Skip to content
Call Us:
814-652-9129
Email Us:
info@cottlesinc.com
8:00 AM - 4:30 PM
Monday - Friday
REQUEST A QUOTE
Toggle Navigation
Home
Our Services
Highway/Municipal/Commercial and Residential Paving
Highway/Municipal/Commercial and Residential Bridge Structures
Large Site Development and Excavation
Milling Services
Drilling and Shoring
Storm Water Piping and Retention Ponds
Small Crane Services
Concrete Work/Curbs/ADA Ramps/Flat/Structural
Design Build and Permitting
Company History
Our Work
Employment Opportunities
Contact Us
Application of Employment
Please enable JavaScript in your browser to complete this form.
Date
*
Name
*
First
Last
Social Security #
*
Phone
*
Cellphone
*
Address
*
City/State/Zip
*
Position Applied For
*
Date Available
*
Wages Desired
*
What skills do you have or what machinery can you operate related to the job you are applying for?
*
If hired, can you provide proof of U.S. citizenship or proof of your legal right to work in the U.S.?
*
Yes
No
Are you able to perform all of the essential functions of the job for which you are applying with or without reasonable accommodation?
*
Yes
No
If hired, are there any accommodations the company would need to provide so that you can perform all those essential functions and duties of the position being applied for?
*
Yes
No
If yes, please explain:
*
Employment History (Start with most recent employer)
*
**Name/Address, Position/Type of work performed, Start Date, End Date, End Wage, Reason for Leaving
Educational Background
*
**High School, College, Other. Please list Name, Location, years completed, and if graduated. Also, list course of study.
References (Please provide three references, not related to you, who have knowledge of your qualifications for the job you are applying for.)
*
**Please list Name, Address, Phone, and Relationship
If driving is a requirement of the position applied for, have you in the last 5 years been convicted of Driving Under the Influence "DUI"?
*
Yes
No
N/A
If driving is a requirement of the position applied for, please provide PA License Class, Endorsements, and Dr. License #:
*
If hired, do you have a reliable means of transportation to and from work?
*
Yes
No
APPLICANT STATEMENT
I understand and agree that if I am employed, my employment will be "at-will", which means that the Company may terminate the employment relationship at any time, with or without cause and with or without notice. I understand that the use of illegal durgs is prohibited during employment. I may be requried to successfully pass a drug and alcohol screening examination prior to being hired, and I consent to taking a drug and alchohol test at any time during my employment, should I be hired. I certify that all information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at any later date.
Name
*
First
Last
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Date
*
EEO INFORMATION
It is the policy of Cottle's Asphalt to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, sex, age, veteran status or disability. Various agencies of the government require employers to invite applicants to identify themselves. COMPLETION OF THIS FORM IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR APPLICATION FORM.
Gender
Male
Female
Declined to State
Race/Ethnicity:
American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American
Hispanic or Latino
White
Decline to State
Definitions of Ethnicity Categories
How did you learn of this job posting?
Walk In
Cottle Employee Referral
PA Career Link
Newspaper Advertisement
Other
If Newspaper Advertisement, Please give Name of Newspaper
If Other, Please explain
Comment
Submit
×
Type to search
Search