Application "*" indicates required fields Step 1 of 6 16% NameThis field is for validation purposes and should be left unchanged.Applicant InformationKelley Dewatering & Construction Company is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.Full Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date Available to Start MM slash DD slash YYYY Desired Pay (optional)PositionPosition(s) Applying For* Driller / Operator Laborer CDL Driver Mechanic Superintendent Office / Administrative Welder Other Position(s) Applying For*Are you legally authorized to work in the United States?* Yes No Are you at least 18 years old?* Yes No Do you have a valid driver's license?* Yes No License Type Standard CDL-A CDL-B ResumeAttach Resume (optional)Accepted file types: pdf, doc, docx, jpg, jpeg, png, Max. file size: 512 MB. OR Paste Resume Below (optional) General EligibilityHave you ever worked for Kelley Dewatering & Construction Company (KDCC) before?* Yes No If yes, when?How did you hear about us?*ReferralSocial mediaIndeedWebsiteOtherDo you have reliable transportation to and from job sites?* Yes No Are you willing to work overtime, weekends, or irregular hours if required?* Yes No Are you able to perform the essential functions of the job with or without reasonable accommodation?* Yes No If accommodation is needed, please describe: Work ExperienceBegin with your most recent job. Please provide details for up to three previous employers.Employer #1 (Most Recent)Company*Position*Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Supervisor Name & PhoneReason for LeavingPrimary DutiesEmployer #2CompanyPositionStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Supervisor Name & PhoneReason for LeavingPrimary DutiesEmployer #3CompanyPositionStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Supervisor Name & PhoneReason for LeavingPrimary Duties Skills & ExperienceConstruction / Field SkillsCheck all that apply Laborer Drilling Dewatering Pump Setup Pipefitting Trenching Heavy Lifting Confined Space Traffic Control Other (Construction/Field):Equipment OperationCheck all that apply Excavator Skid Steer Forklift Drill Rig CDL Driving Trailer Towing Other (Equipment Operation):EducationHigh SchoolGraduated? Yes No College / Trade SchoolDegree / CertificateOther training, certifications, or licenses:ReferencesProfessional references only.Reference #1Reference 1 NameReference 1 RelationshipReference 1 PhoneReference #2Reference 2 NameReference 2 RelationshipReference 2 PhoneReference #3Reference 3 NameReference 3 RelationshipReference 3 Phone Applicant Statement & SignatureConsent & Certification* I agreeI certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in disqualification from employment or termination if hired. I authorize Kelley Dewatering & Construction Company (KDCC) to verify all information provided, including contacting previous employers and references. KDCC is an Equal Opportunity Employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.Signature (Type Full Name)* First Last Date* MM slash DD slash YYYY Δ
