Online Employment Application
                      
Pressing the 'Submit' button at the bottom of this page will send this Employment Application to Slurry Pavers, Inc. for review.  If you have any questions or concerns, please contact Slurry via phone at (800) 966-1812 or email at jobs@slurrypavers.com.
Date:
Name: Social Security #:
Birth Date: City and State of Birth:
Current Address:
City: State: Zip Code:
Home Telephone:

Position Applied For:

Education (Please Select Years Completed)
Elementary
4
5
6
7
8
 High
9
10
11
12
Graduated
 College
1
2
3
4
Graduated
Military Service:
Yes
No
Branch:
Valid Driver's License:
Yes
No
Expires: License#: State:
When will you be able to work?
Do you have your own Transportation?
Yes
No

In case of emergency contact: Relation:
Telephone #:

List Present and Past Employers:
Company and Address:
Start Date: End Date: Salary Info: Supervisor:
Type of Work: Reason for Leaving:
Company and Address:
Start Date: End Date: Salary Info: Supervisor:
Type of Work: Reason for Leaving:
Company and Address:
Start Date: End Date: Salary Info: Supervisor:
Type of Work: Reason for Leaving:
Company and Address:
Start Date: End Date: Salary Info: Supervisor:
Type of Work: Reason for Leaving:

Type of Construction Equipment you have operated:

Company Safety Policy: It shall be the policy of SLURRY PAVERS, INC., to furnish employees a place of employment, free from recognized hazards that are likely to cause death or physical harm to employees, and to comply with the Occupational Safety and Health Standards as provided for by the Occupational Safety and Health Act of 1970.

Employees General Safety Rules: All work shall be planned and supervised to insure safe working conditions at all times. Federal Standards for safe practices shall be enforced. Supervisors and foremen shall insist on employees observing every safe standard and shall take disciplinary action to obtain complete observance.

Safe Work Practices:
  1. Wear clothes suited to your job. Dangling or loose clothing can catch in equipment, machinery or tools and cause serious injury.
  2. If you do not know how to do your job safely --- before starting work --- ask your foreman for instructions.
  3. You must wear personal protective equipment that the job requires, such as hard hats, goggles, safety belts, where a possible danger exists. Use all safeguards provided; see that they are in place and functioning. Report deficiencies to your foreman.
  4. You shall observe safe practices and report unsafe conditions to your foreman.
  5. You must be aware of fellow employees and observe practices that will not result in injury.
  6. You shall not indulge in horseplay or scuffling on the job.
  7. You must report any injury to your foreman immediately for treatment.
  8. You shall keep your mind on the job at hand; "day dreaming" causes injuries.
  9. You shall ask your foreman for special instructions regarding unfamiliar conditions encountered or potential dangerous energy sources, such as gas lines, electrical lines, steam lines, water lines, dynamite, etc.

Tools and Equipment:
  1. Personal tools such as hammers and chisels, etc. shall be kept well dressed to prevent injury from flying particles.
  2. Company-owned tools shall be kept in good condition. Report any deficiency to your foreman, such as dull blades, missing or broken guards, frayed wiring, etc.
  3. Use the proper tool for the job.
  4. All electrical tools shall be properly grounded. All power tools must be used in accordance with safe practices and shall be manufactured as specified in the Federal Standards whether personally owned or company owned.
  5. Use tools and equipment in the proper manner. Ask foreman for instructions if you are not sure. Do not risk injury to yourself or others by improper use of tools.

Machinery and Vehicles:
  1. Do not operate machinery or equipment without permission from your foreman.
  2. Do not start equipment, operate valves, or electrical switches until you make sure it is safe to do so.
  3. Do not repair or adjust machinery while it is in operation. Only specifically trained mechanics shall make adjustments or repairs that rewire the machine to be in operation. Consult your foreman if these adjustments are necessary.
  4. Never work under machinery or equipment supported by jacks or chain hoists without protective blocking.
  5. Do not operate machinery or equipment unless you are trained and qualified. Observe all safety practices and rules while operating machinery or equipment.

The facts set forth in my application for employment are true and complete. I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal. You are hereby authorized to make any investigation on my personal history and financial and credit record through any investigative or credit agencies or bureaus of your choice. I have read the safety rules and am aware that all persons are employed on a 30 day probation period.

This application will not be considered for any vacant positions that occur more than 60 days from this date. I have read and understand the above.

Signed: Date:

We are an Equal Opportunity Employer.