Employment Application - Watson Gravel, Inc.

Personal Information

Position(s) Applied For

Date of Application

Last Name

First Name

Middle

Street Address

City

State / Zip

Phone

Cell / Other

Email

Referral Source (How did you hear about us?)

Eligibility

If under 18, can you provide a work permit? Yes No

Have you previously worked at Watson Gravel? Yes No

If yes, give dates and positions

Are you authorized to work in the United States? Yes No

Date Available for Work

Desired Salary Range

Type of Employment Desired

Full-Time Part-Time Temporary Seasonal

Can you perform the essential functions of this job (with or without reasonable accommodation)? Yes No

Driver's License (number and state, if driving is required for this position)

Have you ever been convicted of a crime? Yes No

A conviction does not automatically disqualify you. We consider the nature, date, and relevance of any offense.

If yes, provide dates and details

Employment History

Starting with your most recent employer.

Employer #1 (Most Recent)

Employer

Phone

Address

City / State

Dates Employed (From)

Dates Employed (To)

Starting Job Title

Final Job Title

Supervisor Name & Title

Starting / Final Pay

Why did you leave?

Job Responsibilities

May we contact for reference? Yes No Later

Employer #2

Employer

Phone

Address

City / State

Dates Employed (From)

Dates Employed (To)

Starting Job Title

Final Job Title

Supervisor Name & Title

Starting / Final Pay

Why did you leave?

Job Responsibilities

May we contact for reference? Yes No Later

Employer #3

Employer

Phone

Address

City / State

Dates Employed (From)

Dates Employed (To)

Starting Job Title

Final Job Title

Supervisor Name & Title

Starting / Final Pay

Why did you leave?

Job Responsibilities

May we contact for reference? Yes No Later

Skills & Qualifications

List any relevant training, certifications, licenses, CDL, equipment operation experience, or other skills

Education

School Name (City & State)

Years Completed

Major / Minor

Diploma / Degree / GED

School Name (City & State)

Years Completed

Major / Minor

Diploma / Degree / GED

References

Three business/work references who are not related to you and are not previous supervisors.

Name

Phone

Relationship / Years Known

Name

Phone

Relationship / Years Known

Name

Phone

Relationship / Years Known

Applicant Statement

By submitting this application, I certify that all information provided is true, complete, and correct. I authorize Watson Gravel, Inc. to verify all information and contact my references, previous employers, and educational institutions.

Key terms:

1. This application is valid for 30 days. After that, a new application is required.
2. Employment at Watson Gravel is at-will. Either party may end the employment relationship at any time, with or without cause or notice.
3. If hired, I will be required to provide proof of identity and work authorization (I-9).
4. Any false or misleading information on this application is grounds for rejection or termination.

Watson Gravel does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other protected status. All complaints of harassment are taken seriously and investigated promptly.

Print Full Name

Date

Application for Employment

Personal Information

Eligibility

Employment History

Employer #1 (Most Recent)

Employer #2

Employer #3

Skills & Qualifications

Education

References

Applicant Statement