Employment | VRConcrete

Employment Application

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone

Position Applying For:

Desired Salary

Per

Referred By

Are you 18?

Yes

If you are not 18, can you prove work eligibility?

Yes

Are you eligible for employment in the United States?

Yes

Have you ever applied here before?

Yes

When did you apply?

Have you ever been employed with with us before?

Yes

If you've applied before, when?

Do you have a family, relative or friend working with us?

Yes

If so, what are their names and your relation?

Are you currently employed?

Yes

May we contact your employer?

Yes

How will you get to work?

Are you willing to work any shifts including nights and weekends?

Highest Level of Education

Year or Years Gradudated

Please include information that may be helpful for the position you are applying for including any special vocational or technical training, awards, achievements, and honors.

Please list additional skills with skill level. Level one being beginner, and level 5 being expert.

Most Recent Employer First Name

Most Recent Employer Last Name

Name of Business

Recent Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Recent Employer Phone & Email

Employer 2 First Name

Employer 2 Last Name

Employer 2 Business Name

Employer 2

Address Line 1

Address Line 2

City

State

Zip Code

Employer 2 Phone Number & Email

Employer 3 First Name

Employer 3 Last Name

Employer 3 Business Name

Employer 3

Address Line 1

Address Line 2

City

State

Zip Code

Employer 3 Phone Number & Email

Referrence 1

Referrence 2

Referrence 3

Please provide any other information that you believe should be considered.

CERTIFICATION I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination. I authorize VR Concrete, Inc. to contact former employers and educational organization regarding my employment and education organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education. If any employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be entirely voluntary in nature. In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer would have the same right. Moreover, no agent, representative, or employee of VR Concrete, Inc, except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

Agree

Disagree

I consent to have this website store my submitted information so they can respond to my inquiry

VR Concrete, LLC

Employment Application