Mechanic – Application for Employment

ASPLIN EXCAVATING, INC.

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3100 41ST STREET S

FARGO, ND 58104

701-277-0048

MECHANIC - APPLICATION FOR EMPLOYMENT

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NAME:

First Name:

M.I.:

Last Name:

Rate of Pay Desired:

Date of Birth:

Phone Number:

Current Address:

How long at this address?

Previous Address:

How long at previous address?

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EXPERIENCE AND QUALIFICATIONS – MECHANIC

State:

Class:

Exp. Date:

Class of Equipment:

Type of Work Performed

Class of Equipment:

Type of Work Performed

Class of Equipment:

Type of Work Performed

Class of Equipment:

Type of Work Performed

Do you own your own tools?

Have you had any previous injuries or worker's compensation claims?

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EMPLOYMENT HISTORY

Last/Current Employer:

Address:

Phone Number:

Position/Job Duties:

Dates of Employment:

Reason for Separation:

Previous Employer:

Address:

Phone Number:

Position/Job Duties:

Dates of Employment:

Reason for Separation:

I AGREE TO DOT/NON-DOT DRUG TESTING FOR PRE-EMPLOYMENT

Signature (please type full name):

***You may upload your resume if desired.***

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Note: A motor carrier may require an applicant to provide information in addition to that which is required by the Federal Motor Carrier Safety Administration.

ASPLIN EXCAVATING, INC.

701-277-0048

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