Application for Employment

Full name *

Address *

Apartment/Unit#

City *

State *

Zip code *

Home phone *

Cell phone *

Social Security # *

Email address *

Date of birth

Position applying for *

Desired salary

Are you a citizen of the United States? *YesNo

Are you authorized to work in the U.S.?YesNo

Have you ever worked for this company? *YesNo

When was your employment?

Have you ever been convicted of a felony? *YesNo

- Please explain

Do you have a valid driver’s license? *YesNo

Education

High School *

Address *

From *

To *

Did you graduate? *YesNo

College

Address

From

To

Did you graduate?YesNo

Degree

Other

Address

From

To

Did you graduate?YesNo

Degree

References

Please list three personal references.

Name *

Relationship *

Company *

Phone *

Name *

Relationship *

Company *

Phone *

Name *

Relationship *

Company *

Phone *

Work History

Company *

Phone *

Address *

Supervisor *

Job title *

Starting salary *

Ending salary *

Responsibilities *

From *

To *

Reason for leaving *

Company

Phone

Address

Supervisor

Job title

Starting salary

Ending salary

Responsibilities

From

To

Reason for leaving

Company

Phone

Address

Supervisor

Job title

Starting salary

Ending salary

Responsibilities

From

To

Reason for leaving

Military Service

Branch

From

To

Rank at discharge

Type of Discharge

If other than honorable, explain

Acknowledgement and Signature

I certify that my answers are true and complete to the best of my knowledge.

I have read and understand the Employment Application Waiver which is attached to this application, and I agree to comply with all provisions of the Employment Application Waiver.

Signature *

Date *

EMPLOYMENT APPLICATION WAIVER

(Please Read Carefully)

In exchange for the consideration of my job application by Eagle Transportation Solutions, LLC (hereinafter, called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Eagle Transportation Solutions, LLC, or otherwise to change in any respect the employment-at-will relationship between the Company and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes ma include reduction in benefits.

I authorize investigation of all statements contained in my application for employment, and I release the Company from any liability as a result of contacting any schools, previous employers (unless otherwise indicated), references and others. I understand that any misrepresentation of facts in my application for employment is cause for dismissal at any time and without notice.

I understand that the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment. I consent to compliance with such policy as a condition of employment and continued employment.

I understand that my employment with the Company shall be probationary for a period of ninety (90) days, and that at any time during the probationary period or any time thereafter, my employment relationship with the Company is terminable at will by either party. If the employee ends employment for any reason during the probationary period, there will be a charge of $40.00 for PPE equipment withheld from the employee’s final paycheck. By signing below, employee acknowledges and agrees to same.

Signature *

Date *

The Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, religion, gender, age or disability. You are assured that your opportunity for employment with the Company depends only on your qualifications.

Thank you for completing your application for employment and for your interest in our business.

Careers With Eagle Ready Mix