Employment Application
  1. Personal Information

    Please fill in all your personal and contact information.

  2. Last Name(*)
  3. First Name(*)
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  4. Address(*)
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  5. City(*)
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  6. State(*)
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  7. Zip Code(*)
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  8. Phone(*)
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  9. Email(*)
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  10. Employment Desired

    What position are you applying for?

  11. Position(*)
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  12. Date You Can Start(*)

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  13. Salary Desired(*)
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  14. Are you employed now?(*)
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  15. If so, may we inquire of your present employer?(*)
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  16. Have you applied with us before?(*)
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  17. If so, when?(*)
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  18. Education History

    Please fill in all your education history

  19. High School(*)
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  20. Years Attended(*)
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  21. Did you graduate?(*)
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  22. College
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  23. Years Attended
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  24. Area of study
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  25. Did you graduate?
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  26. Trade or Other School
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  27. Years Attended
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  28. Area of Study
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  29. Did you graduate?
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  30. General Information

    List any special training or skills you may have.

  31. Special Training
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  32. Special Skills
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  33. Military or Naval Service
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  34. Rank
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  35. Former Employers

    List any and all previous employers, starting with last one first.

  36. Name & Address of Employer(*)
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  37. Start Date(*)

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  38. End Date(*)

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  39. Position(*)
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  40. Salary(*)
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  41. Reason for Leaving(*)
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  42. Name & Address of Employer
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  43. Start Date

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  44. End Date

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  45. Position
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  46. Salary
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  47. Reason for Leaving
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  48. Name & Address of Employer
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  49. Start Date

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  50. End Date

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  51. Position
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  52. Salary
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  53. Reason for Leaving
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  54. References

    Give the names of three persons not related to you, who you have known at least one year.

  55. Reference Name(*)
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  56. Reference Phone(*)
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  57. Business(*)
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  58. Years Known(*)
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  59. Reference Name(*)
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  60. Reference Phone(*)
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  61. Business(*)
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  62. Years Known(*)
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  63. Reference Name(*)
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  64. Reference Phone(*)
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  65. Business(*)
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  66. Years Known(*)
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  67. Authorization

    “I certify that my answers are true and complete to the best of my knowledge.

    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

    I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

    I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

    This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with the Disabilities Act (ADA) and other relevant federal and state laws.

    CCS is an equal opportunity employer and prohibits discrimination in all aspects of employment on the basis of race, color, religion, ancestry, national origin, sex, sexual orientation, gender identity, place of birth, age, or against a qualified individual with a disability (or any other classification protected by law).”

    In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

  68. Do you agree?(*)
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© CCS Constructors Inc  office: 138 Munson Avenue Morrisville, VT 05661  phone: 802-888-7701  fax: 802-888-4746
A Vermont Crane Service and Crane Rental Company