Employment Application

If you’re applying to be a CDL driver, please use our CDL driver application.

To the Applicant: We appreciate your interest in Ron Meyer & Associates Excavating, Inc. and assure you that we are interested in your qualifications. A clear understanding of your background and work history will aid us in seeking to place you in a position which, in our judgment, best meets your qualifications.

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, disability, religion, national origin, ancestry, age, marital or veteran status, genetic information, the presence of a medical condition or handicap, height, weight or any other protected status.

Personal

Name(Required)

First Last

Location(Required)

City State

Phone(Required)

Are you 18 years or older?(Required)

Yes

Are you legally qualified to work in the U.S.?(Required)

Yes

Have you been previously employed here?(Required)

Yes

What date(s) did you work here?(Required)

When you worked here, who was your supervisor?(Required)

Have you filed an application here before?(Required)

Yes

What date(s) did you apply here?(Required)

List any friends or relatives working here

What method of transportation will you use to come to work?(Required)

Employment Desired

Position(s) applied for(Required)

Kind of work sought(Required)

Full time

Part time

Other

Do you have any special training, skills, qualifications or other experiences that relate to the position(s) applied for?

Salary desired(Required)

Date available to work(Required)

Employers must make accommodations to disabled applicants and employees where the accommodation does not impose an undue hardship on the employer. Under Michigan law, disabled employees and applicants may request an accommodation of their disability by notifying the firm in writing of the need for accommodation within 182 days of the date the disabled individual knows or should know that an accommodation is needed. Failure to properly notify the firm may preclude any claim that the employer failed to accommodate the disabled individual.

Employment Experience

(Most recent job first)

Most Recent Employer

Company/Organization Name

Address

Street Address Address Line 2 City State ZIP Code

Date From

Date To

Reason for leaving

Next Most Recent Employer

Company/Organization Name

Address

Street Address Address Line 2 City State ZIP Code

Date From

Date To

Reason for leaving

Next Most Recent Employer

Company/Organization Name

Address

Street Address Address Line 2 City State ZIP Code

Date From

Date To

Reason for leaving

Next Most Recent Employer

Company/Organization Name

Address

Street Address Address Line 2 City State ZIP Code

Date From

Date To

Reason for leaving

Education

Highest grade completed(Required)

Last school attended(Required)

School Location(Required)

City State

References

(Do not include relatives or former employers)

Name

First Last

Address

City State

Phone

Years Acquainted

Name

First Last

Address

City State

Phone

Years Acquainted

Name

First Last

Address

City State

Phone

Years Acquainted

Military Service Record

Have you had any experience in the Armed Forces of the United States or in a State National Guard?(Required)

Yes

What branch?(Required)

Rank at discharge(Required)

Date of discharge(Required)

Are you in the Reserves?(Required)

Yes

Date obligation ends(Required)

Special/technical training

Additional Information

Have you been convicted of a crime?(Required)

Yes

Where, when and nature of offense(s)(Required)

Do you have a valid driver’s license?(Required)

Yes

State that issued license(Required)

State

State any additional information that you feel may be helpful to us in considering your application.

Authorization and Understanding

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I authorize you to verify any of the information concerning my employment, education, credit or medical history with the appropriate individuals, companies, institutions or agencies, and I authorize them to release such information as you require, including my prior disciplinary employment record, without any obligation to give me written notice of such disclosure. I also authorize you to release any information requested by any of my prospective or subsequent employers without any obligation to give me written notice of such disclosure. I hereby release you and them from any liability whatsoever as a result of any such inquiries and disclosures. I agree that any false information in support of my application may subject me to discharge at any time during the period of my employment.

I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the firm. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of the firm as they are from time to time changed, and no additional obligations can be imposed on the Company except those which have been acknowledged in writing, by the president or his designated representatives. I hereby authorize the firm to deduct from each and every period of my pay any amounts necessary to offset any damages caused by me or the value of the property or money entrusted to me by or owed by me to the firm during the course of my employment.

I agree that any action or suit against the firm arising out my employment or termination of employment, including, but not limited to, claims arising under State or Federal civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred. I waive any limitation periods to the contrary. I further agree that if I should bring in any non-statutory action or claim arising out of my employment against the firm, in which the firm prevails, I will pay to the firm any and all such costs incurred by the firm in defense of said claims or actions, including attorney fees. I further agree that my employment is conditional until such time as the results of my post-offer physical (if such physical is required) are known.

Signature(Required)

Please type your name as your signature

Name

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

Employment Application