Applicants for employment at LVR Corp. are considered without regard to race,
color, religion, sex, sexual orientation, age, genetic information, national
origin, veteran status, or physical or mental disability.|
RECORD OF EDUCATION
RECORD OF EMPLOYMENT
List below all past & present employment, beginning with your most recent.
You may include any verifiable work performed on a volunteer basis. If you need
additional space, please continue on a separate sheet of paper.
Professional, Trade, Business or Civic Activities and Offices
You may exclude any membership which would reveal
gender, race, religion, national origin, age, ancestry, disability, or other
Check skills/equipment operated:
|Production/Mobile Machinery (list):
SPECIAL SKILLS AND QUALIFICATIONS
|Give the name, address and telephone number of three (3) references who
are not related to you and are not previous employers. |
Are you under the age of 18?
An applicant for employment with a sealed record on file with the
commissioner of probation may answer 'no record' with respect to an inquiry
herein relative to prior arrests, criminal court appearances or convictions. An
applicant for employment with a sealed record on file with the commissioner of
probation may answer 'no record' to an inquiry herein relative to prior arrests
or criminal court appearances. In addition, any applicant for employment may
answer 'no record' with respect to any inquiry relative to prior arrests, court
appearances and adjudications in all cases of delinquency or as a child in need
of services which did not result in a complaint transferred to the superior
court for criminal prosecution.
Have you ever been convicted of a misdemeanor
within the past 5 years (other than a first conviction for
any of the following misdemeanors: drunkenness, simple assault, speeding,
minor traffic violations, affray or disturbance of the peace)?
|It is the policy of LVR Corp. not to allow employees to use
tools and equipment that they are not qualified to use. Safety is our first
Please indicate below the tools and equipment on which you have
had training or are licensed to operate.
Do you have a valid driverís license?
Do you have a criminal record?
Do you have any physical limitations?
It is LVR's policy that all vehicles and equipment that become unsafe to
use are reported immediately and not used until repaired. All damaged vehicles
and equipment must be reported in job logs. It is also company policy that every
field employee wears a hard hat and safety goggles on the job site.
employee of LVR Corp., I understand that in order to drive any of LVR's
vehicles, I am required to have a valid driver's license.