Fillable NEVADA STATE CONTRACTORS BOARD (Nevada State Contractors Board)

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NEVADA STATE CONTRACTORS BOARD (Nevada State Contractors Board)

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NEVADA STATE CONTRACTORS BOARD
5390 KIETZKE LANE, SUITE 102, RENO, NEVADA, 89511 (775) 688-1141 FAX (775) 688-1271, INVESTIGATIONS (775) 688-1150
2310 CORPORATE CIRCLE, SUITE 200, HENDERSON, NEVADA, 89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110
www.nscb.nv.gov
RESUME OF EXPERIENCE
EXPERIENCE RECORD OF: _______________________________________________________
(Print name of qualified individual)
Employer’s Name:__________________________________________________ Phone:______________________________
Address: __________________________________________________________ E-mail:______________________________
(Street, City, State, Zip)
Date of Employment: From: ________________ To: ________________
(month/day/year) (month/day/year)
Check all jobs held for this employer:
Journeyman Foreman Supervisor Contractor Self-Employed Other:______________________
Employer’s Name:__________________________________________________ Phone:______________________________
Address: __________________________________________________________ E-mail:______________________________
(Street, City, State, Zip)
Date of Employment: From: ________________ To: ________________
(month/day/year) (month/day/year)
Check all jobs held for this employer:
Journeyman Foreman Supervisor Contractor Self-Employed Other:______________________
Employer’s Name:__________________________________________________ Phone:______________________________
Address: __________________________________________________________ E-mail:______________________________
(Street, City, State, Zip)
Date of Employment: From: ________________ To: ________________
(month/day/year) (month/day/year)
Check all jobs held for this employer:
Journeyman Foreman Supervisor Contractor Self-Employed Other:______________________
DESCRIBE IN DETAIL THE SPECIFIC TYPE AND/OR SCOPE OF WORK PERFORMED
Full-Time
Part-Time (specify aggregate total)
______ Years _______ Months
DESCRIBE IN DETAIL THE SPECIFIC TYPE AND/OR SCOPE OF WORK PERFORMED
Full-Time
Part-Time (specify aggregate total)
______ Years _______ Months
DESCRIBE IN DETAIL THE SPECIFIC TYPE AND/OR SCOPE OF WORK PERFORMED
Full-Time
Part-Time (specify aggregate total)
______ Years _______ Months
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NEVADA STATE CONTRACTORS BOARD (Nevada State Contractors Board)

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Completed 26 April 2021

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