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The Dickerson Group

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Job Application

Please complete the form to apply for a position with us.

First Name

Last Name

Address

Date of Birth

Are You A Citizen?

Social Security #/ ITIN #

Phone

Position Applying For

Are you currently on active Duty or discharged from the United States Armed Forces

Do you have a valid Georgia Drivers License?

Driver's License #:

Do you have a valid CDL?

Have you ever been convicted of a felony or misdemeanor

If yes, please explain

Please indicate your availability for employment by selecting one of the following options

What is your desired hourly wage?

Higest Level of Education Completed

Did you graduate/achieve GED?

Which type of equipment can you operate? (Please Check all that apply.)

200/325 Excavator

Mini Excavator

Dozer

Boring Machine

Tandem Dump Truck

Wheel Loader

Welder

Single Axle Dump Truck

Sewer Jetter

Asphalt Paver

Compaction Roller

Others

Can you read a level and grades?

Can you operate and set up a pipe laser?

Please list any other equipment that is not listed on this applications:

Do You have exprience with pipe laying?

Please list any licenses that you currently hold:

Do you have any OHSHA training?

do you have any previous or existing injuries that limit your duties or time?

If yes please list them below

Please list your Previous employer below:

May we contact previous employer?

Available Start Date

Email Address

Upload a Copy of Your Resume

Upload File

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Thanks for submitting!

Visit Us

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Address

500 Terry Francine Street, San Francisco, CA 94158

Opening Hours

Mon - Fri

8:00 am – 8:00 pm

Saturday

9:00 am – 7:00 pm

Sunday

9:00 am – 9:00 pm

Office #: 770-513-4558

Fax: 770-513-4740

123-456-7890

871 Old Peachtree Rd. Nw Lawrenceville, GA 30043

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