Employment Application - Maryland Construction

Pre-Screening Questions
Do not use the "Back" button on your computer when completing the application. You will lose all your data!
Before you start entering your data, we recommend gathering your information such as employment history and name of references and contact information.
Gray & Son and Maryland Paving, Inc. are equal opportunity employers and do not discriminate on the basis of race, color, creed, religion, age, sex, sexual orientation, national origin, ancestry, marital status, veteran status, military status, physical or mental disability, genetic information, gender identity or expression, or any other category covered by applicable law.
If offered employment, would you be willing to complete a physical and drug screening?*
- Yes
- No
If offered employment, will you be willing to submit to a background check?*
- Yes
- No
Are you at least 18 years of age?*
- Yes
- No
Are you legally eligible for employment in the USA?*
- Yes
- No
State of Maryland Polygraph Law Pre-Screening Disclaimer: This disclaimer is required by the laws of the State of Maryland for all applicants for employment. Under Maryland Law an employer may not require or demand any applicant for employment, prospective employee, or any current employee, to submit to, or take, a polygraph, lie detector or similar test or examination as a condition of employment or continued employment. Any employer who violates this provision is guilty of a misdemeanor and subject to a fine not to exceed $100.
Anyone hired will need to provide proper documentation to prove you are eligible to work in the USA.
You have not verified and accepted all employment conditions, therefore your application cannot be submitted for consideration. Thank you for your interest in Gray & Son, Inc. and Maryland Paving, Inc.

Application for Employment
Personal
Name*
First Middle Initial Last
Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Cell Phone
Email*
Enter Email Confirm Email
Have you lived at your current address for less than 10 years?*
- Yes
- No
Previous Address*
Street Address Address Line 2 City State ZIP Code

Education
Starting with the most recent, list your Education history
Schools
Type of School
School Name
Did you graduate?
- Yes
Diploma / Degree
Course of Study
Remove SchoolAdd School

Training, Apprenticeship & Skills
Describe specialized training, apprenticeship, skills and any other training that you feel pertains to the position for which you are applying for:
If you are applying for an Equipment Operator position, list any types of equipment that you have experience operating (e.g. CASE580 Backhoe):

Personal References
List at least three references below, including name, address, phone number and relationship.
References
First Name
Last Name
Reference Phone
Relationship to Reference
Remove ReferenceAdd Reference

Employment History
This section must be completed even if a resume is provided. Beginning with the most recent, please list your present/last employer and all past employers, including military service.
Previous Employment
- I have no previous employment
Employment History
Current / Last Employer
Company Address
Street Address Address Line 2 City State ZIP Code
Company Phone
Type of Business
Start Date

Estimate the day
End Date

Estimate the day
Supervisor Name
First Last
Job Title
Description of Duties / Responsibilities
Reason for Leaving
Remove EmploymentAdd Employment

Verify & Submit
I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

All employees, contractors and lessees are required to adhere to all Gray & Son, Inc. and Maryland Paving Inc. policies including the Drug Free Workplace Policy. I understand that Gray & Son, Inc. and Maryland Paving, Inc. maintain a drug and alcohol free workplace and require a post-offer/pre-employment drug screen and physical exam as a condition of employment. I understand that if I do not complete the pre-employment testing, if I test positive, refuse to test or I submit an adulterated or substituted specimen, that I will not be considered for employment.

I authorize the laboratories, facilities, physicians, nurses and technicians contracted by Gray & Son, Inc. and Maryland Paving Inc. to collect the necessary specimens for the purpose of determining the presence or absence of controlled substances. I furthermore authorize the disclosure of the results of such testing only to the appropriate company officials. I understand that Gray & Son, Inc. and Maryland Paving Inc. are responsible for maintaining the confidentiality of all testing results.

In connection with my application for employment (including contract for services or volunteer services), consumer reports will be requested. These consumer reports may include the following types of information: names and dates of previous employers, salary, work experience, education, accidents, licensure, credit (except California), etc. I further understand that such reports may contain public record information such as, but not limited to: my driving record, workers’ compensation claims, judgments, bankruptcy proceedings, criminal records, etc., from federal, state and other agencies which maintain such records. In addition, investigative consumer reports as defined by the federal Fair Credit Reporting Act, gathered from personal interviews with former employers and other past or current associates of mine to gather information regarding my work performance, character, general reputation and personal characteristics, may be obtained.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that Gray & Son, Inc. and Maryland Paving, Inc. abide by an employment-at-will policy. As an employee-at-will either the employee or the employer may terminate the employment relationship at any time, for any reason, with or without notice. Additionally, nothing contained in this employment application and anything conveyed during an interview is intended to create an employment contract, implicit or implied. I also understand and agree that any future changes in duties, compensation, working conditions, benefits or company policies and procedures will not alter this at-will arrangement.

If I am applying for a position as a CDL or Non-CDL driver, I am required to possess a current and valid driver’s license at all times. I understand that any omission, misstatement or inclusion of false information on this application or any document used to secure employment with Gray & Son, Inc. or Maryland Paving Inc. shall be grounds for rejection of this application or discharge if I am employed regardless of the time elapsed before discovery.

I understand that this application remains current for only 60 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.
Agree to Terms*
- I Agree

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