Job Application Form

Job Application Form

  • It is the policy of Rainier Asphalt & Concrete to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.

    * Indicates Required Fields

    • Check all that apply
    • Fill out the earliest date your are available to work.
    • Select the desired approximate range.
  • List Addresses For The Past Three Years

  • Education

  • Personal Data

    (Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature, date and circumstances of the offense, and the relevance to the position applied for, however, may be considered.) If yes, state the nature of the crime(s), when and where you were convicted, and disposition of the case at the bottom of this application.
  • Employment History

  • All applicants must provide the following information on all employers during the preceding 3 years. Applicants that desire to drive in intrastate/interstate commerce must provide the following information on all employers during the previous three years. You must give the same information for all employers you have driven a commercial motor vehicle for the seven years prior to the initial three years (total of 10 years employment record). Please start with the most recent employer.
  • Accident Record For Past 3 Years From Date Of Application (Add Details At End Of Form If Needed):

  • If yes, describe below.
  • Traffic Convictions & Forfeitures In The Past 3 Years From Date Of Application: (Do Not Include Parking Violations)

  • If yes, describe below.
  • Driver Experience:

  • **CDL DRIVERS ONLY COMPLETE THIS SECTION**

      • Drop files here or