Employment Opportunities Please enable JavaScript in your browser to complete this form.The Frazier Quarry, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, veteran status or any other status protected by federal, state or local law Position applied for: *Plant MechanicOff Road Truck Driver Were you previously employed by us? *YesNoIf yes. when?If your application is considered favorably, on what date will you be available to work? *Personal InformationDate: *Name *FirstLastPresent Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *EmailAre you legally eligible for employment in the U.S.A? *Yes - Verification will be required upon employmentNoAre you of the legal age to work? *YesNoEducationSchool Name *Level of Education/Degree *FromToOr expected graduation date. For high school, only provide a date if you have not yet graduated.DescriptionMilitary ServiceBranchRank at Discharge:Duties:Special Training or SkillsLicenses and CertificationsLicense / Certification *Date AchievedLicense / Certification (copy)Date Achieved (copy)License / CertificationDate AchievedDriving/Conviction RecordDo you have your own transportation to work? *YesNoDo you hold a current driver's license? *YesNoLicense Type: *Issuing State: *Expiration Date: *Have you ever been convicted of drunk driving? *YesNoHave you ever been convicted of reckless driving? *YesNoHas your license ever been suspended? *YesNoIf yes, when?List traffic convictions within the past 3 years:Have you ever been convicted of a crime? *YesNoIf yes, describe it (A conviction will not necessarily automatically disqualify you fro employment. Rather, such factors such as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered):Employment HistoryStart with your present or most recent job. Include military assignments and volunteer activities. If any employment was under a different name, indicate name. If additional space is needed, please attach a separate document.Job Title *Company/Organization *From *ToLeave blank if you currently work hereDescriptionJob TitleCompany/OrganizationFromToLeave blank if you currently work hereDescriptionJob TitleCompany/OrganizationFromToLeave blank if you currently work hereDescriptionExplain any gaps in work history:If you have ever been discharged or asked to resign, explain why:I hereby give The Frazier Quarry, Inc. and its agents permission to contact the employer's listed above.If there is a particular employer(s) that you do not wish for us to contact, please indicate which one(s) and why:Please read the following and sign. Applicant's Certification, Agreement and ReleasePlease Read Carefully I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize The Frazier Quarry, Inc. to verify their accuracy and make any investigation of my personal, work, financial, criminal, record and credit history by an investigative or credit agency or by the Company. I hereby release the Company, any former employer and any other parties from any/all liability of whatever kind and nature which, at any time, could result from furnishing or obtaining information or basing an employment decision on such information. I also authorize the Company to contact any government agency including, but not limited to, the Department of Motor Vehicles, Social Security Administration, Immigration and Naturalization Service, Homeland Security, etc., to verify my employment eligibility and/or document validity. This authorization is valid not at the time of my application, but throughout my employment with the Company. I understand that falsified statements of any kind, omissions of facts, or misrepresentations on this application may result in disqualification for consideration for employment or, if already employed, grounds for immediate dismissal. I understand that should an employment offer be extended to me and accepted, I will fully adhere to the policies and procedures of the Company. I understand that any employment offered is at-will, for an indefinite duration, and that either I or the Company may terminate my employment at any time with or without notice or cause. Signature *Date: *This application for employment is good for 90 days only.Consideration for employment after 90 days requires a new application.GDPR Agreement *I consent to having this website store my submitted information so they can respond to my inquiry.NameSubmit Application
