Looking for the best partner on your next Civil Construction project?

Contact us

To apply for any position, fill out the form below:

Position(s) Applied For*
Dirt ForemanPipe Backhoe OperatorGrade CheckerService LaborerConcrete ForemanFinish Loader OperatorProject ManagerMechanicGeneral LaborerService TechGrade ForemanFinish Dozer OperatorPipe LayerConcrete SuperintendentHeavy Equipment Power Wash Technician

Desired Wages *

Please answer all questions. Resumes are not accepted in lie of completion of this application.
Note: This application was designed for use with several types of positions. Some questions may not be completely applicable to the position you are seeking; however, we ask that you answer all questions.

LAST NAME *
FIRST NAME *
MIDDLE
EMAIL ADDRESS *
PHONE NUMBER *
ADDRESS *
CITY *
ZIP CODE *

Are you a U.S. Citizen, U.S. national, lawful permanent resident or legally authorized to work in U.S. for any employee? YESNO
Have you been convicted of any felony? YESNO

If YES, give dates and explain. (Attach separate paper if necessary.) A Conviction will not necessarily disqualify you from employment.

Are you over 18 years or age? YESNO If NO, please state your age for child labor purposes.

School


School
Print or Type Name, Number, Street Address, City, State and Zip Code of each School
No. of Years Completed
Degree
Major Course Study
High School
College
Graduate School
Trade, Business, Night or Correspondence
Other, Specialized Training

Employment Experience
List each job held. Start with your present or last job. Include military experience. If known by any other name, please indicate.
Employer 1


EMPLOYER
ADDRESS
JOB TITLE
SUPERVISOR*
CONTACT PHONE NUMBER*
REASON FOR LEAVING
DATE FROM
DATE TO
SALARY START
SALARY FINAL
WORK PERFORMED

May we make inquiries of this employer? YESNO

Employer 2


EMPLOYER *
ADDRESS *
JOB TITLE
SUPERVISOR*
CONTACT PHONE NUMBER*
REASON FOR LEAVING
DATE FROM
DATE TO
SALARY START
SALARY FINAL
WORK PERFORMED

May we make inquiries of this employer? YESNO

Employer 3


EMPLOYER *
ADDRESS *
JOB TITLE
SUPERVISOR*
CONTACT PHONE NUMBER*
REASON FOR LEAVING
DATE FROM
DATE TO
SALARY START
SALARY FINAL
WORK PERFORMED

May we make inquiries of this employer? YESNO


Have you been dismissed or forced to resigned from any employment? YESNO If Yes, please explain.

Are you currently employed? YESNO Are you on layoff and subject to call? YESNO

Are there any hours, shifts, or days you will not work? YESNO If Yes, please explain.

Will you work overtime if asked? YESNO

Do you have any friends or relatives who work here? YESNO If Yes, please fill out their information below.

NAME
RELATIONSHIP
NAME
RELATIONSHIP
List below any other information or remarks that you wish to have considered as part of your application for employment.

How did you learn about career opportunities at Burgess civil? (check all that apply)

Referral (Name)
Temporary Agency (Name)
Internet (Website)
Other (Explain)

Have you been interviewed here before? YESNO If Yes, give date:
Have you ever been employed here before? YESNO If Yes, give dates and position:
Date available to start employment:

Do you have a reliable method of getting to work? YESNO
Can you perform the duties of the job you are applying for? YESNO
NOTICE TO ALL APPLICANTS
We comply with the American With Disabilities Act of 1990. During the interview process, you may be asked questions concerning your ability to perform job-related functions. If you are given a conditional offer of employment, you may be required to complete a post-job offer medical history questionnaire and/or undergo a medical examination. If required, all entering employees in the same job category will be subject to the same medical questionnaire and/or examination and all information will be kept confidential and in a separate file.
We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard of race, color, sex, religion, national origins, handicap, marital status or sexual orientation. We assure you that your opportunity for employment with Burgess Civil depends solely upon your qualifications.

PLEASE READ AND SIGNED STATEMENTS BELOW
I understand that, if hire, I will be place on a 90-day probationary period. I further understand that if I am terminated for unsatisfactory work performance within the 90-day probationary period, the employer may seek to contest any unemployment benefit I might attempt to obtain as a result of my termination. Applicant’s Initials

I understand and agree that all policies, procedures, and the Employee Handbook may be modified, amended, or deleted by the company with or without notice to me of such amendment, modification, or deletion; that the policies and procedures are not intended to be a contract of employment nor do they give me a right of continued employment; and that my employment may be terminated at my option or at the option of the company with or without notice by either party. I also understand that there are no other arrangements, agreements, or understanding regarding the terms of employment. There may be no amendments or exceptions to this statement unless they are in writing and signed by the company’s president. Applicant’s Initials

I certify that all the information given on this employment application; any resume that I submitted to the company; and any related papers and answers given during oral interviews are true and correct. I understand the company will make a thorough investigation of my work and personal history. I authorize the giving and receiving of any such information requested by the company during the course of such investigation. I understand that falsification of any information given by others during the course of an investigation or any derogatory information discovered as a result of this investigation may subject me to immediate dismissal. I hereby release from liability all persons who provide information to my employer during the course of any such investigation. Applicant’s Initials.