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Beaufort, SC
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Easley, SC
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Lake Lanier, GA
Lake Murray, SC
Lockhart, SC
Roxboro, NC
Winston-Salem, NC
Contact Us
The Company
About Us
Our Team
Employment
Safety Awards
UNC Charlotte Video
Recent Projects
Beaufort, SC
Charlotte, NC
Cherokee County, SC
Easley, SC
Lake City, SC
Lake Lanier, GA
Lake Murray, SC
Lockhart, SC
Roxboro, NC
Winston-Salem, NC
Contact Us
Lee & Sims Drilling Services, Inc.
10659 Augusta Road
Belton, SC, 29627
United States
(864) 243-2682
Employment Application
Date
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Name
*
First Name
Last Name
Address
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Address 1
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City
State/Province
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Country
Phone
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Email
Positions Applied for
Salary Desired
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When available to begin work?
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Are you willing to travel?
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Is there anything that would prevent you from doing strenuous manual labor?
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If yes, please explain
Education
Did you graduate high school?
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If yes, what high school did you attend? If no, please explain.
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Did you attend a college, business or trade school?
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Have you ever been convicted of a crime?
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Do you have a driver's license?
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Do you have a CDL?
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Yes
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If so, Class A or B?
A
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Driver's license state of issue
Have you had any accidents in the past 3 years?
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Yes
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If yes, how many?
Have you had any moving violations in the past 3 years?
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If yes, how many?
Previous Employment (list up to 3)
Most Recent Employment (1)
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Complete Address
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Reason for leaving (be specific)
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List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.
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Other Previous Employment (2)
Name of Employer
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Salary
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(###)
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Last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.
May we contact your employer?
Yes
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Other Previous Employment (3)
Name of Employer
Name of last supervisor
Dates of employment
Salary
Complete address
Phone
(###)
###
####
Last job title
Reason for leaving (be specific)
List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.
May we contact your employer?
Yes
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List construction skills / equipment operated
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Other skills
Please list 2 references other than relatives and previous employers.
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The Federal Highway Administration (FHWA) requires the following information to be collected for statistical reporting of applicants as a part of the Equal Opportunity and Affirmative Action Program requirements (FHWA-1273). This information is not used in the employment process nor released in a manner that identifies the individual. This section will be removed prior to being forwarded to the hiring authority.
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