Join Our Team – Acute Construction Group

BUSINESS INFORMATION

Business Name *

Business Phone Number *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Owner's Cell Phone *

List Your Minority Certifications: *

Disadvantage Business Enterprise (DBE), SCDOT, Etc (Please list all)

LIcenses/Certifications *

Please also list the License Numbers and/or Certification Numbers

WORK PERFORMANCE

List Trades/Qualified Skill Sets *

For example: Site Work Demolition, Concrete, Masonry, Carpentry, Drywall, Painting, Windows, Doors, Insulation, Siding/Roofing, Electrical, Plumbing, HVAC

List Trades of Interest *

WORK HISTORY

List 3 of your most recent projects, detail (a) Project Performance (b) Project Costs (c) Project Date of Completion

Project 1:

Project 1 Performance *

Project 1 Cost *

Project 1 Date of Completion *

Project 2:

Project 2 Performance *

Project 2 Cost *

Project 2 Date of Completion *

Project 3:

Project 3 Performance *

Project 3 Cost *

Project 3 Date of Completion *

Electronic Signature: By selecting the "I Accept" button below, you are signing this agreement Electronically. You agree that your electronic signature is the equivalent of your manual signature on this application *

I hereby certify that the above information is true and correct to the best of my knowledge. I also certify that the business name listed above is an independent business, is in business to earn profit, and is responsible for all insurance coverages, licenses, and all local/state federal taxes pertinent to the operation of this business.
I Agree to receive and/or maintain any and all electronic communications from Acute Construction Group
I Accept

E-Signature *

First

Middle

Last

Date *