We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
H.E.H. Paving is a Drug-Free Workplace.

Name
Last First (Middle)
Address
Address City State Zip
Telephone

Email


1. GENERAL INFORMATION:

Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?

Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the position for which you are applying.)


If yes, explain:


2. EDUCATION AND TRAINING

Last grade completed:

Name & Address of School Major Course Studied Graduated or Degree Average Grade
Last High School Attended
College or University
Other School (Technical, Vocational, Graduate, etc)

3. SKILLS

Please list any skills you have that are appropriate for the position you are applying for:

If required, will you work rotating shifts?

If required, will you work overtime?

If required, will you work Saturdays?

If required, will you work Sundays?

Position applying for (be specific):

Salary requirement:
Frequency:

State fully why you believe you are qualified for this position:

Date you can start (mm/dd/yyyy):

Interests / Accomplishments: You may wish to list significant experience, interests and accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position(s) you are seeking. Names or organizations designating religion, race, etc. need not be mentioned:


READ CAREFULLY:
I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge.