Wendling Quarries

General Employment Application

NOTE TO THE APPLICANT: This application is used to evaluate your qualifications for employment. Please answer all of the questions on your application accurately. If you fail to do so, you may lose employment opportunities or delay consideration of your employment. This application is not an employment contract. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, disability, age, sex, or any other classification protected by federal, state, or local laws. Additional testing of job-related skills, as well as post-offer pre-employment physical (which will include a drug test) may be required.

Job Applied For

A. Personal Information

Full Name *

Social Security Number

Email Address This is required to have a confirmation email sent to you after submission.

Address

Street Address

Address continued

City

State

Zip

Phone #

( )

Phone # where you can be contacted

( )

Cell # if different than above

( )

Are you at least 18 years of age? YesNo Child labor laws prohibit employment of individuals under the age of 18 in certain occupations considered to be hazardous.

Are you eligible for employment in the U.S.? YesNo

Do you speak, read or write fluently in a language other than English? YesNo

Please describe the ability and list the language(s)

Who referred you?

On what date would you be available to work?

C. Employment

Your training and employment experience will be used to determine whether you meet the entrance requirements for this position and to measure your knowledge, skills, and abilities in completing for this position. Therefore, please provide a full and accurate description of the responsibilities and achievements in your jobs and other pertinent life experiences. Include self-employment, volunteer experience, and any non-employment periods.

List up to three of the most recent positions held, starting with the most recent employer first.

Number of employers 123

Upload Resume (optional)

Employed from

Employer Name

Street Address

Address continued

City

State

Zip

Employer Phone #

( )

Supervisor Name

May we contact? YesNo

Position held/duties

Starting Pay

Ending Pay

Employed from

to:

Employer Name

Street Address

Address continued

City

State

Zip

Employer Phone #

( )

Supervisor Name

May we contact? YesNo

Position held/duties

Starting Pay

Ending Pay

Employed from

Employer Name

Street Address

Address continued

City

State

Zip

Employer Phone #

( )

Supervisor Name

May we contact? YesNo

Position held/duties

Starting Pay

Ending Pay

References

Reference 1 Name

Street Address

City

State

Zip

Years known/relationship

Phone #:

( )

Reference 2 Name

Street Address

City

State

Zip

Years known/relationship

Phone #:

( )

Special Skills and Qualifications

Summarize special skills and qualifications acquired form employment or other experience

Do you have your own craft tools, clothing, and other equipment? YesNo

Have you attended High School, Vocational/Training School or College? YesNo

Please specify

CERTIFICATION & RELEASE

I certify that the information contained in this application are true, complete, and accurate. I understand that, if employed, false statements or omissions on this application may result in rejection of my application or discharge at any time during my employment.

I authorize investigation of all statements contained herein. I further authorize all individuals, companies, schools, corporations, courts, law enforcement agencies and all motor vehicle agenices to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release all parties from all liability for any damage that may result from divulging or using information.

I understand and agree that, if hired, my employment is for no definite period and either I or the company can terminate the employment relationship at any time, with or without cause, and with or without notice. This employment relationship exists regardless of any other statements or policies to the contrary.

I realize that under certain provisions of Iowa law, I will be subject to mandatory post-offer alcohol and/or drug test. I hereby agree to submit to such an examination if required so by company policy and permit disclosure of the results to the company.

Signature *

Date *

Typing your name in the above box constitutes an electronic signature and is treated in the same manner as an actual hand written signature.
(Note: This application will be active for 6 months)

AN EQUAL OPPORTUNITY EMPLOYER

This company does not unlawfully discriminate in hiring or any aspect of the employment relationship on the basis of age, race, color, sex, religion, national origin, disability, or any other basis protected by law in the jurisdiction in which employment is performed.