Contact PK Crushing: Akron, OH – Concrete & Asphalt Services

Employment Application

Personal Information
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Untitled
Employment Desired
Untitled*
Date*
MM slash DD slash YYYY
Salary*
Are You Employed Now*
- Yes
- No
If so, may we inquire of your present employer
- Yes
- No
Ever Applied to This Company Before?*
- Yes
- No
where
when
Education History
High School
Name & Location Years Attended Did You Graduate? Subjects Studied
College
Name & Location Years Attended Did You Graduate? Subjects Studied
Trade, Business, or Correspondence School
Name & Location Years Attended Did You Graduate? Subjects Studied
Former Employers
(List Below Last Four Employers, Starting with Last One First)
Employer 1*
Dates Name Of Employer Address Salary Position Reason For Leaving
Employer 2
Dates Name Of Employer Address Salary Position Reason For Leaving
Employer 3
Dates Name Of Employer Address Salary Position Reason For Leaving
Employer 4
Dates Name Of Employer Address Salary Position Reason For Leaving
References
(Give Below The Names of Three Persons Not Related To You, Whom You Have Known At Least One Year)
Reference 1*
Name Address Business Years Known
Reference 2*
Name Address Business Years Known
Reference 3*
Name Address Business Years Known
More About You
Tell Us About Yourself
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Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 100 MB.
Autorization

" I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed falsified statements on this application shall be ground for dismissal.
I authorize investigation of all statements contained herein and references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. if such reports are required. I understand that, in compliance with federal. the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. i also understand that a poor credit history or conviction will not automatically result in disqualification for employment."

In compliance with federal law. all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
Date*
MM slash DD slash YYYY
Signature
Name
This field is for validation purposes and should be left unchanged.

68686

Employment Application

Personal Information

Employment Desired

Education History

Former Employers

References

More About You

Autorization