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.