2836 Clovis Rd, Lubbock, TX 79415    
(806) 771-6440

West Materials Application

let's build something

together

Online Application

Please enter your information below, we will not ask for sensitive information online, but ask that you be prepared to do so on coming in to our office for an interview.


Personal Information

Your Name
Date
Phone #
Message #
Your Email (if available)
Date Available for Work
Wage Requested
Willing to travel?
Special licenses:


Education

High School
Relevant Courses
Diploma


College
Degree
Relevant Courses


Trade/Business School
Certification
Relevant Courses
Other Training
Work Experience and Special Skills

Former Employers

Starting with the most recent

Former Employer 1
Date Hired
Date Left
Rate of Pay
Position
Reason for Leaving


Former Employer 2
Date Hired
Date Left
Rate of Pay
Position
Reason for Leaving


Former Employer 3
Date Hired
Date Left
Rate of Pay
Position
Reason for Leaving


References

Known for at least 1 year

Name
Address
Phone #


Name
Address
Phone #


Name
Address
Phone #

Do you have any limitations which would prohibit you from performing any task? If yes, Please explain:

Resume

If applicable

Drug Screen Policy Initial Hire: New hires are required to take a drug screen. If you are found to be positive, you will not be hired. Probable Cause: If you are suspected of drug use or sales, you will be required to take a drug test. If the results are positive, you will be required to pay for the test, and may be terminated. Injury: If you are injured on the job and have to seek medical attention, you will be required to take a drug test. If the results prove to be positive, you are responsible for the payment of the drug test, and may be terminated. Refusal: Refusal to take a drug test under any circumstances may result in immediate termination.

You will be required to sign an employment contract again outlining the above.

I have read and understand the Drug Screen Policy and agree to the conditions.

I have the read Safety Statement and agree to the conditions.

I have read the Code of Conduct and agree to the conditions.

I certify that my responses above are true and complete. I understand that the West Materials, LLC will rely on this information. Untrue or incomplete response may disqualify me from collecting workman’s compensation benefits for later, related on-the job injuries and may be grounds for discharge.

I authorize West Materials, LLC to obtain information from any prior employer regarding me, and I release West Materials, LLC and all prior employers from liability arising from the release of information about me.

Signature (please enter your intials)
Date