Job Application

Apply To Work for H&G Paving Contractors

Please complete our application form below. If you need immediate assistance or for info regarding our positions, Please contact us now at (918) 910-3123

Some packets may have an attached AFFIRMATIVE ACTION QUESTIONNAIRE. This information is being gathered of affirmative action under Section 503 0f the Rehabilitation Act of 1973. The information requested is voluntary and will be kept confidential. An applicant will not be subject to any adverse treatment for refusing to complete the questionnaire.

NAME:

Social Security Number

Home phone

Work Phone

Current Address

Prior Address

APPLICANT NOTE

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant form employment. Affirmative action hiring may be requested by qualified applicants. Additional testing of job-related skills for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you are required to submit to a medical review. Depending on the company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

Availablity

For which position are you applying?

What date can you start?

What category would you prefer?

Full-timePart-timeTemporaryLabor pool

For which schedules are you available?

WeekdaysWeekendsEveningsNightsOvertimeShiftOther

Education

Please choose highest grade completed

7891011121314151616+

Please fill table below(if applicable)

Security

Have you used other names or Social Security Numbers other than those on this page? If so, please list below.

Have you been convicted of a felony and/or served time in the past 7 years? If so, please describe below. (In accordance with company policy this information will be reviewed for job relatedness and time since last conviction).

Job Related Skills

List languages in which you are fluent

If the job requries, do you have the apropriate valid driver's license?

Have you had any moving violations? Please provide information below.

Please list any other skills, licenses or certificates that may be job related or that you feel would be a value of this job or company. Please write below

Have you been given a job description or had the requirements explained to you?

yesno

Do you understand these requirements?

yesno

Can you perform the requirements of this job with or without reasonable accommodation?

yesno

Employment References

Your application will not be considered unless every question in this section is answered. Since we will make evrey effort to contact previous employers the correct telephone numbers of past emploeyers are critical.

Most recent employer

Are you currently working for this employer?

YesNo

If yes, may we contact?

YesNo

Dates employed

Job Title

Supervisor Name

Duties

Salary

Reason for leaving

Second most recent employer

Dates employed

Job Title

Supervisor Name

Duties

Salary

Reason for leaving

References

Please include only individuals familiar with your work ability. Do not include relatives.

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