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VERNOR MATERIAL & EQUIPMENT CO., INC.
545 Wilson Rd
FREEPORT, TX 77541
APPLICATION FOR EMPLOYMENT
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Today's Date
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Name
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First
Last
Telephone Number :
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Birth Date:
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Driver License #:
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Driver Licence Class:
Driver Licence Expiration date:
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Permanent Address- Street & Number :
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City:
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State:
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Zip:
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Country:
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Are you 18 years or older?
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Yes
No
Are you a U.S. Citizen?
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Yes
No
If Non-Citizen, indicate type of Visa:
Resident
Visitor
Student
Other
Have You Ever Been Employed by Vernor Material?
Yes
No
List Below Any Relatives Employed by Us:
Have You Used Any Recreational Drugs in The Past 60 Days?
*
Yes
No
Have You Worked for DOW Within the Last 90 Days?
Yes
No
If YES, Please Select Reason for Leaving:
Resigned
Terminated
Reduction of Force
None
Email
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Are You Currently Employed?
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Yes
No
If NO, How Long Since Last Employment? (Years and Months)
Position Applying for:
Years of Experience: (Years and Months)
Second Choice:
Years of Experience: (Years and Months)
REFERENCE #1 Name: (NON-RELATIVE References)
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REFERENCE #1 Phone Number:
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REFERENCE #1 Time Known:
REFERENCE #2 Name: (NON-RELATIVE References)
REFERENCE #2 Phone Number:
REFERENCE #2 Time Known:
REFERENCE #3 Name: (NON-RELATIVE References)
REFERENCE #3 Phone Number:
REFERENCE #3 Time Known:
Employment History 1 : Company Name
Employment History 1 : Company Telephone Number
Employment History 1 : Company Address
Employment History 1 : Type of Business
Employment History 1 : Starting Salary $
Employment History 1 : Ending Salary $
Employment History 1 : From Date
Employment History 1 : To Date
Employment History 1 : Reason for Leaving:
Employment History 1 : May We Contact Previous/Current Supervisor for a Reference?
Yes
No
Employment History 1 : Job Duties and Responsibilities:
Employment History 2 : Company Name
Employment History 2 : Company Telephone Number
Employment History 2 : Company Address
Employment History 2 : Type of Business
Employment History 2 : Supervisor’s Name
Employment History 2 : Reason for Leaving
Employment History 2 : Job Title
Employment History 2 : Starting Salary $
Employment History 2 : Ending Salary $
Employment History 2 : From Date
Employment History 2 : To Date
Employment History 2 : Reason for Leaving:
Employment History 2 : May We Contact Previous/Current Supervisor for a Reference?
Yes
No
Employment History 2 : Job Duties and Responsibilities:
DRIVERS SECTION ONLY 1 - State
DRIVERS SECTION ONLY 1 - License Number
DRIVERS SECTION ONLY 1 - Class
DRIVERS SECTION ONLY 1 - Expiration Date
DRIVERS SECTION ONLY 2 - State
DRIVERS SECTION ONLY 2 - License Number
DRIVERS SECTION ONLY 2 - Class
DRIVERS SECTION ONLY 2 - Expiration Date
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 1: Location
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 1 : Date
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 1 : Charge
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 1: Penalty
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 2 : Location
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 2 : Date
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 2 : Penalty
LIST ALL YOUR TRAFFIC CONVICTIONS & FORFEITURES FOR THE PAST THREE YEARS 2 : Charge
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Home
About
Products
Limestone
Crushed Concrete
Rip Rap
Sand & Gravel
Stabilization Materials
Services
Civil Construction
Trucking
Demolition
Environmental Remediation
Mechanical
Forms
Contact
Job Application
VME Employee Login