Application For Employment

We consider applicants for all positions without discrimination because of race, color, religion, sex, national origin, age, marital or veteran status, the presence of non-job­ related medical condition or handicap, union affiliation or any other legally protected status. In accepting it, the Company makes no commitment of employment to the applicant. This application will remain active for 30 days.

WE ARE AN AT-WILL EMPLOYER, MEANING THAT EITHER THE EMPLOYER OR THE EMPLOYEE MAY END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON.

Please fill out the application as completely as possible. Enter N/A where appropriate if you have no information to enter.

IMPORTANT! READ COMPLETELY

Fill out the attached application for employment thoroughly. All information must be complete for your application to even be considered for employment. We have the right to refuse or terminate employment at any time for falsifying or omitting information. I understand that I may resign or be terminated, without cause or notice, at any time, unless otherwise stated in an employment contract signed by an owner of the company.

• Attach a “Five Year Driver Abstract”, which can be obtained at the nearest Department of Licensing Office
• Your address(es) for the previous 3 years
• Driving Experience
• List all accidents involved in during the last 3 years
• List all violations of which you were convicted or forfeited bond during the last 3 years
• List all names, complete addresses and telephone numbers of previous employers for the last 10 years

Thank you for applying for employment at Miles Sand & Gravel Company

Prior Addresses & Driving Experience:

Experience and Qualifications - Driver:

Driving Experience:

Accident Record for Past 3 Years or More:

Traffic Convictions and Forfeitures for the Past 3 Years(other than parking violations):

Education:

Employment Experience:

List employer(s) for the last 10 years with the most recent first.

NOTE: DOT requires that employment for at least 10 years and/or commercial driving experience for the past 10 years be shown.

Personal References:

List references that you have known for more than 2 years

Applicant's Certification Agreement

1. I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information, and I also release the company from all liability which might result from making the investigation.
2. I certify that this application was completed by me and that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts on this application ( or on any required documents) may result in denial of employment or immediate termination of employment, regardless of when or how discovered.
3. lf l am offered and accept a position, I understand that I will be expected to conform to all existing and future Company rules and regulations and I understand the Company reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THIS APPLICATION DOES NOT CONSTITUTE AN EMPLOYMENT CONTRACT OF ANY KIND. SHOULD THE COMPANY EMPLOY ME, I MAY RESIGN SUCH EMPLOYMENT AT ANY TIME AT MY DISCRETION WITH OR WITHOUT PRIOR NOTICE AND THE COMPANY MAY TERMINATE MY EMPLOYMENT AT ANY TIME AT THEIR DISCRETION, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT PRIOR NOTICE.
4. I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.
5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully and honestly.
6. I understand that Port Orchard Sand & Gravel Company is a drug free company. Any offer of employment is contingent upon the applicant's successful completion of pre-employment urinalysis screening and background check.
   Note: A motor carrier may require an applicant to provide information in addition to the information required by the Federal Motor Carrier Safety Regulations.