Application For Employment

North Atlantic Concrete, Inc. is an equal opportunity employer. It is the policy of North Atlantic Concrete, Inc. to consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

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Note: Fields with a * must be completed in order for the application to be processed.
Contact Information
Position(s) Applied For*
Hidden
Application Date
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Primary Phone Number*
Secondary Phone Number
Email Address*
What is the best time to contact you at home?
Employment Background
Are you at least 18 years of age?*
- Yes
- No
Can you provide required proof of your eligibility to work?*
- Yes
- No
Have you ever filled out an application with this company before?*
- Yes
- No
Have you ever been employed with this company before?*
- Yes
- No
Do any of your friends or relatives, other than spouse, work here?*
- Yes
- No
Please provide the name(s) and relationship(s) of any friends or relatives that work here.*
Are you currently employed?*
- Yes
- No
May we contact your present employer?*
- Yes
- No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? (Proof of citizenship or immigration status will be required upon employment.)*
- Yes
- No
Are you currently on "lay-off" status and subject to recall?*
- Yes
- No
Can you travel if the job requires it?*
- Yes
- No
Are you willing to work overtime?*
- Yes
- No
What date are you available to begin work?*
MM slash DD slash YYYY
What wage or salary do you expect to earn?*
Which are you available to work (check all that apply)?*
- Full Time
- Part Time
- Temporary
Would shift would you prefer to work?*
- 1st
- 2nd
- 3rd
Would you prefer to work mornings or afternoons for part-time shifts?*
- Morning
- Afternoon
What dates are you available for temporary work?*
Educational Background
What level(s) of education have you completed (check all that apply)?*
- High School
- Undergraduate College
- Graduate/Professional
- Vocational or Military
- Other (Specify)
High School Name*
High School Address*
Street Address Address Line 2 City State ZIP Code
High School Course of Study*
High School Years Completed*
Please enter a number greater than or equal to 0.
High School Diploma/Degree Title*
Name of Undergraduate College*
Undergraduate College Address*
Street Address Address Line 2 City State ZIP Code
Undergraduate College Course of Study*
Undergraduate College Years Completed*
Please enter a number greater than or equal to 0.
Undergraduate College Diploma/Degree Title*
Name of Graduate/Professional School*
Graduate/Professional School Address*
Street Address Address Line 2 City State ZIP Code
Graduate/Professional Course of Study*
Graduate/Professional Years Completed*
Please enter a number greater than or equal to 0.
Graduate/Professional Diploma/Degree Title*
Name of Vocational or Military School*
Vocational or Military School Address*
Street Address Address Line 2 City State ZIP Code
Vocational or Military Course of Study*
Vocational or Military Years Completed*
Please enter a number greater than or equal to 0.
Vocational or Military Diploma/Degree Title*
Other (Specify Name of School)*
Other (Address of School)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Other (Course of Study)*
Other (Years Completed)*
Please enter a number greater than or equal to 0.
Other (Diploma/Degree)*
Personal Data
What language(s) do you speak and what level of fluency? Please specify reading, writing and/or speaking.
Please describe any computer skills/languages or scientific/instrument skills.
Please describe any specialized training, apprenticeship, skills and extra-curricular activities.
List professional, trade, business or civic activities and offices held. (You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status)
Summarize special job-related skills and qualifications acquired from employment or other experience.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?
NOTE: DO NOT answer yes or no to this question unless you have been informed about the requirements of the job for which you are applying.
- Yes
- No
- I have not been provided a review of the activities involved in the job or occupation for which I am applying.
References
Name (Reference 1)
First Last
Phone Number
Best Time to Call
Occupation
Name (Reference 2)
First Last
Phone Number
Best Time to Call
Occupation
Name (Reference 3)
First Last
Phone Number
Best Time to Call
Occupation
Employment History
Listing most recent position first, please show former employment and account for any lapses in time between employment periods.
1st Employer Name (Most Recent)*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Total Compensation*
Please enter a number greater than or equal to 0.
Starting Position*
Final Position*
Work Performed*
Name and Title of Supervisor*
Reason for Leaving*
May we contact as a reference?*
- Yes
- No
2nd Employer Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Start Date*
MM slash DD slash YYYY
End Date*
MM slash DD slash YYYY
Total Compensation*
Please enter a number greater than or equal to 0.
Starting Position*
Final Position*
Work Performed*
Name and Title of Supervisor*
Reason for Leaving*
May we contact as a reference?*
- Yes
- No
3nd Employer Name
Address
Street Address Address Line 2 City State ZIP Code
Phone Number
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Total Compensation
Please enter a number greater than or equal to 0.
Starting Position
Final Position
Work Performed
Name and Title of Supervisor
Reason for Leaving
May we contact as a reference?
- Yes
- No
4th Employer Name
Address
Street Address Address Line 2 City State ZIP Code
Phone Number
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Total Compensation
Please enter a number greater than or equal to 0.
Starting Position
Final Position
Work Performed
Name and Title of Supervisor
Reason for Leaving
May we contact as a reference?
- Yes
- No
Comments
Include an explanation of any gaps in employment here.
Applicant's Statement*
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I also authorize complete and accurate disclosure by each past employer of all employment-related information including, but not limited to, service dates, titles, responsibilities, pay rates, job performance and reason for termination without liability to the company or any past employer.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with (Company Name) is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of (Company Name).
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of (Company Name) if employed.
I agree to the terms.
Signature of Applicant*
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Application For Employment

Note: Fields with a * must be completed in order for the application to be processed.

Contact Information

Employment Background

Educational Background

Personal Data

References

Employment History

Contact Info:

Portfolio

Interested in working with us?

Employment Application

Application For Employment

Note: Fields with a * must be completed in order for the application to be processed.

Contact Information

Employment Background

Educational Background

Personal Data

References

Employment History

Contact Info:

Portfolio

Interested in working with us?