Employment

Click here to download/view LRM Concrete employment application form.

Step 1 of 5

Applicant Instructions
If you need help filling out this application form or for any phase of the employment process, please contact us and every effort will be made to accommodate your needs in a reasonable amount of time.
1. Please read "APPLICANT NOTE" below.
2. Complete the form.
3. If more space is needed to complete any question, use comments section at the bottom of page.
4. Please type "NOT APPLICABLE" if not answering a question
5. Provide only requested information. Failure to do so may result in disqualification of your application
Position Applying For*
Name*
First Last
Email*
Phone*
Current Address*
Street Address Address Line 2 City State ZIP Code
Prior Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Applicant Note
This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination based on sex, marital status, race, color age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of a guide or support animal because of blindness, deafness or physical handicap, or the presence of disabilities. A conviction will not necessarily bar an applicant from employment. Additional testing of job-related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you may be required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.

Previous Employers
PLEASE NOTE: Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. Ask for a phone book or call information if necessary. FOR EMPLOYERS OUTSIDE THE U.S., A CURRENT FAX NUMBER IS MANDATORY.
Most Recent Employer
Are you currently working for this employer?
- Yes
- No
If yes, may we contact?
- Yes
- No
Company 1 - Name
Company 1 - City, State
Company 1 - Phone
Company 1 - Fax
Company 1 - Employed From Date
Company 1 - Employed To Date
Company 1 - Job Title
Company 1 - Supervisor Name
Company 1 - Duties
Company 1 - Salary

Please specify hour, week or month
Company 1 - Reason for Leaving
Second Most Recent Employer
Company 2 - Name
Company 2 - City, State
Company 2 - Phone
Company 2 - Fax
Company 2 - Employed From Date
Company 2 - Employed To Date
Company 2 - Job Title
Company 2 - Supervisor Name
Company 2 - Duties
Company 2 - Salary

Please specify hour, week or month
Company 2 - Reason for Leaving
Third Most Recent Employer
Company 3 - Name
Company 3 - City, State
Company 3 - Employed From Date
Company 3 - Employed To Date
Company 3 - Job Title
Company 3 - Phone
Company 3 - Fax
Company 3 - Supervisor Name
Company 3 - Duties
Company 3 - Salary

Please specify hour, week or month
Company 3 - Reason for Leaving

References
Include only individuals familiar with your work ability. Do not include relatives or names of supervisors listed above.
R1 - Name*
R1 - Address/Phone*
R1 - Yrs Known/Relationship*
R2 - Name*
R2 - Address/Phone*
R2 - Yrs Known/Relationship*
Education
NOTE: Do not fill out any part of this section you believe to be non-job related.
Please select the highest grade completed
If you school records are under a different name than listed, please enter that name
High School
High School - Name
High School - City, State
High School - Graduated
- Yes
- No
College
College - Name
College - City, State
College - Graduated
- Yes
- No
College - Degree Type
Other Education
Other - Name
Other - City, State
Other - Graduated
- Yes
- No
Other - Degree Type

Certification and Release
I certify that I have read and understand the applicant note on page this form and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time during my employment. I authorize the company and/or its agents, including consumer reporting bureaus, to verify any of this information. I authorized all former employers, person, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
Enter electronic signature by typing your name
Date
MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Step 1 of 5

Applicant Instructions

Applicant Note

Availability

Job-Related Skills

Security

Comments

Previous Employers

Most Recent Employer

Second Most Recent Employer

Third Most Recent Employer

References

Education

High School

College

Other Education

Certification and Release

Loveland Ready Mix

Johnstown Ready Mix

Boulder Ready Mix