RSVP 1<br/> — Cecil Key Paving, Inc.

JOIN OUR TEAM

We are always looking for highly motivated individuals to join our growing team at Cecil Key Paving, Inc. Fill out our online application below and we will follow up with you soon.

Please Note:

*We are a drug-free workplace. All employees undergo pre-employment and random drug screenings.

*All prospective employees should bring a valid driver’s license and social security card to their interview.

*All employees are eligible for medical, dental and disability benefits. Should an employee choose to enroll in our policy, Cecil Key Paving, Inc. will pay 50% of his or her insurance premium.

Name

First Name

Last Name

Date of Birth

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Available to Start

YYYY

Are you a U.S. Citizen?

If no, are you authorized to work in the U.S.?

Have you ever worked for Cecil Key Paving, Inc?

If yes, when?

Have you ever been convicted of a felony, and/or are there any pending charges against you??

If yes, explain:

Have you ever been convicted as a sexual offender, and/or are there any pending charges against you?

If yes, explain:

How did you hear about us?

What position(s) are you applying for? (Select all that apply)

CDL Driver (Dump truck, Distributor, Lowboy) - ALL trucks are standard, NOT automatic

Base Crew Team Member

Paving Crew Team Member

Striping Crew

Maintenance/Shop

Anywhere

I'm new to the industry

Describe your experience in the construction industry

Education

High School attended:

Did you graduate?

If yes, what date?

YYYY

College attended: (N/A if not applicable)

Did you graduate?

If yes, what date?

YYYY

References

Reference #1

For each reference, include: Full Name Relationship Company Phone Number Address

Reference #2

For each reference, include: Full Name Relationship Company Phone Number Address

Reference #3

For each reference, include: Full Name Relationship Company Phone Number Address

Employment History

Employer #1

For each employer, include: Company Phone Number Address Supervisor Job Title Salary Dates Employed Reason for Leaving

Describe your job responsibilities:

May we contact your previous supervisor for a reference?

Employer #2

For each employer, include: Company Phone Number Address Supervisor Job Title Salary Dates Employed Reason for Leaving

Describe your job responsibilities

May we contact your previous supervisor for a reference?

Employer #3 (if applicable)

For each employer, include: Company Phone Number Address Supervisor Job Title Salary Dates Employed Reason for Leaving

Describe your job responsibilities:

May we contact your previous supervisor for a reference?

Military Service

Branch of Service

Dates of Service

If you are prior service, what was your rank and type of discharge?

If other than honorable discharge, explain:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Today's Date

YYYY