Employment Application

First Name

Middle Initial

Last Name

Email

Phone Number

DO YOU HAVE OSHA 10, OSHA 30, or EQUIVALENT?

Vic’s Crane & Heavy Haul, Inc. requires an OSHA 10 certification, or equivalent, for all positions except admin/office.

YesNo

OSHA date of completion

OSHA certification

upload a copy of the certification

Are you a union member?

YesNo

Do you have a commercial driver's license?

YesNo

DL Number or State ID Number

DL/State ID Expiration Date

DL/State ID Image

Do you have a DOT health card?

YesNo

Are you MSHA Certified?

YesNo

Do you have a TWIC Card?

YesNo

Are you forklift certified?

YesNo