To apply for a job at R.J. Zavoral and Sons, Inc., please fill out this Employment Application.

APPLICATION FOR EMPLOYMENT

R. J. Zavoral & Sons, Inc. is an Equal Opportunity Employer

PERSONAL














EDUCATION

High School

High School Graduate
YesNoGED

College


College Graduate
YesNo

Post High School/Technical Training


Post High School/Technical Training Graduate
YesNo


WORK AVAILABILITY

Are you currently on a "lay-off" status and subject to recall?
YesNo

Applying for
Full TimePart TimeShift WorkTemporary

Days available for work
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Are you at least 18 years of age?
YesNo


JOB RELATED SKILLS







DRIVER'S LICENSE INFORMATION

Do you have a valid driver's license?
YesNo

Class (please select one)
ABCD

Do you have a Medical Examiner's Certificate?
YesNo

CDL
YesNo
Hazmat
YesNo
Tanker
YesNo



CERTIFICATIONS

Are you CPR Certified?
YesNo

Are you First Aid Certified?
YesNo

Are you MSAH Certified?
YesNo



PHYSICAL HISTORY

Do you have any physical conditions which may limit your ability to perform the job applied for?
YesNo


Would you be willing to take a physical examination?
YesNo

PRE-EMPLOYMENT DRUG TESTS WILL BE CONDUCTED


REFERENCES

Include only individuals familiar with your work experience. Do not include relatives.

1.






2.







MILITARY SERVICE EXPERIENCE


Are you a Special Disabled Veteran?
YesNo

Are you a Vietnam Era Veteran?
YesNo


EMPLOYMENT HISTORY

Are you currently employed?
YesNo

May we contact your present employer?
YesNo

1. Previous Employer












2. Previous Employer













APPLICANT'S STATEMENT

I certify that all information given is accurate and true. I understand that if hired, any false information on this form could be cause for termination. I authorize R.J. Zavoral & Sons, Inc. to obtain and give references as well as to verify my information such as credit history, DMV records, employment, and education as needed for arriving at an employment decision. I understand that R.J. Zavoral & Sons, Inc. utilizes "employment-at-will", i.e., the employee or the Employer may terminate the employment relationship at any time for any reason other than an unlawful or discriminatory reason.