Midwest Asphalt and Maintenence

(616) 866-2228

info@midwestasphalt.com

10365 Northland Dr.

Rockford, MI 49341

Office Hours

Mon - Fri 9am- 5pm
  • About Us
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  • Employment

(616) 866-2228

info@midwestasphalt.com

10365 Northland Dr.

Rockford, MI 49341

Office Hours

Mon - Fri 9am- 5pm

Employment

Midwest Asphalt and Maintenence > Employment
Employment Midwest Asphalt March 25, 2016 July 16, 2017

Step 1 of 4 - Personal Information

25%
  • Personal Information

  • Employment Interests

  • General Information

  • High School, College, Trade School, Business or Correspondence Schools.

    Click the + button to add a new row.
    Name and Location of SchoolNo. of Years AttendedSubjects StudiedDid you Graduate? 
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  • Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.
  • Convictions are not an automatic disqualification from employment.
  • Employment History

    Give employment record as completely as possible listing current or most recent employer first. Show unemployed or self-employed periods and indicate dates and comment on each period. Include part time or summer work.
  • FromTo 
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  • Regulatory Information:

    THE FMCSRS (FEDERAL MOTOR CARRIER SAFETY REGULATIONS) APPLY TO ANYONE OPERATING A MOTOR VEHICLE ON A HIGHWAY IN INTERSTATE COMMERCE TO TRANSPORT PASSENGERS OR PROPERTY WHEN THE VEHICLE:

    1. WEIGHS OR HAS A GVWR OF 10,001 POUNDS OR MORE
    2. IS DESIGNED OR USED TO TRANSPORT 9 OR MORE PASSENGERS, OR
    3. IS OF ANY SIZE AND IS USED TO TRANSPORT HAZARDOUS MATERIALS IN A QUANTITY REQUIRING PLACARDING.

    ANY APPLICANT WISHING TO BE EMPLOYED IN A DRIVING FUNCTION (OR POSSESSING A COMMERICAL DRIVERS LICENSE CLASS A, B OR C) MUST PROVIDE THE ABOVE INFORMATION ON ALL EMPLOYERS DURING THE PRECEEDING THREE YEARS.

    YOU ARE REQUIRED TO GIVE THE SAME INFORMATION FOR ALL EMPLOYERS FOR WHOM YOU HAVE DRIVEN A COMMERCIAL VEHICLE SEVEN YEARS PRIOR TO THE INITIAL THREE YEARS FOR A TOTAL OF TEN YEARS.

    ANY GAPS IN ENEMPLOYMENT MUST BE EXPLAINED.
  • 2nd Employer

  • FromTo 
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  • 3rd Employer

  • FromTo 
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  • 4th Employer

  • FromTo 
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  • Please list what equipment you can operate and number of years experience.
  • Please give details for your past accident(s). Click the + button to add a new row.
    Date (Month/Year)Nature of Accident (Head on, rear end, etc)Fatalities?# of InjuriesHazardous Materials SpillWho's fault? 
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  • Please give details for your past traffic convictions. Click the + button to add a new row.
    Date (Month/Year)Violation (other than parking)State of ViolationPenalty (Forfeited bond, points) 
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  • Click the + button to add a new row
    NameAddressOccupationYears Known 
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  • Please give name, phone, relationship to you and address
  • Acknowledgement

    I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFOR- MATION , OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME.

    IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY’S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY’S OPTION.

    I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY.

    I UNDERSTAND THAT NO COMPANY REPRESENTATIVE OTHER THAN IT’S PRESIDENT AND / OR VICE PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT AND / OR VICE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYEMNT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING.
  • Printing your First Name + Middle Initial + Last Name will act as your digital signature.
  • Accepted file types: doc, docx, pages, odt, rtf, tex, txt, wpd, wps, pdf.
    If you have a resume you'd like to attach, please do so here. This is not required.
  • Please upload your cover letter here. You may also copy and paste the contents of your cover letter in the space below.

Midwest Asphalt services the greater West Michigan area including Grand Rapids Asphalt Paving, Big Rapids Asphalt Paving, Holland Asphalt Paving, Grand Haven Asphalt Paving, Kalamazoo Asphalt Paving, Hastings Asphalt Paving, Ionia Asphalt Paving and Lansing Asphalt Paving.

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