Job Application — M&M Transport Services

Applicant Information

Name

First Name

Last Name

Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Residence Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Telephone Number

Include Area Code

(###)

###

####

Secondary Telephone Number

Include Area Code

(###)

###

####

Email Address

ARE YOU A UNITED STATES CITIZEN OR AN ALIEN LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES?

In accordance with the Immigration Reform and Control Act of 1986, all offers of employment are conditional upon proof of the applicant’s identity and legal ability to work in the United States.

Yes

ARE YOU LOOKING FOR PART-TIME OR FULL-TIME WORK?

FULL-TIME

PART-TIME

If Employed, on What Date Would You Be Available For Work?

YYYY

DO YOU SPEAK ANY OTHER LANGUAGES?

YES

LIST IF APPLICABLE TO POSITION REQUESTED

DO YOU HAVE ANY RELATIVES CURRENTLY EMPLOYED BY M&M EXCAVATING AND LANDSCAPE SERVICES, LLC?

Yes

IF YES, PLEASE STATE THE RELATIVE’S NAME(S):

IF NECESSARY, CAN YOU FURNISH PROOF OF AGE?

State and federal law impose minimum age requirements for employment. If an offer of employment is made, it will be subject to verification that the applicant’s age meets the legal requirements.

Yes

HAVE YOU APPLIED HERE BEFORE?

Yes

If YES, WHEN:

WERE YOU EVER EMPLOYED HERE?

Yes

IF YES, WHEN:

ARE YOU WORKING MORE THAN ONE JOB?

Yes

If Yes, Explain:

ARE YOU WILLING TO TRAVEL IF REQUIRED?

Yes

If yes, up to __%

Have you ever been convicted or found guilty by any court of any felony offense or any gross misdemeanor or simple misdemeanor offense other than a minor traffic offense?

(Driving a vehicle while intoxicated or under the influence of alcohol or drugs, or reckless driving, are NOT considered to be "minor traffic offenses".)

Yes

No (Convictions do not necessarily disqualify you from employment.)

IF YES, PROVIDE ALL DATES, LOCATIONS, AND NATURE OF ANY CONVICTIONS.

HAVE YOU EVER BEEN FIRED OR ASKED TO RESIGN FROM ANY PREVIOUS EMPLOYMENT?

Yes

If Yes, Please Explain:

Education

High School Name

Major / Diploma

Graduated

Yes

College Name

Major / Diploma

Graduated

Yes

Trade Name

Major / Diploma

Graduated

Yes

Employment History

Current Employer Name

Position Title

Current Employer Address

Job Duties

Reason for leaving

May We Contact This Employer

Yes

Supervisor Name

First Name

Last Name

Supervisor Phone Number

(###)

###

####

Date Hired

YYYY

Date Left

YYYY

Previous Employer Name

Position Title

Previous Employer Address

Job Duties

May We Contact This Employer

Yes

Supervisor Name

First Name

Last Name

Supervisor Phone

(###)

###

####

Date Hired

YYYY

Date Left

YYYY

Professional References

Reference #01 Name

First Name

Last Name

Occupation

Phone Number

(###)

###

####

Reference #02 Name

First Name

Last Name

Occupation

Phone Number

(###)

###

####

Professional Experience

AFFIDAVIT – PLEASE READ CAREFULLY

APPLICATIONS WILL BE KEPT UNDER ACTIVE CONSIDERATION FOR ONE (1) YEAR. PLEASE READ CAREFULLY BEFORE SIGNING. IF YOU DO NOT UNDERSTAND ANY OF THE FOLLOWING, PLEASE ASK FOR ASSISTANCE. Any applicant will be immediately rejected for employment or, if hired, dismissed without notice for giving false information in this application or failing to accurately provide information requested. • I have truthfully disclosed all information requested in this application. • I understand that it is the policy of M&M Transport, LLC that all employees are employed at the will of both the employee and M&M Transport. This means the employee may quit at any time, for any reason or no reason, with or without notice. Similarly, M&M Transport may terminate employment at any time, for any reason, or no reason, with or without notice. There is no contractual promise or legal requirement by either the employee or the Company that employment will be for any set period. Nor is there any contractual promise or legal requirement that employment will be terminated only under particular circumstances, under a particular procedure, or with a particular type of notice. Any exception to this policy of employment-at-will may only be made in writing and signed by the owner. This policy is not modified by any statements, express or implied, contained in any employment handbook, application, memoranda, policy, manual or procedures, or any other materials provided to applicants or employees in connection with their employment. Nor is this policy modified by any oral statements or conduct, expressed or implied. This policy supersedes any and all written, oral, or implied representations that are in any way inconsistent with it. • I understand that it is also the policy of the Company to provide equal opportunity and equal treatment for all employees and applicants, regardless of race, religion, color, sex, national origin, disability, pregnancy, sexual orientation, veteran status, gender identity or any other basis prohibited by law. This policy applies to all terms, conditions, and privileges of employment including, but not limited to, recruitment and hiring, opportunities for advancement, participation in training programs, wages, salaries, or benefits. We strongly encourage qualified individuals to apply for any available position with the Company. An effective equal opportunity in employment program cannot be achieved without the support of employees at all levels. Any employee who believes they may be a victim of prohibited discrimination must report the allegation of discrimination to their immediate manager or supervisor. • I authorize contact with any person or entity named in this application and any other person or entity who may have knowledge concerning my past and I authorize all those who are acquainted with me, including, but not limited to previous employers, references, and law enforcement agencies asked to provide a record of criminal history in accordance with Nevada State law, to furnish any and all information they may have concerning me which may be material to my qualifications for the job for which I have applied. • I hereby fully release my prospective employer, its agents and any person or entity that provides or receives information pursuant to this application from any and all liability and any damage which may arise there from. • I understand that it is also the policy of M&M Transport to ensure that client information and M&M Transport information shall be and is considered confidential. All employees have an obligation to respect and protect the confidentiality of such information. This obligation by all employees continues even after termination of employment.

Drug Testing Program

NOTICE TO APPLICANTS M&M Transport has a vital interest in maintaining safe, healthy, and efficient working conditions for its customers and employees. Using or being under the influence of drugs and/or alcohol on the job may pose serious safety and health risks not only for the user, but to the public and all those who work with the user. The possession, use or sale of an illegal drug or controlled substance may also pose unacceptable risks to safe, healthful, and efficient operations. To meet this compelling interest, individuals who wish to be considered for employment must agree to PRE- PLACEMENT DRUG TESTING AND DRUG AND ALCOHOL TESTING DURING EMPLOYMENT. By completing and signing this Notice and the attached Application of Employment, the applicant understands and agrees to submit to drug testing as a condition of our employment offer as well as to alcohol and drug testing during the course of employment. The applicant further understands and agrees to release M&M Transport and its directors, officers, agents, employees, parents, subsidiaries, and affiliated concerns from any and all liability, claims, demands, damages and causes of action of every kind and nature arising out of or resulting from or in connection with submitting to drug and alcohol testing and any decision concerning employment made by M&M Transport, in whole or in part, based upon the results of drug and alcohol testing. Submission of an altered or adulterated specimen or the substitution of a specimen by the applicant will result in a withdrawal of the employment offer. Any applicant who is unwilling to agree to these conditions should not apply for employment with M&M Transport.

Thank you! One of our administrators will be in touch.

APPLICATION FOR EMPLOYMENT

Please complete the form below

M&M TRANSPORT