"*" indicates required fields Step 1 of 6 16% Applicant InformationName* First Last Home Phone*Mobile Phone*Email* Address* Street Address 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 How were you referred to George Nice & Sons, Inc? Indeed.com Zip Recruiter Facebook Friend/Employee Other Referring Employee Name Please tell us where you found us Employment PositionsWhat position are you applying for?*Construction LaborerHeavy Equipment OperatorPipe ForemanPipe LayerGrade ForemanFuel Truck DriverHeavy Equipment MechanicHuman Resource AdministratorAre you applying for:* Temporary work – such as summer work Regular full-time work Start Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920End Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If hired, on what date can you start working?* MM slash DD slash YYYY Are you able to work on the weekends? Yes No Are you available to work overtime? Yes No Salary Requirements: Personal InformationHave you ever applied to/worked for the Company before?* Yes No If yes, please explain (include date):Do you have any friends, or relatives working for the Company?* Yes No If yes, state name & relationship: Do you have a valid driver’s license?* Yes No If yes, please give state issued by and DL number If hired, would you have regular transportation to/from work?* Yes No Are you over the age of 18?* Yes No If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?* Yes No If hired, are you willing to submit to and pass a controlled substance test and background check?* Yes No Consent I acknowledge that the activities required to be performed on a daily bases include, but are not limited to: Heavy lifting (100+ lbs.) Manual labor (shoveling, raking, etc.) Operating power tools (chainsaw, jackhammer) Driving company vehicles (if approved by Insurance Co. Working around utilities (Va. Power lines, cables, etc.) Working with chemicals (concrete mixes, gas mixtures, etc.) Using hand tools (hammers, screw drivers, etc.) Working with hazardous materials (gasoline, oil, etc.) Working around sewage (septic waste) Able to use respirator if required Are you able to perform the essential functions of the job for which you are applying, either with/without reasonable accommodation?* Yes No If no, describe the functions that cannot be performed:Have you ever been convicted of a criminal offense (felony or misdemeanor)?* Yes No If yes, please explain Education, Training and ExperienceHigh SchoolSchool Name School City School State 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 Did you graduate?* Yes No Degree/Diploma earned: College/UniversityCollege Name College City College State 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 Did you graduate?* Yes No Degree/Diploma earned: Vocational SchoolSchool Name School City School State 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 Did you graduate?* Yes No Degree/Diploma earned: MilitaryBranch Rank Total Years of ServiceSkills/DutiesAdditional InformationDo you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case they make you especially suited for working with us? Yes No If yes, please explain: Employment HistoryAre you currently employed?* Yes No If you are currently employed, may we contact your current employer? Yes No Below, please describe past and present employment positions, dating back three years. Please account for all periods of unemployment. Please list most recent job first. Even if you have attached a resume, this section must be completed.Employment AName of employer: Name of supervisor: Telephone number: Business type: Business Address Please provide full address Including City, State and Zip code.Position held: Length of employment (include dates): Duties: Reason for leaving: May we contact this employer for references? Yes No Employment BName of employer: Name of supervisor: Telephone number: Business type: Business Address Please provide full address Including City, State and Zip code.Position held: Length of employment (include dates): Duties: Reason for leaving: May we contact this employer for references? Yes No Employment CName of employer: Name of supervisor: Telephone number: Business type: Business Address Please provide full address Including City, State and Zip code.Position held: Length of employment (include dates): Duties: Reason for leaving: May we contact this employer for references? Yes No Your resume (PDF or Word only)Accepted file types: pdf, doc, docx, Max. file size: 256 MB.Use this to upload your resume.Please Read and Initial Each Paragraph, then Sign BelowConsent* I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omissionConsent* I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the Company.Consent* I permit George Nice & Sons, Inc. to examine my references, record of my employment, education record, and any other information I have provided. I authorize the references that I have listed to disclose any information related to my work recordApplicant’s Signature:* Consent I agree that my typed name is my binding electronic signature.George Nice & Sons, Inc. is an Equal Opportunity Employer and its policy is to provide equal employment without regard to race, color, religion, sex, age, national origin, disability or veteran’s status. This policy relates to, but is not limited to, all aspects of recruitment, employment, training, placement, promotion, demotion, transfer, layoff, recall, termination, rates of pay or other forms of compensation, and the use of all company facilities and participation in all Company sponsored employee activities.EmailThis field is for validation purposes and should be left unchanged.