By providing your email and phone number, you are giving LIUNA consent to contact you. Join Us - Assessment Form * indicates required field First Name:* Last Name:* Date of Birth / Fecha de Nacimiento: Status: US Citizen/Ciudadano Permanent Resident/Residente Permanente Work Permit/Permiso de Trabajo Address/Dirección:* City:* State:* AL (Alabama) AK (Alaska) AS (American Samoa) AZ (Arizona) AR (Arkansas) CA (California) CO (Colorado) CT (Connecticut) DE (Delaware) DC (District of Columbia) FL (Florida) GA (Georgia) GU (Guam) HI (Hawaii) ID (Idaho) IL (Illinois) IN (Indiana) IA (Iowa) KS (Kansas) KY (Kentucky) LA (Louisiana) ME (Maine) MD (Maryland) MA (Massachusetts) MI (Michigan) MN (Minnesota) MS (Mississippi) MO (Missouri) MT (Montana) NE (Nebraska) NV (Nevada) NH (New Hampshire) NJ (New Jersey) NM (New Mexico) NY (New York) NC (North Carolina) ND (North Dakota) MP (Northern Mariana Islands) OH (Ohio) OK (Oklahoma) OR (Oregon) PA (Pennsylvania) PR (Puerto Rico) RI (Rhode Island) SC (South Carolina) SD (South Dakota) TN (Tennessee) TX (Texas) VI (U.S. Virgin Islands) UT (Utah) VT (Vermont) VA (Virginia) WA (Washington) WV (West Virginia) WI (Wisconsin) WY (Wyoming) Other (Outside U.S.A) Zip Code:* COUNTY:* Phone Number:* Email:* Gender/Género:* Female/Femenino Male/Masculino What languages do you speak? Que lenguajes puede usted hablar? Choose Applicable: English / Inglés Spanish / Español Other / Otro Can you pass a drug screening? Please choose one:* Yes/Si No/No Are you 18 years or older? Please choose one* Yes No Do you have your own transportation to and from work? Tiene usted su propia transportacion? Please choose one:* Yes/Si No/No Which zones are you able to travel to work in? En cuales de las zonas estaría dispuesto a trabajar? Choose Applicable:* Pittsburgh, PA Philadelphia, PA Allentown, PA Harrisburg, PA Wilkes-Barre, PA Scranton, PA Baltimore, MD Washington, DC Northern VA Norfolk/Virginia Beach, VA Charlottesville, VA Richmond, VA Have you worked in landscaping before?* Yes No Please check all skills you know you are capable of performing. If requested, please be prepared to verify with documentation that you can perform the skills checked. Favor marque las habilidades que usted pude desempeñar. También, si se requiere, esté preparado para proveer verificación acerca de la habilidad que marcó con documentación necesaria. Landscaping Experience / Experiencia en servicios de jardinería** Maintenance worker Landscape installer Hardscape worker Clean Up & Restoration Crew No Landscaping Experience (Willing to learn) Are you currently employed?* Yes No If so, please list the company name: Additional Skills / Habilidades** Asbestos Certified Asphalt Paving Backfilling / Compacting Blueprints Brick Paver Bridge Course Worker Caisson Worker Carpenter Certified Flagger Confined Space Certification Crane Signaling CDL Class A License CDL Class B License Chuck Tender Concrete Laborer Concrete Finisher Directional Drilling / Boring Rough Grade Dozer Operator Fine Grade Dozer Operator Epoxy Excavation First Aid / CPR Certified Form Setter Foreman Heavy Highway Form Carpenter Heavy Highway Laborer Grout man Jack Hammer Laborer Landscaper Land Surveyor M.O.T. Cert. / Exp. Mason Tender OHSA 10 Certified OHSA 30 Certified OHSA 40 HAZWOPER OSHA 8hr HAZWOPER Refresher Pipe Layer Rodman - Rebar Rigging and Signaling Scaffolding Shoring Sandblasting General Laborer None of the experience listed above (Willing to learn) Prior Employers/Empleadores Anteriores 3 Companies you worked for? 3 Compañías para las que ha trabajado?* Have you applied with us before? Usted ha aplicado aqui antes? Yes/Si No/No How did you hear about us? Job posting on the internet? Please list website (if applicable): Please list name of your recruiter (if applicable): Chris Walsh Jonathan Viera Jose Gonzalez Felipe Lopez Alix Khani Nadia Salazar Friend/Word of Mouth (if applicable): Yes No How did you hear about us (if none of the above apply)? CAPTCHA Code:*