Are you authorized to work in the United States?
Have you resided at your current address for the past seven (7) years?
If you answered no, please provide a seven (7) year history of all residences beginning with the most recent. If there is not enough space provided, please use the back or attach other relevant information.
Are there any times of day or days of the week during which you are unable to work?
If you answered yes, please provide details of your time-related work restrictions: Education Employment History (Begin with Most Recent) Reason for Leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact your employer:
Reason for Leaving (be specific) List the jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company:
May we contact your employer:
I understand that Gravel Conveyors is a drug-free workplace, and I agree to submit to drug and background screening prior to and during my employment as required by company policy. I further understand that any offer of and continued employment is contingent upon the results of such inquiries and that positive or unsatisfactory results or failure to submit to such screening may result in a revocation of any offer and/or termination of employment. I hereby authorize any physician, laboratory, hospital, medical professional or third party retained by the company for background, credit, and drug and alcohol screening purposes to both conduct such screening and provide the results to Gravel Conveyors, and I release Gravel Conveyors or any person affiliated with the Company and such institution or person from liability arising from such testing.
I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for nullification of this application or immediate discharge from employment. Furthermore, I give Gravel Conveyors the right to contact and obtain information from all references, education institutions, credit bureaus or other relevant sources and to otherwise verify the accuracy of the information contained in this application through whatever lawful means necessary. I hereby release from liability Gravel Conveyors and its representatives for seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information.
I understand that nothing in this application, company policy statement, employee handbook or personnel guidelines is intended to create an employment agreement or a contract for employment. I further understand that no representative of Gravel Conveyors, other than an authorized officer, has the authority to make any assurances to the contrary, and I understand that any such assurances must be made in writing and signed by an authorized officer of Gravel Conveyors and me.
If I am hired, I understand that employment is “At Will” meaning that I am free to resign at any time, with or without cause and without prior notice, and Gravel Conveyors reserves the right to terminate my employment at any time without prior notice, except as may be required by law. I further understand that only an officer of Gravel Conveyors may alter or amend my at-will status, and any such change must be signed by the authorized Gravel Conveyors.
If I am hired, I agree to abide by all work rules and policies of Gravel Conveyors, and I understand that I will be required to provide proof of identity and authorization to work legally in the United States of America.
I represent and warrant that I have read and fully understand the foregoing, and I seek employment under these conditions. Submit