Employment Application | S.B. Cox Ready Mix

S.B. COX READY MIX

APPLICATION FOR EMPLOYMENT

S.B. Cox Ready Mix is an Equal Opportunity Employer.

S.B. Cox Ready Mix provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, creed, sex (including pregnancy, childbirth, related medical conditions, sexual orientation, gender identity, and gender expression), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, military status, veteran status, or any other characteristic protected by applicable federal, state, or local law.

PERSONAL INFORMATION

Incomplete information could disqualify you from further consideration. Please complete all fields.

Name

Address

Phone

Are you eligible to work in the U.S.?

Yes

Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)

Yes

Have you ever been convicted of a felony?

Yes

Have you ever been convicted of a misdemeanor?

Yes

Have you ever failed a DOT Drug Test?

Yes

Have you ever refused to take a DOT Drug Test?

Yes

Have you ever been terminated from employment or asked to resign by an employer?

Yes

If yes, please provide company names and details

Can you work any shift?

Yes

Can you work overtime, including weekends if necessary?

Yes

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?

Yes

EMPLOYMENT DESIRED

Date you can start

Hourly rate/Salary desired

Position desired

Are you currently employed?

Yes

If so, may we inquire of your present employer?

Yes

N/A

Have you ever worked for S.B. Cox Ready Mix before?

Yes

REFERRAL SOURCE

How did you hear about us?

If referred, provide name of employee referral

EDUCATION

High School/GED

Degree Received

Yes

College or University

Degree Received

Yes

Major

Trade, Business, or Correspondence School

Degree Received

Yes

Major

EMPLOYMENT HISTORY

Include your last seven (7) years of employment history, including periods of unemployment, starting with most recent and working backwards in time. CDL & DOT Drivers must include all employers for previous 3 years.

Incomplete information could disqualify you from further consideration.

From

Employer name

Address

Job Title

Immediate supervisor name & title

Summarize the nature of work performed and job responsibilities

Reason for Leaving

From

Employer name

Address

Job Title

Immediate supervisor name & title

Summarize the nature of work performed and job responsibilities

Reason for Leaving

From

Employer name

Address

Job Title

Immediate supervisor name & title

Summarize the nature of work performed and job responsibilities

Reason for Leaving

From

Employer name

Address

Job Title

Immediate supervisor name & title

Reason for Leaving

REFERENCES

Give the names of three persons not related to you, whom you have known at least three (3) years.

1. Name

Email/Phone

Company/Occupation

2. Name

Email/Phone

Company/Occupation

3. Name

Email/Phone

Company/Occupation

Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for S.B. Cox Ready Mix to hire me.

If I am hired, I understand that my employment is at will. This means that either S.B. Cox Ready Mix or I may terminate the employment relationship at any time, with or without cause and with or without notice, subject to applicable law. I understand that no representative of S.B. Cox Ready Mix has the authority to enter into any agreement contrary to the foregoing except by a written agreement signed by an authorized company representative.

I certify that the information I have provided in this application is true, complete, and accurate. I understand that any misrepresentation, falsification, omission, or concealment of material facts may result in the denial of employment or, if hired, disciplinary action up to and including termination of employment.

I authorize S.B. Cox Ready Mix to verify the information contained in this application through references, former employers, educational institutions, and other sources, as permitted by law.

For positions requiring a Commercial Driver's License (CDL), I understand that I may be required to provide a motor vehicle record (MVR), driving history information, and any records, certifications, or documentation required by DOT and FMCSA regulations as part of the hiring process and during employment, as permitted by law.

I agree to receiving communications (including emails, calls, and text messages) from S.B. Cox Ready Mix at the phone number and email provided. Messages frequency varies. Msg & data rates may apply. Reply STOP to opt out of texts. I understand consent is not required to submit this application.

Date

Month

Day

Year

Signature

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