Laborers' Local 60
140 BROADWAY, HAWTHORNE, NY 10532

Job Application

*FIRST NAME:
*LAST NAME:
*MAILING ADDRESS:
*CELL PHONE:
*EMAIL:
*REFERRED BY:
*U.S. CITIZEN?:
   Yes      No
*DRIVERS LICENSE:
   Yes      No
If Not, do you have a legal right to work in this country?:
   Yes      No
*OSHA 30:
   Yes      No
*FLAGGING CERTS:
   Yes      No
CHECK OFF ALL THAT APPLY TO YOUR SKILL SET:
  ASPHALT RAKER
  ASPHALT SCREEDMAN
  CONCRETE FINISHER
  DRAINAGE INSTALL
  FOREMAN EXPERIENCE
  JACK HAMMER
  SEWER MAIN INSTALL
  TRENCH SHEETING & SHORING
  WATER MAIN INSTALL
WORK EXPERIENCE: (ELABORATE)
EMPLOYMENT HISTORY:
Date: Month/Year Name of Employer Position
From
To     		Employer     Job Title    
From
To     		Employer     Job Title    
From
To     		Employer     Job Title    
From
To     		Employer     Job Title    
Human Code:
*Enter Code
* Required Information

Laborers' Local 60

P: 914 769-0300
F: 914 769-0969
generalmail@liunalocal60.com
140 Broadway
Hawthorne, NY 10532


Copyright © 2014 Laborers' Local 60 All Rights Reserved.

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