Apply Now "*" indicates required fields Name* First Last Position Applied For*Desired Rate of Pay*Phone*Email* Date Available to Work* Are you eligible for employment in the United States?* Yes No Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Relatives or friends employed by this company?*NoYesName / Relationship*Ex: Bill Goode / Good friend (*If more than one, please list all.)Upload Resume* Drop files here or Select files Max. file size: 256 MB, Max. files: 5. Your Previous Employers*EmployerDatesPositionPhone Add RemoveOther Qualifications - Please list any additional qualifications you believe should be considered.*Applying for a Driving Position?* Yes No Driving Experience (check all that apply)* None of the below Tanker Dump Truck Mixer Truck Garbage Truck Semi Truck Grapple Truck Roll Off Truck Portable Toilet Truck Flat Bed Truck Motor Grader Excavator Loader Dozer Backhoe Skid Steer Crusher Do you have any traffic convictions or forfeitures for the past 3 years?* No Yes Violation Detail (format instructions below)*Format Instructions: List each violation with the following detail: 1) Violation 2) Date Convicted - Month/Year 3) State of Violation 4) Penalty - Forfeited Bond, Collateral, and/or PointsConvicted of a felony or pending trial?* No Yes Explain what and when.*Have you ever been denied a license, permit, or privilege to operate a motor vehicle?* No Yes Explain what and when.*Has any license, permit, or privilege ever been suspended or revoked?* No Yes Explain what and when.*Consent*Concrete Enterprises is an equal opportunity employer. It is our policy that all applicants be considered solely on the basis of qualifications and ability, without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, gender expression, national origin, age, disability, genetic information, veteran status, or any other protected characteristic as established by law. I authorize you to make inquiries (including contacting current and prior employers) into my personal, employment, and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquiries and releasing information in connection with my application. In the event of employment, I understand that false and misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the Company. I understand that the information I provide regarding my current and/or prior employers may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to: • Review information provided by current / previous employers. • Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer; and • Have a rebuttal statement attached to the alleged erroneous information if the previous employer(s) and I cannot agree on the accuracy of the information. I affirm that the information I have provided in this application is true to the best of my knowledge, information, and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. I acknowledge that employment with Concrete Enterprises is at-will. I acknowledge that employment with Concrete Enterprises is at-will. Δ
