EMPLOYMENT

Please fill out the form below and click Submit to submit your application for consideration. Please read the job descriptions, duties, and requirements below. Fields with an asterisk (*) are required.

Job Descriptions:

Driver: A Virginia Class A CDL licensed driver to operate heavy duty commercial trucks on and around job sites.

Laborer: General outdoor labor.

Duties:

Driver: Operate heavy duty commercial trucks, as well as transporting heavy equipment, materials, and other items to and from local job sites. Most driving will be in the Roanoke Valley area, no over the road or long haul duties. Driver must be able to perform a safety check of truck, trailer, and load before beginning any trip. Driver will be responsible for assisting laborers in loading equipment onto trailer, and securing equipment properly.

Laborer: Consists of all outdoor, manual labor. Laborer will report to job foreman for duties.

Requirements:

Driver: Must hold a Virginia Class A CDL. Must be able to operate a heavy duty truck equipped with a manual transmission. Applicant must submit to background check, drug screening, and submit copy of driving transcript/record.

Laborer: Must be able to legally work in the United States. Must have reliable transportation to and from work. Applicant must submit to background check and drug screening.

Equal Opportunity Employment

We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.

Gender:

Race/Ethnicity:

Thank You for submitting!

Lucas Paving Job Application Form

Position For Which You Are Applying:

Tell Us About Yourself

Personal Information

1. Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):

Yes

2. Are you at least 18 years or older? (If no, you may be required to provide authorization to work):

Yes

3. Do you have a VA Class A CDL?

Yes

4. Have been involved in any accidents in the last 3 years?

Yes

If Yes, please provide details:

5. Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years? (A conviction will not necessarily result in the denial of employment):

Yes

If Yes, please provide details:

6. Have you ever worked for this Company before?:

Yes

If Yes, please provide details:

If No, please explain:

7. Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:

Yes

Employment Desired

1. When would you be available to begin work?: *

2. Type of employment desired:

Full-Time

Part-Time

Seasonal

3. Hourly rate/salary desired: *

4. Are you currently employed?:

Yes

4a. If Yes, may we conact your present employer?:

Yes

5. If presently employed, why are you considering leaving?:

Education

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name and Location

Did you graduate?

Yes

Degree Received

Subjects Studied/Major

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

Employment History

Give your full employment record, starting with your current or most recent employment:

EMPLOYER 1

Dates Employed

Start Date

Employer Name and Address

Employer Phone

End Date

Job Title

Job Responsibilities

Supervisor Name & Title

Reason For Leaving

May We Contact?

Yes

Salary/Hourly Rate

EMPLOYER 2

Dates Employed

Start Date

Employer Name and Address

Employer Phone

End Date

Job Title

Job Responsibilities

Supervisor Name & Title

Reason For Leaving

May We Contact?

Yes

Salary/Hourly Rate

EMPLOYER 3

Dates Employed

Start Date

Employer Name and Address

Employer Phone

End Date

Job Title

Job Responsibilities

Supervisor Name & Title

Reason For Leaving

May We Contact?

Yes

Salary/Hourly Rate

References

Please provide three references (not relatives):

Name

Relationship

Phone Number

Authorization

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

Signature

Date of Completion