EMPLOYMENT Application - Wright Concrete

Skip to main content Scroll Top

Home
Our Work
- Our Projects
- Gallery
Our Companies
Contact Us
Careers
Brochure

What position are you applying for:

Name:

Address:

City:

State:

Zip:

Telephone Number:

Mobile Number:

When can you start?

Can you work weekends?

Yes No

Desired Salary:

Are you at least 18 years of age and eligible to work in the United States?

Yes No

Have you ever worked for any of our companies?

Yes No

Are you on layoff and subject to recall?

Yes No

Do you have a valid driver’s license?

Yes No

State of Issue:

Operator:

CDL:

Yes No

Class Type:

Years experienced with CDL:

1) Have you had any accidents during the last five years?

Yes No

When?

2) Has your driver’s license ever been revoked or suspended by a court of law?

Yes No

Explain:

3) Have you ever been convicted of a crime?

Yes No

Explain:

Class of equipment

Straight Truck

Type of equipment

Beginning Date

End Date

Tractor and Semi-trailer

Type of equipment

Beginning Date

End Date

Tractor – Two Trailers

Type of equipment

Beginning Date

End Date

Other

Type of equipment

Beginning Date

End Date

Dates

Nature of accident (Head-on, Rear-end, Upset, etc.)

Number of fatalities

Number of injuries

Have you ever been convicted of a crime?

Yes No

Explain:

Traffic convictions and forfeitures for the past 5 years (other than parking violations)

Date Convicted

Violation

State of violation

Penalty

Do you have a KY Underground card?

Yes No

No.

Annual training current:

Yes No

Do you have a WV Underground card?

Yes No

No.

Annual training current:

Yes No

Surface miner card?

Yes No

No.

Annual training current:

Yes No

Other Certifications:

Which of the following duties have you done and rate yourself on a scale (1-5) and how many years?

Scoop

1 2 3 4 5

Yrs Exp.

Low Track/ Fork–Lift

1 2 3 4 5

Yrs Exp.

Man Trip/ Supply Motor

1 2 3 4 5

Yrs Exp.

Stopping’s /Overcasts

1 2 3 4 5

Yrs Exp.

Belts/Track Work

1 2 3 4 5

Yrs Exp.

Face Equipment

1 2 3 4 5

Yrs Exp.

Welding

1 2 3 4 5

Yrs Exp.

Which of the following duties have you done and rate yourself on a scale (1-5) and how many years?

Concrete Finisher

1 2 3 4 5

Yrs Exp.

Concrete Formwork

1 2 3 4 5

Yrs Exp.

Tying Rebar

1 2 3 4 5

Yrs Exp.

Welding

1 2 3 4 5

Yrs Exp.

Equipment Operator

1 2 3 4 5

Yrs Exp.

Concrete Pump Operator

1 2 3 4 5

Yrs Exp.

Core Drill Operator

1 2 3 4 5

Yrs Exp.

Which of the following have you done?

Accounting/Bookkeeping

Yes No

Experience:

Management Skills

Yes No

Experience:

Sales Experience

Yes No

Experience:

Computer Skills

Yes No

Experience:

Office Equipment

Yes No

Experience:

Other Experience

High School:

City:

State:

Did you earn a diploma?

Yes No

College/Trade school:

Did you graduate?

Yes No

Degree/Certificate obtained:

Other educational training courses:

Most recent employer first

Company:

Name of supervisor:

May we contact them?

Yes No

Telephone number:

Job Title:

Location:

Date of employment

Start Date

End Date

Reason for leaving:

Company:

Name of supervisor:

May we contact them?

Yes No

Telephone number:

Job Title:

Location:

Date of employment

Start Date

End Date

Reason for leaving:

Company:

Name of supervisor:

May we contact them?

Yes No

Telephone number:

Job Title:

Location:

Date of employment

Start Date

End Date

Reason for leaving:

Name:

Telephone:

Relation:

Name:

Telephone:

Relation:

Name:

Telephone:

Relation:

Wright Concrete & Construction, Inc.
17 Industry Drive, Pikeville, Ky 41501

Info@wrightconcrete.com
Phone: 800-670-6965

Employment
Credit Application
Administration

Our Brands

Wright Concrete Divisions

Concrete
Block and Precast
Xpress
Mix Material
Underground
Concrete Pumping
Drilling
Ready Mix
Rental and Supply
Land

Get In Touch

Drop us a Line

Hidden fields

©2023 Wright Concrete & Construction, Inc.

Facebook X-twitter