Do you have experience in the construction industry? Yes No Continue Personal Information Last Name First Name MI Phone Number Email Address Street Address Address Line 2 City State Zip Code County Application Questions Are you willing to take a pre-employment drug screen? Yes No Are you 18 years or older? Yes No Age Do you have a Drivers License? Yes No Are you willing to travel? Yes No Have you attended a trade school? Yes No Are you interested in finding out about Apprenticeship Opportunities? Yes No Did you serve in the Military? Yes No Are you a current LIUNA Member? Yes No What Local? (number only) Are you a former LIUNA Member? Yes No What Local? (number only) Are you a high school graduate? Yes No Have you completed either of the following? GED 10th Grade Neither Do you have an associates or college degree? Yes No Is there anything else you feel we should know in considering your application? Do you have any experience in the construction industry or is there anything else you feel we should know in considering your application? Where did you hear about this application? Facebook Hulu Video Ad Root Sports iHeart Job Site Coworker Family Recruitment Card/Organizer Job Fair Contractor Other (Please Specify) Specify Other Skills/Experience Do you have any experience/skills or training in any of the following areas? Asbestos Asphalt Raker CDL Concrete Demolition General Laborer Grade Checker Hazmat HOD Carrier Landscaping Miner Pipelayer Pipeline Distribution Pressure Rigging/Signaling Safety Certification Shotcrete/ACI Certified Solar Installer Traffic Control Tunnel Underground Utilities Vertical / Flatwork / Curb and Gutter Wind Installer Other Asbestos Certified Asbestos Supervisor Asbestos Worker Rigging/Signaling CDL A B Tanker Endorsements Concrete Vertical Curb and Gutter Flatwork Demolition Skid Steer / Bobcat Cutting Torch Concrete Saw Rigging/Signaling Welder General Laborer Landscaping Rigging/Signaling Foreman Forklift Certified TWIC Card Sandblasting Scaffold Certified Clean Up Labor Jackhammer Chipping Gun Forklift Soil Erosion (cecil) Fire Watch / Safety Watch Core Drill Carpenter Tender Grade Checker Blueprint GPS/Total Station Lazer Setup Hazmat Hazmat Certified Hazmat/Waste Worker HOD Carrier Rigging/Signaling Miner MSHA Certified Powerman Certified Welding Rigging/Signaling Rock Drill Blaster Certified Cutting Torch Pipelayer Gravity Pressure Pipeline Distribution Rigging/Signaling Mainline Pipeline Fusion Pressure Grade Checking Rigging/Signaling Top Man (HDPE) Pipefusion Safety Certification OSHA MSHA First Aid/CPR Shotcrete/ACI Certified Vertical Horizontal Traffic Control Flagger Certified Traffic Control Manager Pilot Car Traffic Control Specialist Traffic Control Laborer Traffic Control Supervisor Tunnel Rigging/Signaling Rockdrill Grout Pump Open Air Utilities Welding Groutman Compressed Air Batch Plant Shotcrete/ACI Certified Dinky Locomotive Cutting Torch Vertical / Flatwork / Curb and Gutter Form Setting Vibrator Raker Concrete Saw Placement Rigging/Signaling Nozzleman Handheld/Walkbehind For the skills selected, how many combined years of experience do you have? 0-3 years 3-5 years 5 or more years Previous Employment Employer Name Years Months State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Remove + Add Employer
