Employment
This application will be considered complete only if the disclaimer is checked. All applicants are considered for employment without regard to race, color, religion, sex, national origin, age, martial status, or disablility unrelated to job performance as required by the Equal Employment Opportunity Commission (EEOC) and the Americans with Disablities Act (ADA). The Age Discrimination in Employment Act of 1967, as amended prohibits discrimination on the basis of age with respect to persons who are forty years of age or older. Minorities and women are encouraged to apply for employment.
Application for Employment
Full Name:  
Address:   Apt #:
City:    State:   Zip:
Phone:   Email:
Date Available
Social Security No.

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Desired Salary
 Do you have a Drivers License? Yes No  State: 

 Do you have any restrictions: 

 Do you have a CDL? Yes No   Number of years as CDL Driver?

 If you answered yes to CDL, explain what endorsements.

 Do you have any Ready Mix truck driving experience? Yes No

 Position Applied for

 List any languages in which you are fluent.

Yes No  Are you over 18?
Yes No  Any relatives of yours employed here?
Yes No Are you a party to any restrictive covenants, which would preclude or limit your employment with us?
Yes No   If yes, may we review them?
Yes No  Have you ever worked for this company?
Yes No  Are you a citizen of the US or otherwise eligible to work in the US?

Previous Employment
List most recent employer and position held.

Company: Phone:
Position:
From:  To  Reason for Leaving:
Company: Phone:
Position:
From:  To  Reason for Leaving:
Company: Phone:
Position:
From:  To  Reason for Leaving:

Disclaimer
 I HAVE READ AND UNDERSTAND THE INFORMATION BELOW

I certifiy that the information contained in this application is corrrect to the best of my knowlege and understanding, and that any false statement is sufficient cause for rejection of my application or dimissal after employment. In consideration of my employment, I agree to conform to the rules and regulations of Big Creek Construction, Ltd. and that my employment and compensation can be terminated with or without cause or notice at any time, at the option of either Big Creek Construction, Ltd. or myself.

I hereby authorize without reservation for Big Creek Construction, Ltd. to obtain a Motor Vehicle Report (MVR) for my driving record and any background check from a consumer reporting agency, Federal, State, criminal agencies which contain my past activities, as that term is defined under the Federal Fair Credit Reporting Act, and I hereby agree to release Big Creek Construction, Ltd. and any parties furnishing such information from any damages that may result from such information.