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Servicing Northern Mohave County since 2016

Fully Licensed and Insured

ROC# KA-343787
ROC# KB-1.304528

Certified Woman Owned

An establishment is only as good as the foundation it is built on.

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- Concrete

- Excavation

- Block Wall

- Stone Work

- General Contractor

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Open Positions

Personal Information

First Name

Middle Name

Last Name

Birthday

Home Phone

Cell Phone

Social Security Number

Position

Are you a US Citizen * Required

Yes

Have you ever been convicted of Felony? * Required

Yes

If selected for employment are you willing to submit a pre-employment drug screening test? * Required

Yes

Street Address

City

Postal / Zip code

Region/State/Province

Country

Education

High School

School Name

Location

Years Attended

Graduate * Required

Yes

College

School Name

Location

Years Attended

Degree

Major

School Name

Location

Years Attended

Degree

Major

Other training, certifications or licenses held:

Employment

Employer

Date Start

End Date

Work Phone

Starting Pay

Ending Pay

Pay Rate * Required

Hourly

Salarty

Postion

Pay Rate * Required

Hourly

Salarty

Street Address

City

Region/State/Province

Postal / Zip code

Country

Duties Performed

Supervisor Name and Title

Reason For Leaving

May we contact them? * Required

Yes

References

Name

Title

Company

Phone

Company

Phone

I certify that all answers given herein are true and complete to te best of my knowledge.

I autorize investigatin of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

In the event of employment, I understand that false or misleading information given nmy applicaton or intervie(s) may result in discharge.

Your Signature

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Thank you for Applying!

Office Business Hours

Monday thru Friday: 7:00am to 4:00pm

Kingman Office

Phone: (928) 753-6337

801 Railroad St.

Kingman, AZ 86401

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