MPC - Employment Application

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Name:

Required

E-mail:
Required

Street:
City: State:

Zip:

Telephone: ( ) -

Ext:

Date of Birth:

- -
Years of construction experience?:  
Your last annual pay rate?:  


Date when you can be available for work?:

Month:
Day:
Year:
Do you know other interested construction workers?:
Where would you like to work? City, State:

Who was your last employer?:


What type of construction work have you done?
Pole Setting
Pole and Cable Transfers
Removed Poles
Placed Telephone Cable
Placed Cable TV
Run Power Primary's
Buried Cable Plowing
Removal of Aerial Cable
Placed Fiber Optic Cable
Are you currently a Union member in good status? :   Yes No
Would you join the Union if it's a job requirement? :   Yes No

Please complete the following items?
(Please check all that apply)
Do you have a Valid Drivers License?
Do you have a CDL? ( Commercial Drivers License )
Has your license ever been revoked?
Do you know what a Slack Adjuster is?
Do you know what Spring Brakes are?
Have you worked for the Bell System?
Have you ever been a Bell System employee?
Have you ever been convicted of a sex offense for rape or child molestation?
Have you ever been convicted of robbery or grand larceny?
Have you ever been convicted of a homicide or murder?
Have you ever been convicted of Armed Assault or Armed Robbery?
Have you ever been convicted of a Federal Firearms violation?
Have you ever been charged with a Drugs violation?
Have you ever been convicted of a Drugs violation?
Do you use drugs of any type, meth, grass, cocaine, heroin, hash or other?
Are you now or have you ever been in a drug rehab program?
Does your wife or girlfriend use drugs of any type?
Have you ever operated a Bucket Truck?
Have you ever operated a Digger truck?
Have you ever operated a Barko or Prentice Log Loader?
Have you ever operated a Dump truck?
Have you ever operated a Bucket Loader for sand, dirt or gravel?
Have you ever operated a Dozer?
Have you ever operated an Excavator?
Have you ever operated a Sky Lift?
Have you ever operated a Crane?
Have you ever operated a 120 Ton Crane before?
Have you ever operated a crane bigger than 120 Ton before?
Have you ever operated a Trencher?
Have you ever placed 4-inch conduit PVC pipe?
Have you ever placed 8-inch conduit PVC pipe?
Have you ever installed 4-inch Duct Bank?
Have you ever installed 8-inch Duct Bank?
Have you ever poured concrete?
Have you ever poured concrete for a Duct Bank?
Have you ever poured FTB for buried cable or Duct Bank?
Have you ever poured concrete with a Volumetric Mixer?
Have you ever poured concrete with a Barrel Mixer Truck?
Would you like an opportunity to work a lot of hours?
Are you willing to do hard work and get dirty?
Are you willing work extra hours if you are needed?
Would you like to work extra hours when it's available?
Would you like to receive part of your pay as Per Diem (tax exempt)?
Have you ever worked on a construction crew before?
Would you like to work on a construction crew as a team?
Did you ever played any Football or Baseball during your school years?
Have you ever wrecked a company truck?
Have you ever Climbed Poles before?
Have you ever Climbed Trees before?
Have you ever Climbed with safety harness?
Have you ever Climbed Structual Towers before?
Have you ever Climbed Wind Turbine Towers before?
Have you ever Climbed up 140 Feet?
Have you ever Climbed up 200 Feet?
Have you ever Climbed up 300 Feet?
Have you ever Climbed up 400 Feet?
Have you ever Climbed up 420 Feet?
Have you ever operated a Chain Saw?
Have you ever operated a Power Pruner?
Have you ever done any Tree Trimming around telephone and power lines?
Have you ever operated a Wood Chipper?
Have you ever operated a Brush Hog?
Have you ever operated a Stump Grinder?
Have you ever operated a Backhoe?
Have you ever operated an Air Compressor and Jack Hammer?
Have you ever set new poles by hand?
Have you ever set new poles in a swamp?
Have you ever been convicted of Drug Charges?
Have you ever had a previous injury or a job related injury?


Please complete the following items?
(Please check all that apply)
Have you ever done work for the Government?
Have you ever had a Secret Security Clearance?
Do you currently own a house?
Do you own a Motorcyle?
Are you required to wear glasses?
Have you ever been a member of a communist party?
Have you ever been a member of a radical group?
Do you have a car or some other means of transportation?
Do you like to go fishing with friends?
Do you have any hearing problems?
Have you ever served in the military?
Are you a War Vetran?
Do you have any disabilities?
Are you currently under any investigation?
Are you available to travel for work?
Are you married?
Do you have children?
Do you have pets?
Do you have a computer?
Do you have a boat?
Do you have children in school?
Do you currently have medical insurance?
Does your wife work?
Do you like to go deer hunting with friends?
Did you finish Grade School?
Did you finish Jr High School?
Did you finish High School?
Did you have some College courses?
Did you finish College?
Did you have Trade School or Tech School?



Items: Fill in all items or fields marked Required before pressing Send.
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