POST ASPHALT PAVING AND CONSTRUCTION
APPLICATION FOR EMPLOYMENT
Must Complete All Highlighted Areas
Post Asphalt Paving and Construction has a strong desire and commitment to create and maintain a drug free environment. All applicants receiving a conditional job offer and those employed are subject to drug testing. In the event an applicant or employee declines to be tested or tests positive for illegal drugs and alcohol use, any conditional offer of employment will be withdrawn, or if employed will result in discipline up to and including terminations. Applicants will receive consideration for employment without discrimination based on race, creed, color, sex, age, religion, handicap, veteran status, or any other legally protected status.
PERSONAL INFORMATION
Last Name
First Name
Middle Name
Street Address
Social Security Number
City
State
Zip
Home Phone
Other Phone
Are you under the age of 19?
If employed, can you provide documented proof of U.S. citizenship or authorization to be employed in the U.S.?
Yes
No
If Yes, list Birth Date
Yes
No
Have you ever been convicted of a felony?
Yes
No
If Yes, please describe
(Conviction does not necessarily bar you from employment)
Do you understand the physical and mental requirements of the job you are applying for?
Can you meet these requirements?
Yes
No
Yes
No
WORK PREFERENCE
Company you are applying with
Position you are applying for
Expected wage
If offered a position, when can you start?
Full Time
Part Time
Temporary
Seasonal
If asked, will you work overtime?
Will you work Sunday?
EDUCATION
Yes
No
Did you graduate from High School?
If Yes, which High School?
Yes
No
College/University
Business/Trade/Tech
Name
Phone Number
Years Known
Association
PERSONAL REFERENCES
I understand that all employment with Post Asphalt Paving and Construction (herein known as Post) is on an at-will basis, which means that the employment relationship may be terminated by myself, Post, or clients of Post with or without cause, with or without reason, and with or without notice. I further understand that there is no contract for employment, express or implied. As consideration for employment, I agree that any claim, dispute, or controversy (including, but not limited to, any and all claims of discriminiation and harassment) which otherwise require or allow resort to any court or other governmental dispute resolution forum between an employee and Post and/or Post clients (or its owners, officers, managers, employees, agents, and parties affiliated with its employee benefit and health plans), or between an employee and any other person or entity for whom I am required to perform services pursuant to my employment with the Post and/or Post clients, arising from, related to, or having any relationship or connection whatsoever with my seeking employment with, employment by, or other association with the Post and/ or Post clients, whether based on tort, contract, statutory, or equitable law, or otherwise, (with the sole exception of claims arising under the National Labor Relations Act which are brought before the National Labor Relations Board, claims for medical and disability benefits under the Utah Workers Compensation Act, and the Department of Workforce Services Claims), shall be submitted to and determined exclusively by binding arbitration pursuant to the Federal Arbitration Act, in conformity with the procedures of the American Arbitration Association under its National Rules for the Resoulution of Empoyment Disputes, and judgment based upon the decision or award made by the arbitrator(s) in such arbitration may be entered in any court having jurisdiction thereof.
EMPLOYMENT HISTORY
Company (Starting with the most recent)
Location
Phone
How long were you employed?
Position
Supervisor
Wage
Reason for leaving
Company
Location
Phone
How long were you employed?
Position
Supervisor
Wage
Reason for leaving
Company
Location
Phone
How long were you employed?
Position
Supervisor
Wage
Reason for leaving
Company
Location
Phone
How long were you employed?
Position
Supervisor
Wage
Reason for leaving
Company
Location
Phone
How long were you employed?
Position
Supervisor
Wage
Reason for leaving
By submitting this Application For Employment, I agree to the terms and conditions written herein.
Today's Date