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
    • Select the desired approximate range.
  • List Addresses For The Past Three Years

  • Education

  • Personal Data

  • References

  • References. List below three persons, who are not relatives, whom you have known for at least one year. Include their name, address, phone number, relationship to you and number of years known.
  • 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, please describe.
  • Traffic Convictions & Forfeitures In The Past 3 Years From Date Of Application: (Do Not Include Parking Violations)

  • If yes, please describe.
  • Driver Experience:

  • **CDL DRIVERS ONLY COMPLETE THIS SECTION**