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Primary Phone #:
Alternate Phone #:
How did you hear about us?
Dragados Careers Website
I am a Current Employee
JF White Careers Website
Online Trade Publication
Other (Please Specify)
Pulice Construction Website
Roadway Electric Website
Other (Specify Source):
Date you can start working?
Date you can start:
Are you 18 years of age or older?
18 or Older:
Are you currently authorized to work in the U.S. or require sponsorship now or in the future for a work visa?
I am authorized to work in this country for any employer
I am authorized to work in this country for my present employer only
I do not currently need sponsorship, but will in the future
My status to work in this country is unknown
I require sponsorship to work in this country
Do you have any union affiliation? If yes, please describe below.
Have you ever been employed by Dragados USA; Dragados Canada; Schiavone Construction Co., LLC; John P. Picone, Inc.; Pulice Construction, Inc.;
Roadway Electric LLC? If yes, provide dates of employment, location, and reason for leaving.
Are you related to any employee of Dragados USA; Dragados Canada; Schiavone Construction Co., LLC; John P. Picone, Inc.; Pulice Construction, Inc.; Roadway Electric LLC? If yes, state the employee’s name and his or her relationship to you.
Please list your highest education level.
Highest Education Level:
High School Diploma / GED
Trade or Technical School Diploma
Associates Degree/College Diploma
If required for position, do you have a valid drivers license?
Are you able to perform the essential functions of the job for which you are applying with or without any reasonable accommodation?
Please list any particular skills, training or qualifications which you feel would qualify you for work with the Company. Include relevant computer systems and software packages of which you have a working knowledge, and note your level of proficiency (basic, intermediate, expert).
List your work and relevant experience, starting with the most recent or present organization. Resumes may be submitted in addition to, but not in lieu of, completing the following section.
In order that we may verify prior experience, have you used another name in any of your previous jobs? If yes, give name and specify organization.
Used Other Names:
Work History Required:
List three persons not related to you who have knowledge of your work performance.
I certify that all answers and statements made by me on this application are true and complete to the best of my knowledge, and that I have not knowingly withheld any information that could affect my consideration for employment. I understand that any falsification, misrepresentation or material omission of information submitted on this application, my resume, or in any interview(s) will constitute grounds for denial of or immediate termination from employment.
I understand that nothing in this application for employment is intended or should be construed as an offer, agreement, or contract of employment.
I further understand that employment at Pulice Construction, Inc. is "at-will," which means that both the Company and its employees are free to terminate the employment relationship at any time, with or without cause or advance notice.
In the event that I am employed by Pulice Construction Inc., I agree to comply with all of its employment policies and its Code of Business Ethics and Code of Conduct. Pulice Construction Inc., reserves the right to amend or terminate its policies at any time, with or without cause or advance notice.
I understand that any offer of employment I may receive is contingent upon my successful completion of the company;s pre-employment screening process, the result of which must be satisfactory to the company. The process may include a background and reference check, and a pre-employment drug and alcohol screening.
I understand that no representative or agent of Pulice Construction Inc., has the authority to make any agreement that is contrary to the foregoing without the written approval of the President. Any such agreement must be in writing and signed by the President to be binding on the Company.
Voluntary EEO Self-Disclosure
Pulice Construction Inc., Inc. is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws,
Pulice Construction Inc. , invites applicants to voluntarily self-identify by race or ethnicity and by disabled and/or veterans status. SUBMISSION OF THIS INFORMATION IS VOLUNTARY AND REFUSAL TO PROVIDE IT WILL NOT SUBJECT YOU TO ANY ADVERSE TREATMENT. The information obtained will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.
Choose Not to Disclose
Hispanic or Latino
White (not Hispanic or Latino)
Black or African American (not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)
Asian (not Hispanic or Latino)
American Indian or Alaska Native (not Hispanic or Latino)
Two or More Races (not Hispanic or Latino)
Choose Not to Disclose
Voluntary Veterans Status
This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:
A “ disabled veteran” is one of the following: a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or a person who was discharged or released from active duty because of a service-connected disability.
A “ recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
An “ active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
An “ Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Protected veterans may have additional rights under USERRA—the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL. If you believe you belong to any of the categories of protected veterans listed above, please indicate by making the approprite selection below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA. You can select all that apply by holding CTRL and clicking the approprite selections. Any information provided is voluntary and will not be not be used in any fashion that is inconsistent with this act.
Other Protected Veterans
Armed Forces Service Medal Veterans
Recently Separated Veterans
Choose Not to Disclose
Voluntary cc305 Form
Candidate Individual with disabilities:
Voluntary Self-Identification of Disability Form CC-305 OMB Control Number 1250-0005 Expires 1/31/2020
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.
i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way. If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:
Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the US. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp. PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.