Contact Us : 770-982-1905
 
Application for Employment
ALL QUESTIONS MUST BE ANSWERED
An Incomplete Application Will Be Rejected
CMES requires skilled person for the position of Civil Engineering Analyst to provide analysis service for Civil Engineering and construction projects. Must have a Bachelor’s degree in Civil Engineering / Construction / or in a very closely related field. Please send the resume to our address.
Position(s) Applied for: Date of Application:
City:
State: Zip Code:
Phone No: Social Security No:
Emergency Contact:      
Name: Phone:
Have you ever filed an employment application here before: No Yes If Yes: When?
Have you ever been employed here before? No  Yes If Yes: When?
Do you have a valid Driver's License?       No  Yes    
Driver's License No: Class:
State: Expiration Date:
Rate of Pay Required?  
Are you available for full time work?     No Yes Will you work overtime if asked?No Yes
Are you legally eligible for employment in the United States? No Yes Over 18 years of age?               No Yes

(Forty (40) hours are not guaranteed for field positions due to the nature of inclement weather conditions)

Education

Name and Location of School : No. of Yrs.Completed Did you Graduate? Degree or Subjects Studied?
High School
College
Trade,Business,Correspondence Schools

FOR HIRING FOREMAN OR SUPERINTENDENT'S USE ONLY

Hired
Yes Date :
Class : Rate : Foreman :
No Job No : County & State :    
If not hired, give reason:    
Comment:

WE ARE AN EQUAL OPPORTUNITY EMPLOYER M/F/V/H

EMPLOYMENT

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer
1 Company Name : Telephone:
Address : Dates of Employment:
From : To
Name of Immediate Supervisor : Rate of Pay
From To
State Job Title and Describe Your Work : Reason for Leaving
From To
2 Company Name : Telephone:
Address : Dates of Employment:
From : To
Name of Immediate Supervisor : Rate of Pay
From To
State Job Title and Describe Your Work : Reason for Leaving
From To
3 Company Name : Telephone:
Address : Dates of Employment:
From : To
Name of Immediate Supervisor : Rate of Pay
From To
State Job Title and Describe Your Work : Reason for Leaving
From To
Other Skills, Qualifications & Experience Not Indicated Above?
We will contact the employers listed above unless you indicate those you do not want us to contact.

DO NOT CONTACT

Employer Number(s):
Reason:
Other references not related to you (optional information
Name:
Address:
Phone No:
Have you ever been convicted of a crime other than a traffic offense?
(Conviction of a crime is not an automatic bar to employment all circumstances will be considered)
No Yes If yes, explain:
Before signing this application, you should ask for assistance if you do not understand any statement, request for information or need help in completing this application.
Operator Skills
CMES, INC.
Name: Date:
DESCRIPTION OF SKILLS
ON A SCALE OF 1 - 10
CIRCLE YOUR SKILL LEVEL
(1 = POOR - 10 = EXCELLENT)
COMMENTS
1 Ability to Lay Pipe
2 Ability to Read Blueprints
3 Ability to Read A Grade Stick
4 Ability to Shoot Grades
5 DOT Experience
6 Residential Experience
7 Commercial Experience
8 Ability to Operate a Loader
9 Ability to Operate a Dozer
10 Ability to Operate an Excavator
11 Ability to Operate a Roller
12 Ability to Operate a Motor Grader
13 Ability to Operate a Rubber Tire Backhoe
14 Ability to Operate a Bobcat
15 Ability to check equipment (gas, oil, filter)
16 Ability to maintain equipment in general
17 Safety Precaution / Awareness
18 Clean-up on jobsite
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
     
WORK PERFORMANCE
ON A SCALE OF 1 - 10
CIRCLE YOUR PERFORMANCE LEVEL
(1 = POOR - 10 = EXCELLENT)
COMMENTS
1 Ability to perform responsibilties as expected
2 Ability to perform duties proficiently as required for the position
3 Ability to perform under pressure
4 Organizational ability
5 Ability to complete assignments on time
6 Attendance
7 Punctuality
8 Areas where you may require more training
9 Describe your quality of work
10 Describe your interpersonal skills with management and peers
11 How well do you get along with co-workers and supervisors
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10

MISCELLANEOUS

1 Do you have a Valid GA Drivers License?
2 Do you have a Valid GA CDL Drivers License?
NOTES:

CANDIDATE INFORMATION

Name:
Telephone No:
Address:
Position Applying For:
Date:

WORK HISTORY / LAST OR CURRENT POSITION

Company Name:
Company Telephone No:
Contact Name:
Position:
Duties:
Current / Last Salary Rate:
Expected Salary:
Additional Comments:
Labour Skills
CMES, INC.
Name: Date:
EROSION CONTROL
DESCRIPTION OF SKILLS
ON A SCALE OF 1 - 10
CIRCLE YOUR SKILL LEVEL
(1 = POOR - 10 = EXCELLENT)
COMMENTS
1 Temporary Grassing
2 Rock Dam
3 Sediment Protection
4 Check Dams
5 Silt Fence
6 Mulching
7 Sand Bag Dam
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
TRAFFIC CONTROL
1  
2 Lane Closing
3 Safe Edging
4 Lane Barrels set up
5 Moving Barrels
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
SMALL EQUIPMENT
1 Concrete Cutting Saw
2 Racking Ground
3 Compactor
4 Jumping Jack
5  
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
DRIVER
1 Do you have a Medical Driver's Card Yes No
2 Is the Medical Drivers Card Up to Date Yes No
3 Do you have a clear MVR Yes No
4 Experience with Hwy / Civil Construction / hauling rock and dirt
1 2 3 4 5 6 7 8 9 10
WORK PERFORMANCE ON A SCALE OF 1 - 10 COMMENTS
CIRCLE YOUR PERFORMANCE LEVEL
(1 = POOR - 10 = EXCELLENT)
1 Ability to perform responsibilties as expected
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
1 2 3 4 5 6 7 8 9 10
2 Ability to perform duties proficiently as required for the position
3 Ability to perform under pressure
4 Organizational ability
5 Ability to complete assignments on time
6 Attendance
7 Punctuality
8 Areas where you may require more training
9 Describe your quality of work
10 Describe your interpersonal skills with management and peers
11 How well do you get along with co-workers and supervisors
MISCELLANEOUS
1 Do you have a Valid GA Drivers License?
2 Do you have a Valid GA CDL Drivers License?
3 Can you pass a Background Check?
  NOTES:
CANDIDATE INFORMATION
1 Name:
2 Telephone No:
3 Address:
4 Position Applying For:
5 Date:
WORK HISTORY / LAST OR CURRENT POSITION
1 Company Name:
2 Company Telephone No.:
3 Contact Name:
4 Position:
5 Duties:
6 Current / Last Salary Rate:
7 Expected Salary:
8 Additional Comments:

USE OF ILLEGAL DRUGS

  • The illegal use, sale, distribution, or possession of any narcotic, drug or controlled substance, either on or off the job, will result in the immediate termination of employment.
  • Every applicant who is considered for employment will be tested for the use of illegal drugs.
  • Every employee remains subject, as a condition of continued employment, to additional drug testing, at various times to be selected by the Company.
  • Failure to pass a drug screen test will preclude initial or continued employment with the Company.

AUTHORIZATION AND RELEASE FOR DRUG SCREEN TESTS

I hereby authorize CMES, Inc. (along with any Physician, Clinic, Hospital or Laboratory designated by the Company to perform tests on me for the detection of illegal drugs. I give my permission to the designated Physician, Clinic, Hospital or Laboratory to release the results of such tests to the Company. I agree to release, forever discharge and hold harmless CMES, Inc., including its successors, assigns, officers, directors, agents and employees from any and all actions, cause of action, claims and demands, for any damage or loss which may be sustained by me, as a result of any employment action or separation from employment which may take place due to my failure to pass a drug screen test, or my failure to otherwise comply with the company's anti-drug policy.

OTHER CONDITIONS OF EMPLOYMENT

I understand that the Company may contact all persons, schools, and employers, current or former, to verify my employment or obtain information that may be required to arrive at an employment decision. I hereby release the Company and the aforementioned who provide such information from any liability and damages regarding the provision of such information.

I acknowledge that my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or myself. I understand that no representative of the Company, other than a Vice-President of the Company, has any authority to enter into any agreement for employment for any specified period of time or to make any agreement that contradicts or modifies the foregoing in any manner. Any written or oral statements to the contrary are hereby expressly disavowed and should not be relied upon by current or prospective employees.

This firm relies upon the accuracy of information contained in the employment application, as well as the accuracy of other data presented throughout the hiring process and employment, including any oral interviews. Any misrepresentations, falsifications, or material omissions in any of the information or data may result in the firm's exclusion of the individual from further consideration for employment or, if the person has been hired, termination of employment. I hereby declare the information provided by me in this application for employment as true, correct and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application may result in discharge.
Signature: Date:

AFFIRMATIVE ACTION SURVEY

Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, disability, veteran status, or other protected class as provided for by law.
To help us comply with our Equal Opportunity and Affirmative Action record keeping and reporting requirements, we ask that you complete the survey questions below.

You are invited to volunteer this information. It will be considered confidential. If you decline to provide this information, it will not adversely affect your consideration for employment.

( PLEASE PRINT )

Position(s) Applied For: Date:
City:
State: Zip Code:
Phone No: County:
Marital Status: Married Single Divorced  
Referred By: Advertisement ( Name of Publication ):
Present Employee (Name):  
Relative (Name):  
Employment Agency (Name):  
Other:  
Sex: Male Female      Age:

Race/Ethnic Group:

White Amer.Indian/Alask Native Asian/Pacific Islander

SPECIAL NOTICE TO VIETNAM ERA VETERANS, DISABLED VETERANS AND INDIVIDUALS WITH PHYSICAL OR MENTAL HANDICAPS OR DISABILITIES:

As a Government contractor subject to the Vietnam Era Veterans Readjustment Assistance Act of 1974 and the Rehabilitation Act of 1973, we are required to take affirmative action to employ and advance qualified disabled veterans, veterans of the Vietnam Era, and qualified handicapped individuals.

IF YOU SO WISH TO BE IDENTIFIED, PLEASE CHECK IF ANY OF THE FOLLOWING ARE APPLICABLE:

Vietnam Era Veteran Disabled Veteran Individual With A handicap Or Disability

FOR PERSONNEL/PAYROLL DEPARTMENT USE ONLY

Hired
Yes Date :
Class : Rate : Foreman :
No Job No : Country & State :    
 
         
 
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