Name

First Name

Last Name

Phone

(###)

###

####

Checkbox

Please check all that apply.

I have a valid driver's license

I have a dependable ride to work

I am in the greater Grand Rapids area

I have prior experience working with Concrete

I have prior experience working in Construction

I can legally work in the United States

Survey

Please fill out accurately.

I have knowledge of basic machinery.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I can work as a part of a team.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I always show up on time

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I can lift up to 75 lbs.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I can work on my feet for extended periods of time.

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree