C.A. Hull
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Pre-Employment Data Form:
First and Last Name:
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Today's Date:
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Address:
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City:
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State:
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Zip Code:
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Cell Phone:
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Home Phone:
Email Address:
Referred By:
Do you have a drivers license, valid in Michigan?:
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Trades:
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Laborer
Operator
Carpenter
Mechanic
Teamster
Finisher
Skills/Certifications:
CDL A
CDL B
Chauffer
Certified Welder
Crawler Crane
Hydraulic Crane
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Employment History
Name of Current Employer:
Years with Current Employer:
Name of Previous Employer:
Years with Previous Employer:
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Voluntary Affirmative Action Information
To comply with Federal and State of Michigan contract requirements, C.A. Hull must gather and maintain statistics relating to ethnicity and gender. If you elect to provide this information, be assured it is kept confidential
Ethnicity:
White
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Hispanic
Asian/Pacific Islander
American Indian
Do you have a tribal card?:
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Yes
No
Gender:
Male
Female
Are you a U.S. Veteran?:
Yes
No
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