Welcome to the Missouri and Kansas Laborers' District Council assessment form. Please complete the information below. Someone from the district council training center will be in touch with you soon. Join Us - Assessment Form * indicates required field Name / Nombre:* Phone Number / Número De Teléfono:* Address / Dirección:* County of Residence / País de Residencia:* Date of Birth / Fecha de Nacimiento: Email: Are you 18 years or older? ¿Tienes 18 años o más? Yes / Si No / No Do you have a Drivers License? ¿Tienes carnet de conducir? Yes / Si No / No Do you have a vehicle? ¿Tienes un vehículo? Yes / Si No / No Have you attended Trade School? Has asistido a la Escuela de Comercio? Yes / Si No / No Have you served in the Military? Has servido en el ejército? Yes / Si No / No Are you a high school graduate? Eres un graduado de secundaria? Yes / Si No / No Do you have a college degree? ¿Tienes un título universitario? Yes / Si No / No Are you a U.S. Citizen or Legal Resident? Es Cuidana de los Estados Unidos o Residente Legal? Yes / Si No / No Are you willing to take a pre-employment drug screen? Estás dispuesto a tomar un examen de detección de drogas previo al empleo? Yes / Si No / No Can you pass a security/background check? Puede pasar una verificación de antecedentes de seguridad? Yes / Si No / No List your last three construction employers as well as years employed / Enumere sus últimos tres empleadores de construcción así como los años empleados Previous Employers / Empleadores Anteriores Do you have any experience, skills, or training in any of the following areas? Tiene alguna experiencia, habilidades o entrenamiento en alguna de las siguientes áreas? Please select all that apply / Por favor seleccione todas las respuestas válidas:* Concrete Flatwork Strike Off/Finish Concrete Trowel Finish Trowel Machine Skid Steer Loader Concrete Paving Machine Concrete Vibrator Slip Forms Boom Truck Blueprint Reading Grade Checking GPS Rotating Laser Level Eye Level/Transit Concrete Foundation Work Form Setter Patented Forms/Symons Form Wrecking/Stripping Shoring & Bracing Mason Tending Masonry Forklift Tower Scaffold Hydro-Mobil Aerial Lift General Scaffold-User/Builder Demolition Hoisting, Rigging, Signaling Cutting Torch Pipe Layer-Sewer Polyethylene Pipe Fusion Water Lines/Mains Hydraulic Shoring Drain & Tile Layer Plumber Laborer Air Track Drill Blaster Explosive Handler, Loader Hydraulic Rock Drill Directional Drill/Locator Pipeline Work Asphalt Paving Machine Vibrating Roller Flagger/Traffic Control Landscaping Irrigation Block Wall Guard Rail/Cable Installation Deck Hand Vac/Jetter Truck TV Truck Tunnel Work Gunite Pump/Nozzle Man MSHA Part 48 OSHA 10 for Construction Safety and Health OSHA 30 for Construction Safety and Health First Aid CPR Hazardous Waste Worker Asbestos Abatement Lead Abatement Lead Renovator RAD Work ICRA CDL Class A CDL Class B Competent Person Confined Space Chain Saw Concrete Saw Jackhammer/Drill Power Tools Sand Blaster Arc Welder Welder Water Blaster Drywall Hangar Pick & Shovel Debris Cleaning & Clearing Are you willing to travel? ¿Está usted dispuesto a viajar? Are you willing to travel for work? ¿Estás dispuesto a viajar al trabajo?* 50 miles 100 miles 200 miles More? Have you applied with us before? Usted ha aplicado aqui antes? Yes/Si No/No
