Strickler Excavating Employment Application

Personal Information

Yes No

Emergency Contact:

Yes No
Yes No
Yes No
Yes No
Yes No

Physical History


Type of School Name of School Years Completed Location Major/Degree
High School
Trade School
Military Exp.

Driving Experience

  Type of Equipment No. of Years (From M/Y) to (M/Y) State
Power Equipment
Straight Truck
Tractor Trailer

Accident Record (last 3 years)

Date Nature of Accident No. of Injuries No. of Fatalities

Traffic Violations (last 3 years)(other than parking)

Date State Charge Penalty Commercial Vehicle or Automobile


Start with most recent

Yes No

Yes No

Yes No


  Name Position Company Name/Address Phone Number Phone Number 2


I certify that all information on this application is accurate and complete to the best of my knowledge and understanding that misleading or false statements will constititute sufficient cause for refusal of hire or terminiation of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Strickler excavating, Inc. creates an actual or implied contract of employment. I understand that if I accept employment with Strickler Excavating, Inc. it will be on an at-will basis. This means that either Strickler Excavating, Inc. or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing if requested by Strickler Excavating, Inc. and release Strickler Excavating, Inc. and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Strickler Excavating, Inc. to investigate information concerning my education, credit history, employment experiences, and all other aspects of my background relevant to my proposed employment. I release Strickler Excavating, Inc. and its employees from all liability arising from such investigation.