Careers				ON LINE  APPLICATION FOR EMPLOYMENT Please fill out sections 1 through 5 Fields marked with * are required When completed please click "Submit Form" You will be automatically directed to the next page when you submit this application.
	Career Opportunities
	On Line Application

	1. PERSONAL INFORMATION
	Name: * Last Name * First Name     * Middle Name	Contact Information:     * Home Phone Cell Phone * email
	Present Address: * Street Address Address (cont.) * City * State * Zip Code	Permanent Address: * Street Address Address (cont.) * City * State * Zip Code

	Age: * Are you 18 years of age or older? Yes No	Status: * Are you prevented from lawfully becoming employed in this country because of visa or immigration status? Yes No
	Disabilities: * Do you have any disabilities or previous health problems that may preclude you from performing the duties of the job position that you are applying for? Yes No	Convictions: * Do you have any prior criminal convictions? Yes No

	2. EMPLOYMENT DESIRED
	* Position: Foreperson  Heavy Equipment Operator  Skilled Laborer  Common Laborer  Truck Driver  Shop Mechanic	CDL Classification & Endorsements: (* If applying for a Truck Driver's position) Class A  Class B  Class C  Hazardous Materials  Tanker  Air Brakes
	* What type of equipment can you operate?	Driver's License Number: (* If applying for a Truck Driver's position) Any moving violations or accidents in the last 5 years? (* If applying for a Truck Driver's position) Yes No
	* What piece of equipment do you feel you operate the best?	If yes, when? (* If applying for a Truck Driver's position)

	3. PRESENT AND FORMER EMPLOYERS
	General Information: * Are you employed now? Yes No * If yes, may we inquire of your present employer? Yes No	* Are you a member of any Union? Yes No * If yes, what Local?

	Present Employer: (Month and Year)                From	Former Employer: (Month and Year)                From To
	Employer's  Name and Address: Company Street Address Address (cont.) City State Zip Code	Employer's  Name and Address: Company Street Address Address (cont.) City State Zip Code
	Position: Salary Position         Supervisor	Position: Salary Position         Supervisor
	Reason for leaving:	Reason for leaving:

	4. EDUCATION
	Grammar School: School Name Years Attended Subjects Studied Did you graduate? Yes No	High School: School Name Years Attended Subjects Studied Did you graduate? Yes No

College: School Name Years Attended Subjects Studied Did you graduate? Yes No

Trade, Business or Correspondence School: School Name Years Attended Subjects Studied Did you graduate? Yes No

	5. REFERENCES
	Name: (Not related, whom you have known one year)     Last Name        First Name	Name: (Not related, whom you have known one year)     Last Name        First Name
	Address: Street Address Address (cont.) City State Zip Code	Address: Street Address Address (cont.) City State Zip Code
	Business:             Industry	Business:             Industry
	Years Acquainted:                Years	Years Acquainted:                Years

	6. GENERAL INFORMATION
	This form complies with the provisions of the Americans with Disabilities Act and the final regulations and interpretive guidance promulgated by the EEOC on July 26, 1991. It is the policy of Wessner's Excavating LLC to assure equal employment opportunity to its employees and applicants for employment on the basis of fitness and merit without regard to race, color, religion, national origin, political affiliation, veteran status, handicap, sex or age (except where age or handicap is a bona fide occupational qualification).

	7. CERTIFICATION
	In consideration of my employment I understand and agree that: My application may be rejected if any false information, omissions, or misrepresentations are discovered. No company representative, other then it’s president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment with me for any specific period of time, or to make any agreement contrary to the foregoing. The terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. My employment can be terminated and my compensation suspended, with or without cause, and with or without notice, at any time, at either my or the company’s option. I will conform with company rules and regulations. I certify that the information on this application is true and complete.

Home | Services | Projects | Careers | About Us | Contact | Site Map | Blog Revised: August 25, 2009 © 2009 Wessner's Excavating LLC. All rights reserved. Wessner's Excavating LLC, 2929 Betz Court, Orefield, PA 18069 Phone: 610-395-1990    Fax: 610-395-1619