Struck & Irwin Job Application Form
Please complete this form to apply for the position. All fields marked as required must be filled out.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
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Format: (000) 000-0000.
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Position Applied For
Please Select
Truck Driver (CDL Required)
Laborer
Mechanic
Other
Available start date
-
Month
-
Day
Year
Date
Highest Level of Education
*
Please Select
High School Diploma/GED
Associate Degree
Bachelor's Degree
Trade School
Other
Name of Educational Institution
*
Major/Field of Study
Graduation Year
Work Experience (List your three most recent job(s) including company name, dates of employment, starting wages/ending wages, description of duties, and reason(s) for leaving)
Key Skills and Qualifications
Upload Resume or CV
Upload a File
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Do you have a valid Driver’s License?
Yes
No
Do you have a Commercial Driver’s License?
Yes
No
If you answered yes, please list year obtained and CDL driving experience:
Have you had a positive pre-employment drug or alcohol test, or refused to submit a pre-employment drug or alcohol test during the past two years? If you answered yes, have you successfully completed the return-to-duty process?
Are you able to travel with overnight lodging Mon-Fri as needed?
Yes
No
Are you able to occasionally lift up to 100 lbs?
Yes
No
Are you legally able to be employed in the United States?
Yes
No
Why do you want to be apart of Struck & Irwin? Why do you think we should hire you?
APPLICANT AGREEMENT
I CERTIFY THAT I HAVE READ AND FULLY COMPLETED THIS APPLICATION BY MYSELF. IN ADDITION, I CERTIFY THAT THE INFORMATION GIVEN HEREIN IS TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. ANY OMISSION OF INFORMATION IN THIS APPLICATION MAY RESULT IN REJECTION OF THE APPLICATION. IN THE EVENT OF EMPLOYMENT, I UNDERSTAND THAT FALSE OR MISLEADING INFORMATION PROVIDED IN THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN. I ALSO AUTHORIZE THE EMPLOYERS AND REFERENCES LISTED ON THIS APPLICATION TO GIVE STRUCK & IRWIN PAVING, INC. ANY AND ALL INFORMATION CONCERNING MY PREVIOUS EMPLOYMENT AND ANY OTHER PERTINENT INFORMATION THEY MAY HAVE, PERSONAL OR OTHERWISE. I UNDERSTAND THAT AS A PART OF THE PROCEDURE FOR EVALUATING MY EMPLOYMENT APPLICATION, AN INVESTIGATION MAY BE MADE CONCERNING MY CHARACTER, BACKGROUND, DRIVING RECORD, CREDIT RECORD, CRIMINAL RECORD, PREVIOUS DRUG TEST RESULTS, GENERAL REPUTATION, PERSONAL CHARACTERISTICS, AND MODE OF LIVING. I HEREBY AUTHORIZE SUCH INVESTIGATION: I UNDERSTAND THAT AS A CONDITION OF EMPLOYMENT, I MAY BE REQUIRED TO SUBMIT TO A PRE-EMPLOYMENT ALCOHOL AND/OR DRUG TEST BEFORE POSSIBLE EMPLOYMENT. THIS APPLICATION FOR EMPLOYMENT SHALL BE CONSIDERED ACTIVE FOR A PERIOD OF TIME NOT TO EXCEED 60 DAYS. I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN "AT WILL" NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND/OR THE EMPLOYER MAY DISCHARGE THE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. IT IS FURTHER UNDERSTOOD THAT THIS "AT WILL" EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BETWEEN THE EMPLOYEE AND AN AUTHORIZED REPRESENTATIVE OF THE EMPLOYER.
BY SIGNING YOUR NAME BELOW, YOU AGREE TO ANY AND ALL AGREEMENTS STATED ABOVE:
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