Century Concrete General Application

I. Instructions

Thank you for your interest in employment with Century Concrete. Follow the directions below to complete your application.

  1. To be considered for employment, you must provide complete and truthful responses to all required requests for information on the application. Incomplete and/or unsigned applications will not be considered.
  2. Submitting a resume in addition to this application is acceptable, but is not substitutive for the requirement to fully comply with instruction number 1.
  3. Please review your application before signing where indicated. Your signature reflects your understanding of these instructions and acceptance of the terms in the Authorization & Consent section.

II. Applicant Self-Identification (Voluntary)

Century Concrete is an Equal Opportunity employer and is subject to certain reporting and Affirmative Action requirements. The purpose of this section is to comply with government record keeping, reporting and other requirements. Periodic reports are made to the government on the following information. The information requested in this section is voluntary and will not, in any way, subject you to adverse treatment or affect any employment decision.

Self-Identification (Voluntary)
Race or Ethnicity Identity

Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

White (not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East or North Africa.

Black or African American (not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa or other Pacific Islands.

Asian (not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

American Indian or Alaska Native (not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America) and who maintain tribal affiliation or community attachment.

Two or more races (not Hispanic or Latino) - All persons who identify with more than one of the above races.

Veteran Status

Protected veteran means a veteran who may be classified as an active duty wartime or campaign badge veteran, disabled veteran, Armed Forces service medal veteran or recently separated veteran

Active duty wartime or campaign badge veteran means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

Disabled veteran means (1) a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs, or (2) a person who was discharged or released from active duty because of a service-connected disability.

Recently separated veteran means a veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval or air service.

Armed Forces service medal veteran means any veteran who, while serving on active duty in the U.S.  military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985 (61 FR 1209, 3 CFR, 1996 Comp., p. 159).

III. Applicant Information

Applicant Information
Date 12/13/2018

Note: If yes, verification will be required upon hire.




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IV. List three professional references who are not relatives.

Reference #1
Reference #2
Reference #3

V. Education

High School
College/University
Graduate or Professional
Training/Vocational Program
Other (G.E.D., etc.)

VI. Skills & Certifications

Skills & Certifications
Specify computer software applications with which you have a working knowledge, indicating proficiency.
List foreign languages in which you have working skills indicating level of fluency (check all applicable boxes)
Operator
Indicate your qualifications to operate the equipment below.
Carpenter
Indicate your qualifications to perform the tasks below.
Finisher
Indicate your qualifications to perform the tasks below.
Additional Qualifications

VII. Employment History

Please provide an accurate and complete record of all previous full-time, part-time and temporary employment and/or internships, etc. If necessary, attach supplemental materials to list additional employers or to provide a detailed explanation to outline any special experience. List employers in chronological order, beginning with your most recent or current employer. Do not write, "See resume."

Employment #1
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Employment #2
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Employment #3
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Employment #4
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VIII. Attachments

Drop Here Browse

IX. Authorization & Consent

I certify that the information provided by me in this application is true, correct and complete to the best of my knowledge. I understand that any misstatement or omission of fact in this application may result in rejection of my application or if I am employed, termination of my employment. I understand that this is an application for employment, does not serve as an offer of employment, and my completion of this application does not guarantee an employment offer. I understand that if I am employed I am subject to a pre-employment drug test after an offer of employment has been extended. I authorize Century Concrete to obtain an investigative report regarding the information in my application, and other job-related topics. If hired, I understand that employment with Century Concrete is at-will, and the employment relationship may be ended by either party, with or without notice or cause.

Signature