APPLICATION FOR EMPLOYMENT

We consider applicants for all positions without regard to race, color, religion, sex, National origin, age, marital or veteran status, the presence of a non-job-related Medical condition or handicap, or any other protected status. An Equal Opportunity Employer M/F/V/H/D
Please read all instructions carefully and complete all sections of the application completely and accurately. Attention applicant: It is your responsibility to provide sufficient information on this application to indicate that you meet the minimum qualifications for the job for which you wish to be considered. If requested in advance and in compliance with the Americans with Disability Act (ADA), EAGLE ROCK EXCAVATING, LLC will provide reasonable accommodation to applicants in need of accommodation to permit access to the application, interviewing and selection process. (Your application may be ineligible for review if information is omitted or inaccurate)

Employment History

List jobs, activities, and other experience, including volunteer work, part-time employment, and self-employment, beginning with current or most recent:

VETERAN DATA (Answer each question, answer No if it does not apply)

If yes, please fill in the following information below

REFERENCES:

I hereby certify that all this information is true and complete to the best of my knowledge. I understand that any material misrepresentation or omission on this application may be grounds for rejection of my application or termination of any subsequent employment with the Company. I understand that employment in certain positions may be conditional upon a review of criminal records. I authorize Eagle Rock Excavating, LLC to request and obtain records to determine the accuracy of my responses. I agree to abide by all applicable Eagle Rock Excavating, LLC rules, regulations, and policies upon my acceptance of employment with the company. I understand that all employees are employed in an at-will capacity with EAGLE ROCK EXCAVATING, LLC Either the employee or EAGLE ROCK EXCAVATING, LLC may terminate the employment relationship at any time and for any reason.