Employment Application

Please check the highlighted fields below.

Applicant Information

Last Name *

First Name *

M.I.

Street Address *

Apartment / Unit #

City *

State *

Zip Code *

Phone *

Email *

A note about your Social Security Number: for your security, please do not include your SSN anywhere on this form. It — along with formal background-check authorization — will be collected through a secure process only if you are extended a conditional offer of employment.

Date of Birth *

Date Available to Start *

Position Applied For *

Desired Salary ($)

Are you a citizen of the United States? * Yes No

Are you authorized to work in the U.S.? Yes No

Have you ever worked for UDT, LLC? * Yes No

When?

Have you ever been convicted of a felony? * Yes No

Please explain

Education

High School

Name of High School

Address

Attended From

Did you graduate? Yes No

Diploma

College / Trade School

Name of College

Address

Attended From

Did you graduate? Yes No

Degree

College / Trade School (second, optional)

Name of College

Address

Attended From

Did you graduate? Yes No

Degree

References

Please list three professional references who can validate your skills and experience. *

Reference 1

Full Name *

Relationship *

Company *

Phone *

Address / Location *

Reference 2

Full Name *

Relationship *

Company *

Phone *

Address / Location *

Reference 3

Full Name *

Relationship *

Company *

Phone *

Address / Location *

Previous Employment

List employers starting with your most recent position held. Please show your history for at least 10 years.

Military Service (optional)

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Disclaimer and Signature

Please read carefully and sign. I certify that the above statements are correct. I understand that any false information or omissions in this application, or its supporting documents, will be sufficient grounds for refusal to hire me or termination without notice. I understand that UDT, LLC or any subsidiary thereof, has the right to review my education, previous employment, driving and criminal records and other background data. I further understand that, unless otherwise defined by applicable law and/or company policy, any employment relationship with UDT, LLC is of an “at will” nature and may be terminated at any time without cause.

In addition, I will be required to sign and fill out a non-compete form if hired to UDT, LLC.

I have read, understand, and agree to the above terms. *

Printed Full Name (Electronic Signature) *

Date

1 of 5

✓

Application Submitted!

Thank you for applying to UDT, LLC. Our hiring team has received your application and will be in touch if your experience is a match for our current openings.

Reference #:

Keep this reference number for your records. A confirmation has also been sent to the email address you provided.

Employment

Application

High School

College / Trade School

College / Trade School (second, optional)

Reference 1

Reference 2

Reference 3

Application Submitted!

Have a

Question?

Employment

Application

High School

College / Trade School

College / Trade School (second, optional)

Reference 1

Reference 2

Reference 3

Application Submitted!

Have a

Question?

Ready To

Break Ground?

Let's talk.