Online application – Dixie Lime

Please fill out the form below. If you would prefer to download and fill out a PDF and send it directly via email, you can download the form and send a signed and completed copy to: info@bedrockresources.com.

** Please note: PDF emailed applications are processed faster and are the preferred method to apply.

Employment Application

Step 1 of 6

16%

Personal Information

Name(Required)

First Middle Last

Have you worked under any other name? If yes, indicate name.

Current Mailing Address(Required)

Street Address City State ZIP Code

Phone(Required)

Alternate Phone Number

Email(Required)

Place of Birth

Are you a United States citizen?

Yes

If not, are you legally eligible for employment in the USA?

Yes

Job Interests

Posted Position Applying For

Date you can start

MM slash DD slash YYYY

Minimum wage or salary required

Will you work overtime if necessary?

Yes

Weekends?

Yes

Shifts other than days?

Yes

If seeking less than full-time work, indicate the hours that you can work.

20 hours/week

25 hours/week

30 hours/week

Other (please indicate)

Education

High School

Name/Address of School

Dates Attended (From – To)

Course of Study

Did you graduate (Yes/No)

# of Yrs. Comp.

Type of degree/diploma

Business/Trade/Technical

Name/Address of School

Dates Attended (From – To)

Course of Study

Did you graduate (Yes/No)

# of Yrs. Comp.

Type of degree/diploma

Vocational School

Name/Address of School

Dates Attended (From – To)

Course of Study

Did you graduate (Yes/No)

# of Yrs. Comp.

Type of degree/diploma

College/University

Name/Address of School

Dates Attended (From – To)

Course of Study

Did you graduate (Yes/No)

# of Yrs. Comp.

Type of degree/diploma

Other

Name/Address of School

Dates Attended (From – To)

Course of Study

Did you graduate (Yes/No)

# of Yrs. Comp.

Type of degree/diploma

Experience/Training

Dragline

Yes

How many years?

What types or models?

Bulldozer

Yes

How many years?

What types or models?

Excavator

Yes

How many years?

What types or models?

Loader

Yes

How many years?

What types or models?

Grader

Yes

How many years?

What types or models?

Complete for secretarial/clerical positions only

Can you type?

Yes

Words per minute

Can you take shorthand?

Yes

Words per minute

Computer Experience?

Yes

What equipment?

What software?

Spreadsheet

Statistical

Word Processing

Database

Accounting

Other

Additional Employment Questions

Are you on layoff and subject to recall?

Yes

Can you travel if the job requires it?

Yes

Have you ever served in any branch of the US Military?

Yes

If yes:

Dates of service

Where you served

Type of discharge

Have you ever filed an application here before?

Yes

Have you ever worked at Bedrock Resources?

Yes

If yes, indicate last position & dates of employment

Do you have any relatives or close friends employed at either company?

Yes

If yes, indicate name, department, & relationship.

Have you been convicted of a crime within the last 7 years?

(A conviction will not necessarily bar you from employment)

Yes

If yes, explain.

Are you currently or have you been under any injunction or Court Order of any type, including but limited to domestic violence, restraining order, risk protection order or injunction for repeat violence?

Yes

If yes, please describe in detail

Have you received any traffic citations within the last seven (7) years?

Yes

If yes, please describe in detail

Has your driver’s license or privilege to operate a motor vehicle ever been suspended or revoked?

Yes

If yes, please describe in detail and provide the dates and basis for suspension or revocation and jurisdiction

Have you ever been terminated or asked to resign from any employment or job?

Yes

If yes, please describe in detail

Are you able to perform the essential duties of the job for which you are applying with or without reasonable accommodations?

Yes

(You are not required to disclose information about physical or mental limitations that you believe will not interfere with your ability to do the job. However, if you want us to consider special arrangements that you may require, you may identify your physical or mental impairment in the space below and suggest the kind of accommodation that you believe would be appropriate.)

Do you have a current legal Florida drivers license?

Yes

If Yes, indicate class

License Number

Endorsements

List all special or technical training

Are you at least 18 years of age?

(If not, a work permit must be provided if you are offered employment.)

Yes

Employment History

Starting with your present or most recent employment, list your last three employers. Include self-employment, summer, and part-time jobs.

Employer Name

Telephone Number

Street Address/City/State/Zip

Dates Employed (Month/Year)

From – To

Supervisor's Name & Title

Hourly Pay (Start & End)

State Job Title & Describe Work

Reason for leaving

May we make inquiries of this employer?

Yes

Employer Name

Telephone Number

Street Address/City/State/Zip

Dates Employed (Month/Year)

From – To

Supervisor's Name & Title

Hourly Pay (Start & End)

State Job Title & Describe Work

Reason for leaving

May we make inquiries of this employer?

Yes

Employer Name

Telephone Number

Street Address/City/State/Zip

Dates Employed (Month/Year)

From – To

Supervisor's Name & Title

Hourly Pay (Start & End)

State Job Title & Describe Work

Reason for leaving

May we make inquiries of this employer?

Yes

References

List three personal references that are not related to you and who may have knowledge of your qualifications

Name

Address

Phone Number

List three personal references that are not related to you and who may have knowledge of your qualifications

Name

Address

Phone Number

List three personal references that are not related to you and who may have knowledge of your qualifications

Name

Address

Phone Number

I understand that, in accordance with Florida Statute 443.131(3)(a)(2), if hired, I will be placed on a 90-day probationary period. I further understand and agree that if I am terminated for unsatisfactory work performance within the 90-day probationary period, that the employer is not responsible for unemployment benefits and they will not be charged against the employer.(Required)

I understand and agree.

I understand and agree that all policies, procedures and the employee handbook maybe modified, amended or deleted by the Companies with or without notice to me of such amendment, modification, or deletion. I further understand and agree that the policies and procedures are not intended to be a contract of employment nor do they give me any right of continued employment; and that my employment may be terminated at my option or at the option of either Company with or without cause or with or without notice by either party. I further understand that there are no other arrangements, agreements, or understandings regarding the terms of employment. There may be no amendments or exceptions to this statement unless they are in writing.(Required)

I understand and agree.

I understand that the Company will be obtaining a full background investigation and agree to fully cooperate and provide whatever documents and information that they deem necessary. I also understand that if I am hired, that the Company, in its sole discretion, may periodically conduct an updated or new background investigation and further authorize them to obtain additional documents and information that they deem necessary.(Required)

I understand and agree.

Further, If any of the information or documents previously provided to the Company in the application for employment or otherwise changes in any way, I hereby promise to provide the Company at all times during my employment all updated, amended and/or new information within ten (10) days of the change, including but not limited to arrests or convictions for any crime, traffic violation(s), contact information and involvement in any incidents or acts of violence.(Required)

I understand and agree.

I acknowledge and certify that all the information, oral and written, and documents provided are true and accurate to the best of my knowledge and belief. I understand that providing false, inaccurate, incomplete or misleading information in my application, anytime thereafter or failure during my employment to provide all updated, amended and/or new information within ten (10) days of the change, will be the basis for rejection of my application, or if employed, immediate termination.(Required)

I understand and agree.

I authorize the Company or its representatives to contact current or former employers, educational institutions, credit reporting agency(s) and references in reference to my employment, education and fitness for employment. I authorize the release of any and all information that is available from current or former employers, educational institutions, financial institutions, credit reporting agencies and references. Further, I hereby release and agree to hold harmless and fully indemnify them and the Company from any and all liability related to the release and/or use of such information.(Required)

I understand and agree.

If hired as an employee, I understand that employment is "at-will" and that either I or my employer will be able to terminate employment at any time, without cause or any notice. I also understand that my employer has the full right and sole discretion to alter or vary the nature of my employment, including but not limited to the hours, schedule, days, pay, compensation of any type, benefits and job responsibilities.(Required)

I understand and agree.

Signature(Required)

Please sign with your smart device or your mouse

Date

MM slash DD slash YYYY