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1 About You
2 Education
3 Driver's Information
4 Office & References
5 Military
6 Work Experience
7 Submit
MR Paving & Excavating Employment Application

Application for Employment

APPLICANTS WILL BE TESTED FOR ILLEGAL DRUGS

Today's Date
First Name
Last Name
Middle Name
Maiden Name
Current Address
City
Zip Code
How long have you lived at your current residence?

For Your Protection, Your Social Security Number will be filled out in Person

Your Phone Number
If you are under 18 - Please list age
Position Applied for
Desired Salary (Be specific)

Days/Hours Available to Work

No Pref
Mon
Tue
Wed
Thur
Fri
Sat
Sun
How Many Hours Can You Work Weekly?
Can You Work Nights?
Employment Desired

Education

Type of School

Name of School

Location (Address)

Years Completed

Major & Degree

High School

College

Bus or Trade School

Professional School


Drivers Information
Do you Have a Driver's License?
What is your means of transportation to work?
Drivers License Number
Check all that apply
Expiration Date
Have you had any accidents in the past three years?
If so, how many?
Have you had any moving violations in the past three years?
If so, how many?

References
Are you Applying for an Office Position?
Typing
WPM
Personal Computer
WPM
PC
Mac
10 Key
WPM
Word Processing
WPM

Please List two references other than relatives or previous employers:

Reference #1

Name
Company
Position
Phone
Address

Reference #2

Name
Company
Position
Phone
Address

An application form sometimes makes it difficult for an individual to adequately summarize a complete background.  Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Full Qualifications
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Military
Have you ever been in the Armed Forces?
Are you now a member of the National Guard?
Specialty
Date Entered
Discharge Date

Work Experience

Please list your work experience for the past five years beginning with your most recent job held.

If you were self-employed, give firm name.

Previous Job 1 (Most Recent)

Previous Job 1Include: Name of Employer, Address, City, State, Zip and Phone Number
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Name of last Supervisor
Employment Start Date
Employment End Date
Pay/Salary Start
Pay/Salary Final
Your Last Job Title
Reason for Leaving (Be Specific)
List the Jobs You HeldInclude Duties performed, skills used or learned, advancements or promotions while you worked at this company
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Previous Job 2

Previous Job 2Include: Name of Employer, Address, City, State, Zip and Phone Number
0 /
Name of last Supervisor
Employment Start Date
Employment End Date
Pay/Salary Start
Pay/Salary Final
Your Last Job Title
Reason for Leaving (Be Specific)
List the Jobs You HeldInclude Duties performed, skills used or learned, advancements or promotions while you worked at this company
0 /

Previous Job 3

Previous Job 3Include: Name of Employer, Address, City, State, Zip and Phone Number
0 /
Name of last Supervisor
Employment Start Date
Employment End Date
Pay/Salary Start
Pay/Salary Final
Your Last Job Title
Reason for Leaving (Be Specific)
List the Jobs You HeldInclude Duties performed, skills used or learned, advancements or promotions while you worked at this company
0 /

Previous Job 4

Previous Job 4Include: Name of Employer, Address, City, State, Zip and Phone Number
0 /
Name of last Supervisor
Employment Start Date
Employment End Date
List the Jobs You HeldInclude Duties performed, skills used or learned, advancements or promotions while you worked at this company
0 /
Pay/Salary Start
Pay/Salary Final
Your Last Job Title
Reason for Leaving (Be Specific)
May we contact your present employer?
Did you complete this application yourself?
If not, who did?

Waiver and Submit

PLEASE READ CAREFULLY

APPLICATION FORM WAIVER

In exchange for the consideration of my job application by M.R. Paving (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of  MR PAVING,or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of the Company.  Both the undersigned and   MR PAVING may end the employment relationship at any time, without specified notice or reason.  If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application.  I understand that the misrepresentation or omission of facts called for is cause for dismissal at anytime without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I understand that should MR Paving and Excavating make a job offer, employment is contingent upon my MVR meeting current driving policy.

I also understand that (1) the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living.  Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of ninety (90) days, and further that at anytime during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

I Have Read the Form Waiver and Accept
Attach Resume (optional)PDF ONLY
ATTACH DOCUMENT
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