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Apply for Highway Maintenance Technician

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Summary
Title:Highway Maintenance Technician
ID:4863
Division:ISD
Region:Colorado
Location:Denver, CO
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Contact Information
* First Name:
* Last Name:
* Street Address :
Address 2 (suite #, apt #, etc.):
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Application Information
* How did you find us? (Source):
* Referred By:
If source was "employee referral", please type the first and last name of the Jorgensen employee that referred you. If none, please type "N/A".
Opt-In Confirmation
I authorize recruiters from Roy Jorgensen Associates, Inc. to send text messages from 8336131543 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
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Short Application
PERSONAL INFORMATION
* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):
Yes   No
* Have you ever worked for this Company before?:
Yes   No

EMPLOYMENT DESIRED
* Type of employment desired:
Full-Time
Part Time
Seasonal
* Hourly rate/salary desired:
$11- $14
$15 - $20
$21 - $25
$26 - $30
$31+

LICENSE AND EXPERIENCE
What is the highest degree or level of school you have completed?:
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* What kind of drivers license do you have?:
* Please list relevant experience/jobs you have to this position:
* How many years of relevant experience do you have?:
0-3 years
3-5 years
5-10 years
10+ years
* Company will conduct pre-employment screenings (Background check, driving record, and drug screen) prior to hire. For some positions, additional employment screenings may be required. Do you want to proceed?:
Yes   No

MILITARY SERVICE
* Branch:
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Army
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Army National Guard
Marine Corps
Marine Corps Reserve
Navy
Navy Reserve
Air Force
Air Force Reserve
Air National Guard
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Coast Guard Reserve
Rank at Discharge:
Dates of Service - From:
Dates of Service - To:

AUTHORIZATION
I certify that my answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that by giving false or misleading information in my application or interview, my application may be rejected and if I am employed, my employment may be terminated at any time. RJA is an equal opportunity employer and complies with all federal and state laws and regulations.

In consideration of my employment, I agree to conform to all company policies and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option.

* Signature (type name):
* Date:
Hourly Minimum
* What is the minimum hourly rate ($)  you need in order to consider this position?
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
* Gender:
Female
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* Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
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A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
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A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
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Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
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* Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) 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 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
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.
Armed Forces Service Medal Veteran
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 No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond
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