, por favor proporcione la fecha y los detallas de cada uno:



PLEASE SELECT ANY AREAS BELOW YOU HAVE EXPERIENCE IN BY ADDING THE NUMBER OF YEARS OF EXPERIENCE NEXT TO EACH ITEM BELOW.  IF YOU DO NOT HAVE EXPERIENCE IN AN AREA, LEAVE BLANK.

POR FAVOR, SELECCIONE CUALQUIER ÁREA ABAJO EN LA QUE TENGA EXPERIENCIA, AÑADIENDO LA CANTIDAD DE AÑOS DE EXPERIENCIA AL LADO DE CADA ELEMENTO. SI NO TIENE EXPERIENCIA EN UN ÁREA, DÉJELA EN BLANCO.

YEARS OF EXPERIENCE /
AÑOS DE EXPERIENCIA

Asphalt Plant - Laborer:
Asphalt Plant - Operator:
Asphalt Plant - AC Tanker Operator:
Asphalt Plant - Loader Operator:
Asphalt Plant - Welder:
Asphalt Plant - Mechanic:
Asphalt Plant - Lab - QC Tech:
Construction - Laborer:
Construction - Backhoe Operator:
Construction - Bulldozer Operator:
Construction - Carpenter:
Construction - Excavator Operator:
Construction - Gradall Operator:
Construction - Loader Operator:
Construction - Maintenance Crew:
Construction - Motor Grader Operator:
Construction - Pipelayer:
MOT - Traffic Control Specialist:
Paving - Laborer:
Paving - Backhoe Operator:
Paving - Broom/Sweeper Operator:
Paving - Loader Operator:
Paving - Milling Machine Operator:
Paving - Paver Operator:
Paving - Raker / Lute Man:
Paving - Roller Operator - Rough:
Paving - Roller Operator - Finish:
Paving - Screed Operator:
Paving - Service Truck:
Paving - Skid Steer Operator:
Paving - Shuttle Buggy:
Paving - Tack Distributer:
Shop - Fuel Service Man:
Shop - Mechanic:
Shop - Mechanic Field:
Shop - Welder:
Survey - Instrument Man:
Survey - Rodman:
Truckbase - Dump Truck Driver:
Truckbase - Fuel Service Man:
Truckbase - Lowboy Driver:
Truckbase - Water Truck Driver:
Please list any other qualifications that you have which you believe should be considered  /  Por favor, indique cualquier otra cualificación que tenga y que crea que debería ser considerada:
3. Application for NON-CDL DRIVERS Only


************

DRIVER'S LICENSE INFORMATION / INFORMACIÓN DE LA LICENCIA DE CONDUCIR

* DO YOU HAVE A CURRENT DRIVER'S LICENSE?
¿TIENE UNA LICENCIA DE CONDUCIR VIGENTE?
Yes
No
* DRIVER'S LICENSE - CHECK ONE:
LICENCIA DE CONDUCIR - MARQUE UNA:
Active / Activa
Suspended / Suspendida
Revoked / Revocada
Cancelled / Cancelada
* DRIVER'S LICENSE - CHECK ONE:
LICENCIA DE CONDUCIR - MARQUE UNA:
Non-Commercial - Regular - Class E
Commercial - CDL - Class A
Commercial - CDL - Class B
Commercial - CDL - Class C
Other
LIST ANY TYPE OF ENDORSEMENTS YOU HOLD:
LISTE CUALQUIER TIPO DE ENDOSO QUE TENGA:

DRIVER'S LICENSE STATE
DRIVER'S LICENSE NUMBER
DRIVER'S LICENSE EXPIRATION DATE
DATE OF BIRTH (MM/DD/YYYY)
* HAVE YOU EVER BEEN DENIED A LICENSE, PERMIT, OR PRIVILEGE TO OPERATE A MOTOR VEHICLE?
¿ALGUNA VEZ SE LE HA NEGADO UNA LICENCIA, PERMISO O PRIVILEGIO PARA OPERAR UN VEHÍCULO MOTORIZADO?
Yes
No
If you answered yes, please explain circumstances:
Si respondió si, por favor explique circunstancias:
* HAS YOUR DRIVER'S LICENSE EVER BEEN SUSPENDED OR REVOKED?
¿SU LICENCIA DE CONDUCIR HA SIDO ALGUNA VEZ SUSPENDIDA O REVOCADA?
Yes
No
If you answered yes, please explain circumstances:
Si respondió si, por favor explique circunstancias:
* DO YOU HAVE PERSONAL AUTOMOBILE INSURANCE?
¿TIENE UN SEGURO DE AUTOMÓVIL PERSONAL?
Yes
No
If you answered yes, provide name of insurance company:
Si respondió sí, proporcione el nombre de la compañía de seguros.
* HAVE YOU EVER BEEN CITED FOR DRIVING UNDER THE INFLUENCE (DUI) OR DRIVING WHILE INTOXICATED (DWI)?
¿ALGUNA VEZ HA SIDO CITADO POR MANEJAR BAJO LA INFLUENCIA (DUI) O MANEJAR BAJO LOS EFECTOS DEL ALCOHOL (DWI)?
Yes
No
If you answered yes, please explain circumstances and outcome.
Si respondió sí, por favor explique las circunstancias y el resultado.
List any special courses or training that will help you as a driver.
Indique cualquier curso especial o entrenamiento que le ayude como conductor.
Do you hold any safe driver awards and if so, from whom?
¿Tiene algún premio de conductor seguro y, de ser así, de parte de quién?


************

MOVING VIOLATION RECORD / VIOLACIONES DE TRAFICO

List all moving traffic violations for the last 5 years.
Liste todas las infracciones de tráfico en movimiento de los últimos 5 años.

Complete below only if applicable.  /  Complete a continuación solo si aplica.

Offense / Ofensa
Date
Fecha
City and State
Ciudad y Estado

Complete below only if applicable.  /  Complete a continuación solo si aplica.

Offense / Ofensa
Date
Fecha
City and State
Ciudad y Estado

Complete below only if applicable.  /  Complete a continuación solo si aplica.

Offense / Ofensa
Date
Fecha
City and State
Ciudad y Estado

Complete below only if applicable.  /  Complete a continuación solo si aplica.

Offense / Ofensa
Date
Fecha
City and State
Ciudad y Estado
If you have more to list, please provide details below.
Si tiene más para enumerar, proporcione detalles a continuación.
4. Applicant's Statement - All Applicants

APPLICANT'S STATEMENT - ENGLISH

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.
THIS ORGANIZATION PARTICIPATES IN E-VERIFY.

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital status, or non-job related disability.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with or without notice or reason and the Company has the same right. No one other than the President of the Company has authority to modify this relationship or make any agreement to the contrary. Any such modification or agreement must be in writing.

I understand that the Company reserves the right to require me to submit to a drug test at any time and, it also reserves the right to require me to submit to an alcohol test and/or medical examination to the extent permitted by law. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the Company all records and other information pertinent to my employment with them. I release my previous employers from any liability as a result of their disclosure of information about me to the Company. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information.

I further understand that if employed I will be on a 90-day introductory period, and that termination for unsatisfactory performance during that period will not result in any Company responsibility for unemployment benefits. I further understand that completion of the introductory period does not confer any expectation of continued employment, and that, if employed, my employment will be for no definite period and is at will.

By signing below, I certify that all of the information that I provide on this application and in any interview will be true, complete and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I will be dismissed.

I certify that I have received a written notification that the Company may obtain a consumer report or reports on me. I authorize this Company to obtain such a report or reports for use in connection with my application for employment and for other employment-related reasons. If hired, this authorization shall remain on file and serve as ongoing authorization for procurement of employment-related consumer reports at any time during my employment. I understand that the term "consumer report" includes, but is not limited to, credit checks, criminal background checks, department of motor vehicle reports, and investigative consumer reports. I further understand that the term "investigative consumer report" means a report in which information on my character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with my neighbors, friends, or associates, or with other with whom I am acquainted or who may have knowledge concerning any such items of information.

*** DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THIS STATEMENT ***



DECLARACION DEL SOLICITANTE - SPANISH

SOMOS UNA COMPAÑIA CON IGUALDAD EN OPORTUNIDAD DE EMPLEO.
ESTE EMPLEADOR PARTICIPA EN E-VERIFY.

En cumplimiento con las leyes federales y estatales de igualdad de oportunidades de empleo, los solicitantes calificados son considerados para todos los puestos sin distinción de raza, color, religión, sexo, origen nacional, edad, estado civil o discapacidad no relacionada con el trabajo.

Tengo entendido que si me emplean, mi empleo no será por un período definido, sin importar el período de pago de mis salarios. Además comprendo que tengo el derecho de dar por terminado mi empleo en cualquier momento con o sin aviso o razón y la Compañía tiene el mismo derecho. Nadie, con la excepción del Presidente de la Compañía tiene la autoridad de modificar esta relación o llegar a un acuerdo de lo contrario. Cualquier modificación o acuerdo debe ser hecho por escrito.

Tengo entendido que la Compañía se reserva el derecho de requerir que yo me someta a un exámen de drogas en cualquier momento y también se reserva el derecho de requerir que yo me someta a un exámen de alcohol y/o examen médico hasta el punto permitido bajo la ley. Además entiendo que la Compañía puede ponerse en contacto con mis patrones anteriores y autorizo a los mismos que revelen a la Compañía todos los datos pertinentes a mi empleo con ellos. Yo libero a mis patrones anteriores de cualquier obligación que resulte por la revelación de información sobre mi persona a la Compañía. Además autorizo a la Compañía que provea información verdadera referente a mi empleo con ellos a mis futuros patrones y estoy de acuerdo en eximirlos de responsabilidades por proveer dicha información.

Tengo entendido que si me emplean, estaré en un período de prueba de 90 días y que la terminación de mi empleo por ejercer mi trabajo de un modo poco satisfactorio durante ese período no resultará responsabilidad de la Compañía para beneficios de desempleo. Además comprendo que al completar el período de prueba no confiere ninguna obligación de empleo continuado y que si me emplean, mi empleo no será por un período definido y sin termino fijo.

Firmando esta declaración, yo certifico que toda la información que proporciono en esta solicitud y en cualquier entrevista, es verdadera, completa y exacta. Tengo entendido que si me emplean y si más tarde encuentran que cualquier información que he suministrado es falsa o engañosa en cualquier aspecto, me pueden despedir.

Certifico que he recibido una notificación por escrito que la Compañía puede obtener un reporte del consumidor o reportes sobre mí. Yo autorizo a esta Compañía para que obtenga dicho reporte o reportes para uso en conexión con mi solicitud de empleo y por otras razones relacionadas con mi empleo. Si me emplean, esta autorización se mantendrá en archivo y servirá como autorización continua para requerir reportes del consumidor relacionado con mi empleo en cualquier momento durante mi empleo. Tengo entendido que el término “reporte del consumidor” incluye, pero no se limita a verificación de crédito, verificación de antecedentes criminales, reportes del departamento de vehículos y reportes investigativos de consumidor. Además entiendo que el término “reportes investigativos de consumidor” significa un reporte el cual da información sobre mi carácter, reputación general, características personales o modo de vivir y es obtenida a través de entrevistas personales con mis vecinos, amigos, asociados u otros que me conocen o que tengan conocimiento con referencia a cualquiera de estos artículos de información

*** NO FIRME HASTA QUE NO HAYA LEIDO ESTA DECLARACION ***


*
Type your name to sign and acknowledge you have read and understood the Applicant's Statement.   /   Escriba su nombre para firmar y reconocer que ha leído y entendido la declaración del solicitante.
* Enter today's date   /   Ingrese la fecha de hoy:
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Expires 04/30/2026
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