Application For Employment

Please read these instructions carefully.

  • To be considered an applicant to Economy Paving, you must complete all parts of this application and sign the Applicant Statement on the last page. Incomplete applications will not be considered. Please use additional sheets of paper if necessary, to provide all the requested information. You may provide us with a resume; however, this application must still be completed.

  • If you need help filling out this application, or for any phase of the employment process, please let us know, and every reasonable effort will be made to accommodate your needs.

All qualified applicants will receive consideration without regard to race, color, creed, religion, gender, national origin, age, disability, marital status, veteran status, sexual orientation, or any other basis upon which discrimination is prohibited by municipal, state, or federal law.

    Personal Information:

    Last Name:

    First Name:

    Middle Name:

    Primary Phone:

    Email:

    Other Phone:

    Street:

    State:

    City:

    Zip code:

    If hired can you prove that you are eligible for employment in the United States?
    NoYes

    Are You Over 18 Years Of Age?(If no you may be required to provide authorization to work.)
    NoYes

    General Information:

    Position or position type desired:

    Have you been previously employed by Economy Paving?
    NoYes

    If yes, when?:

    What position?:

    Please check all that you are available for:
    Full timePart timeTemporaryHolidaysOvertimeEveningsOvernightWeekends

    Have you ever applied for employment with us?
    NoYes
    If yes, month and year:

    When would you be able to start work?:

    Can you travel?
    NoYes
    Please describe any restrictions:

    We have company vehicles that you may be required to drive. Do you have a current, valid NYS license?
    NoYes
    Do you have a CDL?  NoYes
    Class:

    What made you apply at Economy Paving?:
    Employment AdCurrent EmployeeFormer EmployeeEmployment AgencySchool or CollegeWalk-in/self

    Other:

    If referred by person, list name:

    Employment History

    Begin with your most current or recent position. Although a resume may be submitted, you must complete this section.If you have had additional employers, please attach another sheet of paper containing the same information as asked for below.

    Name of Employer:

    Location (Address, City, State, Zip):

    Phone:

    Date Started

    Starting Position Title

    Ending/Current Position Title

    Date Left

    Supervisor Name & Title

    Reason for Leaving

    Responsibilities:

    May we contact this employer? YesNo
    If no, explain:

    Name of Employer:

    Location (Address, City, State, Zip):

    Phone:

    Date Started

    Starting Position Title

    Ending/Current Position Title

    Date Left

    Supervisor Name & Title

    Reason for Leaving

    Responsibilities:

    May we contact this employer? YesNo
    If no, explain:

    Add Another Work Experience

    Other History

    Have you ever been fired from a position or otherwise asked to resign?
    YesNo

    If yes, please explain :

    Please describe any military service you have had, including dates:

    Are you a current member in a Union? YesNo

    Which Union

    Training

    Please describe any training you have had that would be relevant to the job for which you are applying:

    Special Skills

    Please describe any training you have had that would be relevant to the job for which you are applying:

    Additional Information

    Please describe any training you have had that would be relevant to the job for which you are applying:

    References

    Give name, address, telephone, and email of threeprofessional references that are not related to you

    Name

    Address/email

    Phone

    1

    2

    3

    I certify that the answers given herein are true and complete to the best of my knowledge. I realize that any misrepresentation in the information submitted or any intentional withholding of essential information called for in this form may result in my immediate dismissal.

    I understand that the filling of this application with Economy Paving is a preliminary step to employment. It does not obligate the Company to offer employment, or the applicant to accept employment. An offer of employment, if made, is contingent upon receiving satisfactory background and reference checks as authorized by this statement and any other necessary authorizations. I understand that if I receive a contingent offer of employment and I accept the position, I may be required to complete additional information necessary for record keeping requirements.

    Unless otherwise indicated on page 2 of this application, I authorize Economy Paving to check all references from current and previous employers and other references that may be relevant to my employment or my ability to perform the job for which I have applied. I authorize Economy Paving and/or its agents to verify any of the information furnished in this application and other background information deemed appropriate by the Company.

    I understand and hereby acknowledge that any employment relationship with Economy Paving is at will, which means that, if I am hired, my employment with the Company is not for a fixed period of time and that I may resign at any time, and Economy Paving may terminate my employment and compensation at any time. I further agree that this at will employment relationship may not be changed by any written document or by conduct of any Economy Paving employee or official.

    Applicant Signature:

    Date: