“Quality, Reliable Results…Driven Industry Leader” CALL TODAY Office: 1-508-587-1878Cell: 1-508-951-9703 EMPLOYMENT APPLICATION: Please enable JavaScript in your browser to complete this form.PERSONAL INFORMATION:_______________________________________________________Name *FirstLastEmail *Address (Street, City, Zip code)Date of Birth *Cell PhoneAre you 18 years of age or older? *YesNoAre you prevented from lawfully becoming employed in this country because of a visa or immigration status? *YesNoHave you ever been denied a license, permit or privilege to operate a motor vehicle? *YesNoHas any license, permit or privilege ever been suspended or revoked? *YesNoIf the answer to A or B above is "YES", please provide details here:EMPLOYMENT:_______________________________________________________Position Applying For: *Electrical Foreman (Street Utility Work)Machinery Operator (Street Utility Work)Truck DriverUtility Laborer / Pipe LayerAre You a CDL Driver?YesNoIf YES, what class?Class AClass BDesired Start DateExpected Rate of PayAre you currently employed?YesNoIf YES, may we contact your previous employer?YesNoIf NO, how long has it been since you were last employed?References / Comments / QuestionsLAST 2 PLACES OF EMPLOYMENT:_______________________________________________________EMPLOYER NO 1PositionAddressCity, State, Zip CodeEmployer Contact NumberEMPLOYER NO 2PositionAddressCity, State, Zip CodeEmployer Contact NumberDRIVING / EQUIPMENT EXPERIENCE (IF APPLICABLE):_______________________________________________________1. Equipment TypeYears Experience2. Equipment TypeYears ExperienceADDITIONAL EXPERIENCE / QUALIFICATIONS ( e.g. 10 Years Foreman for Utility Work, etc):_______________________________________________________DATE AND SIGN BELOW:I certify that all the information submitted by me on this application is true and complete. I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected, and if employed, may be terminated at any time. In consideration of my employment, I agree to conform to the company’s rules and regulations. I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either my or the company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than the head of the company, and then only when in writing and signed by the head of the company, has any authority to enter into any agreement for employment for any specific period of time. This also applies to making any agreement contrary to the foregoing.DATE SIGNED *SIGNATURE (APPLICANTS NAME) *__________________________________________________________Submit _________________________________________________________________________ When You Hire Joseph Botti Co., Inc., You Get Experience, Knowledge, Quality and Commitment