Morris-Shea Bridge Company Employment Application (1) Step 1 of 3 0% Your Contact InformationFirst Name*Middle Name*Last Name*Phone - Cell*Phone - Home*E-mail Address* Date* MM slash DD slash YYYY Today's DateAddress* 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 Which position are you applying for?*Superintendent: Foundation DrillingDrill TenderLaborerOperator: Drill RigOperator: CraneOperator: Concrete Pump (Trailer and Boom Truck)Operator: Loaders and BackhoesMechanic: Heavy Duty Mechanic (Hydraulic, Electrical, Diesel)Environmental Health & Safety (EHS) Field ManagerEnvironmental Health & Safety (EHS) Field TechnicianEnvironmental Health & Safety (EHS) SpecialistQuality Control Engineer/TechnicianProject EngineerWelderEscort DriverOperator: Lift TruckConcrete Truck DriverRegion?* Southeast LA/TX Gulfcoast If other, please explain:*Pay Expected:*Have you ever applied with us before?* Yes No If YES, provide month and yearLocationWhere did you hear about MorrisShea?* Bilboard Newspaper Website Friend You were referred by whom?RelationshipAre they a current employee at MSBC? Yes No Are you available for full time work?* Yes No If not, what hours can you work?Will you work over time if asked?* Yes No Are you legally eligible for employment in the United States* Yes No When you be able to begin work?*Other special training or Skills: (Language, machine operation, etc.) EducationGraduateNameCourse of StudyNumber of years completedDegree or DiplomaDid you graduate?YesNoUndergaduateNameCourse of StudyNumber of years completedDid you graduate?YesNoDegree or DiplomaHigh SchoolName*Course of StudyNumber of year completed*Did you graduate?*YesNoOtherNameCourse of StudyNumber of year completedDid you graduate?YesNoDegree or Diploma Addresses*DateCityCountyState List all locations where you have lived in the past 7 years. Please enter the date from starting month & year to ending month and year. Please select the "+" to add additional locations. Employment HistoryPlease give accurate, complete full-time and part-time employment record. Please give present or most recent employer.Most RecentCompany Name*Address*Name of Supervisor*City*State*Zip CodePhoneEmployed from:*to:*Weekly pay: Start*Weekly pay: End*Job Title*Description of work*Reason for leaving*Second Most RecentCompany Name*AddressName of Supervisor*City*State*Zip CodePhoneEmployed from:*to:*Weekly Pay: Start*Weekly Pay: End*Job Title*Reason for leaving*Description of work*Please attach resume:Accepted file types: jpg, pdf, doc, docx, txt, Max. file size: 10 MB.[Applicants attaching resume must also complete application fields] Allowed file extensions include: jpg, pdf, doc, docx, txtI hereby apply for employment with Morris Shea Bridge Company. (hereinafter referred to as EMPLOYER). I specifically verify that all information provided in the APPLICATION FOR EMPLOYMENT is true, complete and correct. I also verify that I am at least eighteen years of age. I understand & agree that the omission or representation of any facts in the APPLICATION FOR EMPLOYMENT will be a sufficient reason for EMPLOYER to deny me employment. I also understand & Agree that should I become employed by EMPLOYER and is later discovered I have omitted or misrepresented any fact in the APPLICATION FOR EMPLOYMENT, in any supplement thereto, or any other corporate record, EMPLOYER may act accordingly. I authorize EMPLOYER to obtain a report containing information regarding my prior work related injuries, claims & lawsuits, driving history and criminal history in connection with evaluating me for employment, promotion, reassignment or retention as an employee. I will abide by the safety rules of this company. If injured, I authorize my employer to use the best judgement for treatment unless I instruct otherwise. Employer will be requesting Social Security #, Driver's License #, Date of Birth under separate cover for verification purposes only. It will not be used in making any hiring decision.Please check the box below to complete the application:* I AGREE NameThis field is for validation purposes and should be left unchanged.