Mays Concrete Inc.

Application for Employment

Mays Concrete, Inc. is an equal opportunity employer and does not unlawfully discriminate against any individual in any phase of employment in accordance with the requirements of local, state or federal law. Applicants and or employees may be subject to testing for illegal drugs. In addition, applicants for certain positions that receive a conditional offer of employment must pass a medical examination prior to receiving a confirmed offer of employment.

Provide only the information requested.
Failure to do so may result in disqualification of your application.

Job Application

Name *

First

Last *

Last

Email *

Home Phone *

Mobile Phone

Address *

Address

City

State/Province

Zip/Postal

Attach Resume

Maximum file size: 5MB

Are you under the age of 18? *

Are you a U.S. citizen or an alien lawfully authorized to work in the United States? *

Proof of right to work in the United States will be required upon employment in accordance with the Immigration Reform and Control Act of 1986.

Within the past 30 days, have you used marijuana, cocaine, any narcotics, amphetamines, barbiturates or other controlled substances that were not prescribed to you by a physician, or taken in accordance with your physician's prescription? *

Do you have any relatives employed by Mays Concrete, Inc.? *

If yes, give the name and relationship of each relative.

Have you ever applied for a position with Mays Concrete, Inc. before, for which you were not hired? *

If yes, state when and the position.

Have you ever worked for Mays Concrete, Inc. before? *

If yes, state when and the position.

Have you gone by any other name(s)? *

If yes, give the other name(s) and the period of time during which it was used.

Availability

I am applying for Listing #:

Position: Position:

If other, please explain...

How did you learn of this job listing? *

Do you own the tools required to do the job applied for? *

On what date will you be available to work? *

Are you on layoff and subject to recall? *

What are you willing to work? *

Full Time

Part Time

And for how long? *

Permanent

Temporary

If temporary, list dates. From:

To:

List any days of the week and any hours of the day you can't work.

Do you have any commitments that will require your absence from work during regular work hours for more than three (3) days within the next six months? *

If yes, please explain.

Will you work over 40 hours per week if required? *

Will you accept out-of-town assignments if required? *

Ability to Perform Job

Please review the job description for the position for which you are applying before completing this section.

Do you meet all required experience, education and certification qualifications? *

If No, what qualifications do you lack?

Please list any special skills, training or experiences which qualify you for the position for which you are applying.

Can you perform the essential job functions with or without reasonable accommodations? *

If the position requires a medical exam after a conditional offer of employment and you receive such an offer, are you willing to be examined by a physician selected by Mays Concrete, Inc. at the Company's expense? *

All positions at Mays Concrete, Inc. require that the employee be free from illegal drugs and alcohol while on duty. Are you willing to submit to pre-employment drug testing and, if employed, random, post accident, periodic and reasonable cause drug and alcohol testing? *

Do you have a valid drivers license? *

Enter State

License#

Expiration Date

Classification

Education

Grammar School

High School *

Graduated? *

College

Degree or Course of Study

GPA

Other education (please specify).

Former Employers

Dates worked

From: (Month/Year) To: (Month/Year)

Employer Name / Address / Phone

Position

Reason for Leaving

Dates worked

From: (Month/Year) To: (Month/Year)

Employer Name / Address / Phone

Position

Reason for Leaving

Dates worked

From: (Month/Year) To: (Month/Year)

Employer Name / Address / Phone

Position

Reason for Leaving

Personal References

Name/Address/Phone

Years Acquainted

Business

Name/Address/Phone

Years Acquainted

Business

Name/Address/Phone

Years Acquainted

Business

Work background

Explain any gaps in your work history which are longer than six months.

Have you ever been fired from a job or quit under threat of being fired? *

If yes, explain when and by which employer and their reason.

Have you ever been demoted or disciplined in a job (written warnings, suspension, etc.)? *

If yes, state when this occurred, identify the employer by name, address and telephone number, and state the reasons given to you by the employer for your demotion or discipline.

Please describe any problems in your current job about which you have been warned or disciplined during the past 12 months.

Who should we contact to confirm employment data? Include name, title, telephone number.

May we talk to your current employer now, or only if you are hired?

Please read the following statement before checking the box below

I certify that the information contained in this application is correct to the best of my knowledge. I understand that any misrepresentation of information by statement or omission will result in disqualification or, if already hired, dismissal from employment, no matter when the misstatement or omission is discovered. I authorize Mays Concrete, Inc. to contact my references, investigate my employment history, education, and if applicable, driving record, and to obtain a consumer report regarding me. I will submit to and pass any drug test required by Mays Concrete, Inc. as a condition of employment. I understand that all employment at Mays Concrete, Inc. is at-will, meaning that employment with Mays Concrete, Inc. may be terminated, with or without cause, and with our without prior notice, at any time, at the option of either the Mays Concrete, Inc. or myself. I understand that no supervisor or manager has authority to enter into an agreement for employment that waives Mays Concrete, Inc.'s right to terminate employment at will. I understand that Mays Concrete, Inc. has policies and procedures that I must follow, if hired. I understand that Mays Concrete, Inc. reserves the right to change its policies and procedures, including personnel policies and employee benefits at any time without approval by employees, and that these changes are accepted by continuing my employment with Mays Concrete, Inc. I certify that I am submitting this application in a good faith desire for employment at Mays Concrete, Inc. If offered employment, I will consider the offer, and if I accept, I will fulfill the requirements of the job to the best of my ability.

I certify that I have read, understand and agree with the above paragraphs. *

Certify

Full Name *

Date *

Mays Concrete Inc.

Application for Employment

Provide only the information requested. Failure to do so may result in disqualification of your application.

Availability

Ability to Perform Job

Education

Former Employers

Personal References

Work background

Please read the following statement before checking the box below

Provide only the information requested.
Failure to do so may result in disqualification of your application.