Wufoo

Online Application

General Information

Everything with a red (*) is required:
Name: *
Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone: * ### - ### - ####
Email: *
Citizen of the United States?
Yes No
Are you a veteran of the U.S. Military?
Yes No
Which Employment Opportunity are you interested in? *
Water Resources Engineer/Stormwater Management Specialist Structural Engineer Highway Engineer Traffic/Transportation Engineer Structural Draftsperson/CADD Designer/Technician Land Surveyor Engineering Intern
REFERENCES:

Give below the names of three persons not related to you, whom you have known at least one year:
1. Name: *
1. Address: *
1. Business: *
1. Years acquainted: *
2. Name: *
2. Address: *
2. Business: *
2. Years acquainted: *
3. Name: *
3. Address: *
3. Business: *
3. Years acquainted: *
Resume

If you upload a resume here, You do not need to fill out the rest of the application below.
Upload .DOC or .PDF files only
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NOTE:
Resumes can also be mailed to:
Sucevic, Piccolomini & Kuchar Engineering Inc.
126 Kaider Road
Uniontown, Pennsylvania 15401
ATTN: Perry Schweiss

Education

Please list your education history:

High School - Name/Location:

High School - Years Attended:

High School - Degree/Certification:

High School - Date Graduated: MM / DD / YYYY

College - Name/Location:

College - Years Attended:

College - Degree/Certification:

College - Date Graduated: MM / DD / YYYY

Other - Name/Location:

Other - Years Attended:

Other - Degree/Certification:

Other - Date Graduated: MM / DD / YYYY

Professional Licensure:

Please list any professional licensures or certifications you have obtained in your education and career:

1. Type of Licensure:

1. License Number:

1. State:

1. Date Obtained: MM / DD / YYYY

2. Type of Licensure:

2. License Number:

2. State:

2. Date Obtained: MM / DD / YYYY

3. Type of Licensure:

3. License Number:

3. State:

3. Date Obtained: MM / DD / YYYY

Employment History:

List below the last three employers, starting with the last one first.

1. Date Worked From/to (Mo/Yr):

1. Name & Address of employer:

1. Position:

1. Reason for leaving:

2. Date worked from/to (Mo/Yr):

2. Name & address of employer:

2. Position:

2. Reason for leaving:

3. Date worked from/to (Mo/Yr):

3. Name & address of employer:

3. Position:

3. Reason for leaving:

Comments:

Provide general comments here: