Employment Application – MICHIGAN ASPHALT INC Thank you for your interest in joining Michigan Asphalt. Please complete all required fields below. PERSONAL INFORMATION Full Name Phone Number Email Address Address City State ZIP Are you legally eligible to work in the U.S.? YesNo Do you have a valid driver’s license? YesNo License Type CDL-ACDL-BStandard State of Issue Expiration Date RESUME Upload Resume (PDF, DOC, DOCX) POSITION INFORMATION Position Applying For Available Start Date Type of Work Desired Full-timePart-timeSeasonal How did you hear about us? WORK EXPERIENCE List your last three employers (most recent first): 1. Employer Company Name Position Held Employment Start Date Employment End Date Supervisor Name & Phone Reason for Leaving 2. Employer Company Name Position Held Employment Start Date Employment End Date Supervisor Name & Phone Reason for Leaving 3. Employer Company Name Position Held Employment Start Date Employment End Date Supervisor Name & Phone Reason for Leaving SKILLS & CERTIFICATIONS Equipment operated or administrative programs used Relevant certifications or training Special skills (grading, asphalt, soil stabilization, scheduling, etc.) I have experience working with an asphalt paving company AUTHORIZATION I certify that the information provided is true and complete. I understand that false or misleading information may result in disqualification or termination if hired. Signature (type your full name) Date
