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Employment

Please feel free to submit an application using the form below or download the printable application.

Send completed printable application to info@deloss.com or DeLoss Construction, P.O. Box 1212, Spencer, Iowa 51301.

We will contact you if we have any job openings that are a match for you.

Printable

FORMS & DOWNLOADS

Job Application PDF

Online

Application

APPLICANT'S INFORMATION

Name(Required)

First Middle Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Email(Required)

Home Phone(Required)

Have you been convicted of a felony within the last seven years?(Required)

Yes

Do you have a valid driver's license?(Required)

Yes

How many accidents have you had during the past 3 years?(Required)

How many moving violations have you had during the past 3 years?(Required)

EMPLOYMENT DESIRED

Job Title(Required)

Date available to start(Required)

MM slash DD slash YYYY

Wage Desired(Required)

What type of employment are you looking for?(Required)

How did you learn about us?(Required)

How many hours can you work weekly?(Required)

Can you work nights?

DAYS/HOURS AVAILABLE TO WORK

No Preference

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

EDUCATION

HIGH SCHOOL

Name of School(Required)

Location(Required)

Years Completed(Required)

Major/Degree(Required)

COLLEGE

Name of School

Location

Years Completed

Major/Degree

BUSINESS OR TRADE SCHOOL

Name of School

Location

Years Completed

Major/Degree

PROFESSIONAL SCHOOL

Name of School

Location

Years Completed

Major/Degree

MILITARY EXPERIENCE

Have you ever been in the armed forces?(Required)

Are you now a member of the National Guard?(Required)

Specialty

Date Entered

Discharge Date

EMPLOYMENT EXPERIENCE

Employer(Required)

Start Date

End Date

Supervisor

Address

Phone

Reason for leaving

Hourly Rate/Salary Start

Hourly Rate/Salary End

Job Responsibilities

Employer

Start Date

End Date

Supervisor

Address

Phone

Reason for leaving

Hourly Rate/Salary Start

Hourly Rate/Salary End

Job Responsibilities

Employer

Start Date

End Date

Supervisor

Address

Phone

Reason for leaving

Hourly Rate/Salary Start

Hourly Rate/Salary End

Job Responsibilities

Employer

Start Date

End Date

Supervisor

Address

Phone

Reason for leaving

Hourly Rate/Salary Start

Hourly Rate/Salary End

Job Responsibilities

May we contact your former employers to verify this information?(Required)

May we contact your present employer?(Required)

OFFICE SKILLS

Select the office skills you possess

Typing

Word Processing

Mac

10-Key

Other

REFERENCES

Name(Required)

Phone(Required)

Name(Required)

Phone(Required)

Name(Required)

Phone(Required)

Please provide any additional information that you feel makes you a good candidate for this position

Signature(Required)

Date

MM slash DD slash YYYY

Let's get started today!

P.O. Box 1212 | Spencer, Iowa 51301
(712) 363-2331

Concrete Paving
Telebelt Conveyor

General Excavating
Employment

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