If you are interested in current or future employment opportunities with Casey-Bertram Construction, please fill out and submit the following form.
 

Employment Opportunities
Personal Information
Full Name 
Date of Birth 
Address 
City 
State 
Phone 
Email 
Eligibility
Are you legally authorized to work in the U.S.? 
Are you at least 18 years of age? 
Have you ever been convicted of a crime? 
If yes, give details:
Job Type
Positions I'm Interested In
Education
High School
Name 
Location 
Final Year Completed 
Got Diploma? 
College / Trade
Name
Location
Years Completed
Major / Focus
Degree
Employment History
If hired, when would you be available? 
Are you presently employed? 
If so, may we contact your present employer?
Employer 1
Name
Address
City
State
Zip
Phone
Wage
Position
From
To
Reason for leaving
Employer 2
Name
Address
City
State
Zip
Phone
Wage
Position
From
To
Reason for leaving
Employer 3
Name
Address
City
State
Zip
Phone
Wage
Position
From
To
Reason for leaving
Machinery / Equipment
Driver's license? 
CDL? 
CDL Type
CDL Haz Mat?
List the types of equipment you can operate:
References
Reference 1
Name 
Business
Phone 
Years known 
Reference 2
Name 
Business
Phone 
Years known 
Reference 3
Name 
Business
Phone 
Years known 

Personal Information

Full Name: Date of Birth:
Address: City:
State: Zip:
Phone: Cell Phone:
email:    
Are you legally authorized to work in the U.S? Yes No
Are you at least 18 years of age? Yes No
Have you ever been convicted of a crime? Yes No
If yes, give details:
 
Education
Name & Location Last Year
 Completed		 Major Course Diploma/Degree
High School: Yes No
College/Trade:
 
Employment History
Are you presently employed? Yes No
If so, may we contact your present employer? Yes No
If hired, when would you be available?
Employer 1:
Address: City:
State: Zip:
Phone: Wage:
From: / To: /
       
Position: Reason for leaving:
Employer 2:
Address: City:
State: Zip:
Phone: Wage:
From: / To: /
       
Position: Reason for leaving:
Employer 3:
Address: City:
State: Zip:
Phone: Wage:
From: / To: /
       
Position: Reason for leaving:
 
Machinery/Equipment
Driver's License? Yes No  
CDL? Yes No Type: A B C Haz Mat
List the types of equipment you can operate:
 
References
Name: Business: Phone: Years Known:
 
 

 

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