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+1 334-857-2443
[email protected]
180 Birmingham Road, Eclectic, AL, United States, Alabama

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Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or handicap.

Date Of Application

Position Applying For

Field Team Member

Name

Address

City

State

Zip

Phone Number

Driver's License State & Number

Date of Birth

Email

Are you available to work full time?

Yes No

Overtime?

Yes No

Have you been convicted of a felony in the last 5 years?

Yes No

If yes, please describe.

How did you hear about this job opportunity?

Education

Highest Level Of Education

Did you graduate from high school / Obtain GED?

Yes No

Name of High School?

City & State of High School

Graduation Date

Vocational Training

Yes No

Name of School

Trade / Skills Learned

Date Completed

Employment History

Are you employed now?

Yes No

If yes, where?

Provide the most recent work history, starting with your most recent employer:

Please note if we are able to contact the current/past employer below

Employer #1 (Employer, Phone Number, Date of Employment)

May we contact this employer?

Yes No

Employer #2 (Employer, Phone Number, Date of Employment)

May we contact this employer?

Yes No

Employer #3 (Employer, Phone Number, Date of Employment)

May we contact this employer?

Yes No

References

Name

Phone Number

Place of Employment

Name

Phone Number

Place of Employment

Name

Phone Number

Place of Employment

State any additional information you feel may be helpful to us in considering your application. (or type N/A)

I agree to the below

I certify that the answers given are true and complete to the best of my knowledge. I authorize Lake Martin Dock Company, or any subsidiary, to conduct a pre-employment background check on me which may include criminal, civil and/or driver’s historical information obtained through national, state and/or county information as may be necessary in arriving at an employment decision. I understand that this application is not a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination of employment. I understand, also, that I am required to abide by all laws and the rules and regulations of the company.

I agree to the below

I hereby grant Lake Martin Dock Company, and/or subsidiary, to obtain information from previous employers regarding my current and/or previous work history. I agree not to hold Lake Martin Dock Company, subsidiaries and/or my previous employers liable for the release of this information. I understand that this application is not a contract of employment and that all the information obtained will be kept private and will not be disclosed to anyone outside of the Lake Martin Dock Company management team. I authorize and permit my previous employers to release the information requested by Lake Martin Dock Company, and any subsidiaries.

Get In Touch

+1 334-857-2443
[email protected]
180 Birmingham Road, Eclectic, AL,
United States, Alabama

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