Application form

Connell Resources, Inc. hires lawful workers.

According to the United States Citizenship and Immigration Services (USCIS) and the Department of Homeland Security (DHS), we E-Verify all employees – without discrimination.

Federal immigration law requires all employers to complete Form I-9 (Employment Eligibility Verification) to document verification of the identity and employment authorization of each new employee (both citizen and non-citizen) hired after November 6, 1986 to work in the United States.

For additional information, contact:
Department of Homeland Security
USCIS
(888) 464-4218
www.uscis.gov

Connell Resources, Inc. has determined employees may be exposed to the hazards associated with crushing toe injuries while performing job tasks associated with field positions.

It is the policy of Connell Resources, Inc. that all employees who work on or who will enter a location with construction activity, including shop buildings, asphalt plants and aggregate mine locations wear safety-toe footwear that meets the requirements as listed under the American National Standards Institute (ANSI) or the American Society for Testing Materials (ASTM).

If you are offered employment with Connell Resources, Inc., it shall be your responsibility to have safety-toe footwear that extends over the ankle for support and that meet the ANSI or ASTM requirements. Boots meeting these requirements will be marked on the tag inside the tongue of the boot with I/75, C/75, or F2413.

Connell Resource, Inc. does offer a safety-toe footwear reimbursement payable after 60 days of initial employment and annually thereafter and only with original receipt of purchase. Reimbursement amounts are limited to 50% of the cost of the footwear, up to a maximum reimbursement amount of $100.00 per year.

Name Of Employer
Name of Employer:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Telephone Number
Supervisor’s Name
Dates Employed
Start
MM slash DD slash YYYY
End
MM slash DD slash YYYY
Position/ Duties
Construction
- Yes
- No
Reason for Leaving
Name of Employer
Name of Employer:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Telephone Number
Supervisor’s Name
Dates Employed
Start
MM slash DD slash YYYY
End
MM slash DD slash YYYY
Position/ Duties
Construction
- Yes
- No
Reason for Leaving
Name Of Employer
Name of Employer:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Telephone Number
Supervisor’s Name
Dates Employed
Start
MM slash DD slash YYYY
End
MM slash DD slash YYYY
Position/ Duties
Construction
- Yes
- No
Reason for Leaving

Truck Driver Application
1. Do you have a current Medical Examiner's Certificate (Health Card)?
- Yes
- No
2. Do you have a current Certification of Road Test Card (Driver's Certification Card)?
- Yes
- No
3. Do you have a copy of your present driving record? (If yes, please attach.)
- Yes
- No
Max. file size: 32 MB.
NOTE: All employees are subject to a driving record search. A satisfactory driving record is a prerequisite for employment at Connell Resources, Inc.

CERTIFICATION AND RELEASE:
I certify all statements, information, and documents provided with this application are true, complete, and correct to the best of my knowledge and are made in good faith. I understand that omissions, misleading, false, or untrue information, or any attempt at fraud or deceit in any manner connected with this application and subsequent testing may result in my NOT being considered for jobs with Connell Resources, Inc., and may constitute grounds for discipline and/or termination after hire; and/or may constitute grounds for further actions pursuant to law. If requested, I can and will supply documentation that will confirm that the entries made on this application are true, complete, and correct.
I authorize Connell Resources, Inc., and/or its agents including consumer reporting bureaus to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information.
I recognize Connell Resources, Inc. requires post offer background checks, pre-employment drug testing, physical screening and lift evaluation (with reasonable accommodations) to determine my ability to perform the required functions of the job. I acknowledge Connell Resources, Inc. has a legitimate business reason to require testing of applicants and a background check as part of their hiring process.
I specifically consent to such controlled substance and physical tests as Connell Resources, Inc. may deem advisable in connection with the hiring process and authorize the release of all test results to Connell Resources, Inc. I acknowledge I will be responsible for paying the cost associated with the drug testing. Payment for drug testing will be due at the time testing is being conducted and payable to the facility conducting the test. I agree to have the pre-employment testing performed at the facility designated by Connell Resources, Inc. Information regarding location for this facility and time of my appointment will be provided should I be offered employment.
I acknowledge failure to achieve affirmative results of these evaluations and tests, in Connell Resources, Inc., sole opinion, shall be reasonable grounds for denying or terminating my employment. In the event that I cannot meet the performance evaluation requirements for the position applied for, I may reapply for another position within the Company; however, the Company is in no way obligated to retain me for such other position.
I understand Connell Resources, Inc. has in effect a Drug-Free Workplace Policy. Upon request, a copy is available to me prior to accepting employment. I understand, in the event I am hired, I will be required to sign and abide by the Drug-Free Workplace Policy as a condition of my employment.
I understand that if I am hired, I will enter into an employment relationship with Connell Resources, Inc. voluntarily, and acknowledge that there is no specified length of employment. This document does not constitute a contract of employment, either expressed or implied.
SIGNATURE
DATE
MM slash DD slash YYYY
Thank you for applying. Due to the high volume of applicants, we are unable to respond to or interview each applicant. Those applicants who meet the qualifications for open positions will be contacted directly by the hiring managers. We do appreciate your time and interest in applying for employment with Connell Resources, Inc.

Connell Resources, Inc.

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