Subcontractor Interest Form Please fill out the form below to indicate your interest in a subcontractor role working with Task Building, LLC. Please enable JavaScript in your browser to complete this form.What subcontractor level are you interested in filling? (Check all that apply) *Independent Contractor - Construction Lead Level 3Independent Contractor - Construction Hand Level 2Independent Contractor - Construction Hand Level 1Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you a U.S. citizen?YesNoReference checks may be conducted prior to work and reference checks may be conducted once you are performing work for a task. Do you agree to this? *YesNoPlease list any licensures or certifications you have below. Please include number, original date of issue, and expiration if applicable.Please check any areas in which you have experience or expertise. (Check all that apply) *CarpentryConstruction Foreman/SupervisorElectricianFloor/Carpet InstallationGeneral ConstructionGlazerWelderHazardous Materials RemovalHeavy Equipment OperatorHVAC TechnicianMasonryPaintingPlumber/PipefitterRooferNone, but willing to learnPlease list any other areas in which you have experience or expertise below (including computer/software skills), if applicable.Please list previous employment and contracted positions and dates of employment below. If necessary, we will contact you for additional information, as needed. *If we mutually decide to enter into a subcontractor agreement, we will require you to disclose past convictions. State background checks will also be required. Do you agree to this? *YesNoSubmit91818