Around Town Paving — Employment Application (Printable)

How to use this form: Print it, fill it out by hand in pen, and either (1) drop it off in person, or (2) email a clear photo or scan to [email protected]. We do not ask for Social Security numbers, dates of birth, driver's license numbers, or banking information on this application — only the basics needed to talk to you about a paving job.

1 · Applicant Information

2 · Position(s) You're Interested In

Asphalt Paving Crew Member Paver Operator Roller / Compactor Operator CDL Driver — Dump Truck Crew Foreman Seal Coating & Striping Tech Grading & Site Prep Crew Laborer / General Helper Other (write in below)

Available Start Date

Full-Time / Seasonal / Either

Reliable Transportation? (Y/N)

3 · Experience & Skills

Equipment You're Comfortable Operating (paver, roller, skid steer, dump truck, etc.)

Certifications / Training (OSHA 10, OSHA 30, flagger, first aid, asphalt-specific training, etc.)

Hold a current CDL (Class A or B) Willing to obtain a CDL Comfortable working in summer heat Able to lift 50+ lbs repeatedly Available for early morning starts Available for occasional Saturdays

4 · Recent Work History

Most Recent Employer

Company Name

Job Title

From (Mo/Yr)

To (Mo/Yr)

OK To Contact? (Y/N)

What You Did & Reason For Leaving

Previous Employer

Company Name

Job Title

From (Mo/Yr)

To (Mo/Yr)

OK To Contact? (Y/N)

What You Did & Reason For Leaving

Earlier Employer (Optional)

Company Name

Job Title

From (Mo/Yr)

To (Mo/Yr)

OK To Contact? (Y/N)

5 · Why Around Town Paving?

What kind of work do you want to do, and what makes you a good fit for our crew?

6 · Professional References

7 · Confirmation & Signature

I confirm the information on this form is accurate to the best of my knowledge. I understand Around Town Paving will only use this form to evaluate me for a paving position and to contact me about the role. I am at least 18 years old and legally authorized to work in the United States.

What we do NOT collect on this application: Social Security number, date of birth, driver's license number, bank or routing numbers, or copies of government-issued IDs. If we move forward with hiring, any documents required by federal law (such as Form I-9 verification) are handled in person — never on a printed application or web form.