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Application For Employment

To Apply for Employment, please fill out this form completely and one of our representatives will contact you.


Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.


Please list the position you are applying for.

Please type your FIRST name.

Please type your MIDDLE name.

Please type your Last name.

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Please List a Valid Contact Number

Current
Please List Your Address

Please List Your City

Please List Your State

Please List Your Zip

Is this your Permanent Address?

Is Your Current Address Permanent?

Permanent
Please List Your Permanent Address

Please List Your Permanent City

Please List Your Permanent State

Please List Your Permanent Zip

 

How did you hear about us?

Please List Who Referred You

Have you applied for work or worked at our Company before?

Have you applied for work or worked at our Company before?

Please detail approx. Dates, Position, and Reason for leaving.

Are you employed now?

Are you employed now?

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Please List Your Desired Salary

Do you have a current, valid and unrestricted driver’s license(s)?

Do you have a current, valid and unrestricted driver’s license(s)?

Please List Your CDL Class/Endorsements

 

Education

Did you attend High School?

Did you attend High School?

Please List Name & Location of High School.

Please List the Years You Attended High School.

Did you Graduate?

Did you Graduate High School?

Did you attend College?

Did you attend College?

Please List Name & Location of College.

Please List the Years You Attended College.

Please List your college subjects studied.

Did you Graduate?

Did you Graduate College?

Did you attend Trade, Business or Correspondence School?

Did you attend Trade, Business or Correspondence School?

Please List Name & Location of School.

Please List the Years You Attended.

Please List your subjects studied.

Did you Graduate?

Did you Graduate?

 

Employment Experience

Start with your present or last job *List all types of experience and equipment operated. Indicate the nature of the work performed and the number of years or months experienced or operated.

Were You Previously Employed?

Were You Previously Employed?

Please List Your Latest Employer.

Please List Their Contact Phone Number.

Please List Their Address.

Dates Employed

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Please List Your Job Title/Position.

Please List Your Supervisor.

Please List Your Starting Hourly Rate or Salary

Please List Your Ending Hourly Rate or Salary

Please detail Reason for leaving.

Please detail your work performed and equipment operated.

Add another job?

Did you have another job?


Please List Your Employer.

Please List Their Contact Phone Number.

Please List Their Address.

Dates Employed

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Please List Your Job Title/Position.

Please List Your Supervisor.

Please List Your Starting Hourly Rate or Salary

Please List Your Ending Hourly Rate or Salary

Please detail Reason for leaving.

Please detail your work performed and equipment operated.

Add another job?

Did you have another job?


Please List Your Employer.

Please List Their Contact Phone Number.

Please List Their Address.

Dates Employed

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Please List Your Job Title/Position.

Please List Your Supervisor.

Please List Your Starting Hourly Rate or Salary

Please List Your Ending Hourly Rate or Salary

Please detail Reason for leaving.

Please detail your work performed and equipment operated.

Add another job?

Did you have another job?


Please List Your Employer.

Please List Their Contact Phone Number.

Please List Their Address.

Dates Employed

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Please List Your Job Title/Position.

Please List Your Supervisor.

Please List Your Starting Hourly Rate or Salary

Please List Your Ending Hourly Rate or Salary

Please detail Reason for leaving.

Please detail your work performed and equipment operated.

 

References

Give the names of three persons not related to you.

1

Please List Your Reference Name.

Please List Their Contact Phone Number.

Please List How You Know Them.

Please List How Long You've Know Them.


2

Please List Your Reference Name.

Please List Their Contact Phone Number.

Please List How You Know Them.

Please List How Long You've Know Them.


3

Please List Your Reference Name.

Please List Their Contact Phone Number.

Please List How You Know Them.

Please List How Long You've Know Them.


Please list any additional comments to help us evaluate your employment.

APPLICANTS STATEMENT: PLEASE READ AND AGREE

By my signature below, I certify that the information provided in this employment application (and any related information provided by me) is true and complete, and I understand that any false or misleading information or significant omissions may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date, no matter how long I have been employed.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT, IF HIRED, I AM OBLIGED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPTED SUNFLOWER PAVING, INC. POLICIES, AND THAT SUNFLOWER PAVING, INC. DOES NOT OFFER CONTRACTS, PROMISES OR REPRESENTATIONS RELATED TO EMPLOYMENT. I UNDERSTAND AND AGREE THAT, IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY, REGARDLESS OF THE DATE OF PAYMENT OF WAGES OR SALARY, BE TERMINATED AT ANY TIME FOR ANY REASON, WITH OR WITHOUT CAUSE, NOTICE OR PRIOR WARNING OR DISCIPLINE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION.

You MUST AGREE To the Applicant Statement listed ABOVE.

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785-856-4590

1457 N 1823 Road

Lawrence, KS 66044

Office 785-856-4590

Fax 785-856-4594

amy@sunflowerpaving.com

Office Hours

Monday - Friday

8:00 am - 5:00 pm

Weekends

Closed

Our Paving Services

  • County Highways
  • Municipal Street Overlays
  • Asphalt Patching
  • Parking Lots
  • Driveways
  • Curbs
  • Sidewalks
  • Handicap Ramps