* NOW HIRING MIXER DRIVERS * Eagle Rock Benefits Include: Guaranteed 40 hours of pay each week Vacation Pay Holiday Pay Sick Pay Health, Life, Dental, and Vision Insurances 401(k) retirement plan with company match Annual safety/tenure bonus available Paid orientation and training New, clean, and safe equipment Enjoyable, fun, team-oriented work environment Click Here For Background Check Form Application For EmploymentEagle Rock Concrete, LLC is an Equal Opportunity Employer. Please Fill Out Entirely.Position You Desire*Date Available for Work* Date Format: MM slash DD slash YYYY Desired SalaryReferred ByPersonal InformationName* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Social Security Number*Can you legally work in the United States of America?*YesNoHave you ever been convicted of a felony?*YesNoIf yes, please explain:EducationPlease fill out the fields below for any education you have received. Use the plus button on the right to add more rows if you went to multiple schools.High School*School Name and LocationYears CollegeSchool Name and LocationYearsDegreeMajor Post CollegeSchool Name and LocationYearsDegreeMajor OtherSchool Name and LocationYearsDegreeMajor In addition to your work history, are there other skills, qualifications, or experience that we should consider?Personal ReferencesPlease provide up to three references that we may contact and are not previous employers.*NameRelationship to YouCompanyPhone Employment History - Past 10 YearsNotice to all Mixer Truck Driver Applicants: The U.S. Department of Transportation requires that all driver applicants show all employment for the past three years. Effective July 1987, applicants must also show all commercial driver employment for the seven years immediately preceding this three year period (10 years total). 391.21. (b)(10)(11) Please provide all information.List below present and past employment, beginning with the most recent.*Name and Address of CompanyFrom (Month / Year)To (Month / Year)Starting Hourly RateEnding Hourly RateTelephoneName of SupervisorDescribe the work you didReason for Leaving Click the plus button on the right to add a new row.Additional Information for Commercial DriversThe following information is required by the U.S. Department of Transportation, Section 391.21. Your application will not be considered if all information is not furnished.Previous ResidencyPlease furnish the addresses at which you resided during the 3 years preceding the date on which the application is submitted.AddressStreetCityStateDuration Commercial Motor Vehicle Operator's LicensePlease furnish the issuing State, number, and expiration of each unexpired commercial motor vehicle operator's license or permits that have been issued to youStateNumberExpirationLicense or Permit Have you ever been denied a license, permit or privilege to operate a motor vehicle?YesNoIf so, please explain:Has one ever been suspended?YesNoIf so, please explain:Have you ever been disqualified for violation of Safety Regulations?YesNoIf so, please explain:Past ExperiencePlease list below the nature and experience in the operation of heavy equipment, including the type of equipment (such as mixer trucks, loaders, excavators, etc.) which you have operated.Nature (i.e. hauled construction material)Experience (Years)Type of Vehicle Motor Vehicle Accidents and ViolationsPlease list all of the motor vehicle accidents and violations in which you have been involved during the 10 years preceding the date of application.DateNatureFatalities or Personal Injuries (explain) Notice to Applicant All information submitted will be considered in reviewing my application and is subject to investigation. I hereby authorize Eagle Rock Concrete, LLC to investigate all statements applicable, except as indicated. I certify that the facts set forth in this employment application are true and complete to the best of my knowledge. I understand that misrepresentation or omission of facts called for is cause for dismissal upon discovery of such information. If accepted for employment, I hereby agree to comply with the rules, regulations, and policies of Eagle Rock, LLC. I agree, if hired, to periodic checks of my background information by Eagle Rock Concrete, LLC to ensure I am upholding the standards of conduct and good driving record required by Eagle Rock Concrete, LLC for continued employment. I understand that Eagle Rock Concrete, LLC is an "At Will" employer and that absolutely no contract of employement is offered nor implied by Eagle Rock Concrete, LLC. Background CheckBackground Check* I Have Completed the Background Check This Background Check form MUST BE COMPLETED for us to consider your application. Click Here For Background Check Form Once completed, indicate that you have done so by checking this box.Drug Program Disclosure and AgreementAs stated in the Associate's Handbook, Eagle Rock Concrete's drug detection policy is as follows: The illegal use, possession , sale or transfer of alcohol, drugs, controlled substances, and illegal narcotics while on the job or Company property will result in immediate discharge and may result in an investigation by local authorities. Associates and/or applicants will be sunject to testing for drugs and/or alcohol under the following circumstances: Pre-employment Testing - All applicants will be given a drug-screening test prior to hire. DOT Testing - per DOT regulations Reasonable Cause Testing - When a supervisor has reasonable cuase to question an Associate's condition. Post Accident Testing - When an Associate is involved in an accident, on or off Company property while on Company time. Random Testing - Associates selected at random. This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I have also read and understand the above Notice to the Applicant and Drug Program Disclosure Agreement.Applicants Full Name:*Applicant's Signature*By typing "I Agree" into this box you certify that you agree to the above statements.Date* Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms.