Employment Opportunities

Current Openings

Currently Hiring for the following positions:

CDL A/B Drivers

Trackmen

Employment Opportunities

R.W. SUMMERS RAILROAD CONTRACTOR, INC. APPLICATION FOR EMPLOYMENT

"*" indicates required fields

Date*

Name*

Last : First: Middle Initial:

Address*

Street: City: State: ZIP Code:

Home Phone*

Cell Phone:*

Date of Birth*

(The Age Discrimination in Employment Act of 1978 prohibits discrimination based on age with respect to individuals who are at least 40 but less than 70 years of age.)

List Former Employments:*

Name of Company

Occupation

Dates of Employment

Rate of Pay/Salary

Reason for leaving last Employer:*

Explain Type of work you are best suited to do:*

Position Desired with this Company:*

Rate of Pay Desired:*

Date Available to Start:*

Remarks:

EDUCATION: (Circle last completed level of education )

Elementary School

Junior High School

Grade 7

Grade 8

Grade 9

High School

Grade 10

Grade 11

Grade 12

College

College Major

Vocational / Technical School(s)

Apprenticeship(s)

Trade

Number of Years

Other Education

Are you willing to travel intrastate with this company?*

Yes

Are you willing to travel and work on out of state jobs?*

Yes

Do you have a valid drivers license?

Yes

If yes, What State:

Driver's License Number:

Type:

Class A CDL

Class B CDL

Class C CDL

Class D CDL

Class E Safe Driver

Do you understand and agree to wear and maintain clothing in good repair, steel-toe safety shoes, hard safety hat, gloves and safety glasses?*

Yes

Have you been arrested?

Yes

Are you currently on probation?

Yes

Record of Military Service*

Record of Convictions*

(Note : A dishonorable discharge is not an absolute bar to employment. Other factors will affect a final decision to hire or not to hire. )

(Note : A Conviction record will not necessarily be a bar to employment. Factors such as act & time of the offense, seriousness, and nature of the violation and rehabilitation will be considered. )

List all the States and Countries that you have lived in for the last 7 years:

State

Countries

References

Name

Address

Phone Number

Who can vouch for your character and ability (three names, not including former employees, relatives, or employees of the company.)

I hereby certify the information, given to with, is correct, true, and accurate to the best of my knowledge and I authorize you to verify all information submitted. Furthermore, I understand I will be discharged or disqualified for employment should any information provided be false or incomplete.

Applicant Name Printed*

Applicant Signature*

Date*

R.W. SUMMERS RAILROAD CONTRACTOR, INC.

MOTOR VEHICLE REPORT CONSENT FORM

I understand that submission to running an MVR (Motor Vehicle Report) is a condition of employment with R.W. Summers Railroad Contractor, Inc. I further understand that if I refuse consent for R.W. Summers to obtain an MVR, that it could mean refusal of employment and/or discharge may result.

In accordance with the FAIR CREDIT REPORTING ACT, R.W. SUMMERS RAILROAD CONTRACTOR INC. (hereinafter "Company") certifies that for each motor vehicle report it requests, the information contained therein shall be used solely for "employment purposes" as that is defined in the Fair Credit Reporting Act, 15 U.S.C. 1681-1681u, involving the driver and that it has a written authorization of the driver on file. A motor vehicle report will be considered used for an "employment purpose" if it is used to evaluate a driver for the purpose of employment, promotion, reassignment, or retention as an employee.

By signing and dating this form, I consent to the Company obtaining an MVR report.

Employee Print Name*

Date*

Employee Signature*

Witness Print Name*

Date*

Witness Signature*

I hereby refuse to consent to the company obtaining all MVR report.

Employee Print Name*

Date*

Employee Signature*

Witness Print Name*

Date*

Witness Signature*

R.W. SUMMERS RAILROAD CONTRACTOR, INC.

DRUG TEST CONSENT AGREEMENT

I understand that submission to testing for the presence of drugs and alcohol is a condition of employment with R. W. Summers Railroad Contractor, Inc. I further understand that (1) if I refuse to take the test(s), (2) if I refuse to authorize release of the test results to the Company, or (3) if the test results establish a violation of the Company's policies concerning drug and alcohol use, disciplinary action up to and including discharge may result. In addition, I understand. that if I am injured during the course and scope of my job and have positive drug test result or refuse to be drug tested, I will forfeit my Workers' Compensation medical and indemnity benefits upon exhaustion of the procedures in Florida Statutes 440.102(5).

By placing my initials in the blanks below, and by signing and dating this form, I consent to take the test(s) and authorize release of any test results to the Company. I understand that I may be placed on suspension pending result of said test(s). I understand that should my test results be confirmed positive, I will be subject to disciplinary action up to and including discharge for cause or in the case of a post-job offer pre-employment positive test result I will be denied employment and be required to pay the cost of the test.

By signing this form, I hereby release to the Company and the Medical Review Officer the results of the test(s) to which I have consented. I further authorize the Company to discuss the result with the Medical Review Officer, medical personnel/physician collecting the specimen, the testing facility, its directors, officers, agents, and employees responsible for administering the aforementioned test(s) of evaluating the result thereof. I understand that the test results can be used as a defense to any civil or administrative legal action to which I am a party. I understand that a positive drug test result may be raised by the Company as a defense to any claims for unemployment compensation benefits which I may have, and I further waive any privilege I may have and agree that the results of any drug test may be used in evidence in any unemployment benefits claim proceedings.

I further release any testing facility and/or any physician who has tested me from any liability arising from the disclosure of any and all results, written reports, medical records, arid data concerning my test(s) to the designated Company officials.

Employee Print Name*

Date*

Employee Signature

Witness Print Name*

Date*

Witness Signature*

I hereby refuse to consent to testing for the presence of alcohol and/or drugs and I understand by doing so I am in violation of the company's Drug Free Workplace Policy.

Employee Print Name*

Date*

Employee Signature*

Witness Print Name*

Witness Signature*

Phone

This field is for validation purposes and should be left unchanged.