Employment

Thank you for your interest in employment opportunities with Cornerstone Concrete. Please fill out the application below, then we will contact you regarding any additional information or to proceed to the next step.

"*" indicates required fields

Step 1 of 5

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Company

This field is for validation purposes and should be left unchanged.

First Name*

Middle Name

Last Name*

Email*

Phone #1

Phone #2

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Position(s) Applied For*

Employment History

Begin with current or last job including military service assignments.

Employer 1

Employer

Job Title

Date Employed Start

MM slash DD slash YYYY

Date Employed End

MM slash DD slash YYYY

Hourly Rate / Salary (Start)

Hourly Rate / Salary (Final)

Supervisor

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Duties or Responsibilities

Reason for Leaving

Do you have more employment history?

Yes

Employer 2

Employer

Job Title

Date Employed Start

MM slash DD slash YYYY

Date Employed End

MM slash DD slash YYYY

Hourly Rate / Salary (Start)

Hourly Rate / Salary (Final)

Supervisor

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Duties or Responsibilities

Reason for Leaving

Do you have more employment history?

Yes

Employer 3

Employer

Job Title

Date Employed Start

MM slash DD slash YYYY

Date Employed End

MM slash DD slash YYYY

Hourly Rate / Salary (Start)

Hourly Rate / Salary (Final)

Supervisor

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Duties or Responsibilities

Reason for Leaving

Do you have more employment history? Last

Yes

Please upload your additional employment history

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Education

Education - Check all that apply

High School

Trade/Professional School

College/University

Graduate School

Other

High School

High School Name*

Location*

Diploma/Degree*

Studies*

Years Completed*

Trade/Professional School

Trade/Pro School Name*

Location*

Diploma/Degree*

Studies*

Years Completed*

College/University

College/University Name*

Location*

Diploma/Degree*

Studies*

Years Completed*

Graduate School

Graduate School Name*

Location*

Diploma/Degree*

Studies*

Years Completed*

Other

Other Education*

Location*

Diploma/Degree*

Studies*

Years Completed*

Additional Information

Check all that apply

Specialized Training, Apprenticeships, Extracurricular Activities, Honors, Awards, Copyrights, or Patents

Special Job-Related Skills and Qualifications from Employment or Other Experience

Professional, Trade, Business, or Civic Organization/Offices

Specialized Training, Apprenticeships, Extracurricular Activities, Honors, Awards, Copyrights, or Patents*

Special Job-Related Skills and Qualifications from Employment or Other Experience*

Professional, Trade, Business, or Civic Organization/Offices*

Additional Information

Have you ever applied with us before?*

Yes

When*

MM slash DD slash YYYY

Have you ever been employed with us before?*

Yes

When*

MM slash DD slash YYYY

Do you have any relatives or friends employed with us?*

Yes

Whom?*

May we contact your present employer?*

Yes

If applying for a position that requires driving, do you have an appropriate license? [Unless using public transportation is acceptable .]*

Yes

If applying for a position that requires driving, have you ever been ticketed for a moving traffic violation ?*

Yes

Please Explain*

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.)*

Yes

Are you currently on “layoff” status, subject to recall?*

Yes

On what date will you be available to work?*

MM slash DD slash YYYY

Desired salary range

Employment Desired*

Full-time

Part-time

Full- or Part- time

If required, are you available for travel?*

Yes

Professional References

Providing this information means that you give this organization permission to contact the references listed.

Name

Relationship to Candidate

Phone #

Professional References

Providing this information means that you give this organization permission to contact the references listed.

Name

Relationship to Candidate

Phone #

Do you have a Cover Sheet and/or Resume?*

Yes

Attach Cover Sheet and/or Resume

Accepted file types: pdf, doc, docx, Max. file size: 50 MB.

Applicant’s Acknowledgment

(This application shall be considered active for no more than 90 days. After that time, applicants will be required to resubmit a completed application. The applicant understands that neither this document nor any offer of employment from this employer constitutes an employment contract unless a specific document is executed in writing by the employer and employee.)

I certify that answers given in this application are true and complete to the best of my knowledge. I authorize investigation of all statements made on this application as may be necessary for reaching an employment decision.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and 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 by an authorized executive of this organization.

In the event of employment, I understand that any false or misleading information I knowingly provided in my application or interview(s) may result in discharge and/or legal action. I understand also that if employed, I am required to abide by all rules and regulations of the employer and any special agreements reached between the employer and me.

Date

MM slash DD slash YYYY

Signature of Applicant*