Application

 

Applicant Information

First Name
Middle Name
Last Name
Phone*
Email*
Date of Birth
Date of Application
Position Applied For
Date Available for Work
Do you have the legal right to work in the United States?
YesNo

Previous Three Years Residency

Current Address
Mailing Address
Previous Address
Previous Address
Previous Address

License Information

State
License #
Type/Class
Endorsements
Expiration Date
Previously Held Licenses
State
License #
Type/Class
Endorsements
Expiration Date
State
License #
Type/Class
Endorsements
Expiration Date

Driving Experience

Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
Date From
Date To
Approx Number of Miles
Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
Date From
Date To
Approx Number of Miles
Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
Date From
Date To
Approx Number of Miles
Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
Date From
Date To
Approx Number of Miles
Class of Equipment
Type of Equipment (Van, Tank, Flat, Etc.)
Date From
Date To
Approx Number of Miles

Accident Record

Accident History
Please include Dates, a description, if there were any injuries/fatalities, and if there was a chemical spill.
Traffic Convictions and Forfeitures for the past 3 years. (Not including Parking Vilations)
Please include Date of Conviction, Violation, State it occured in, and the penalty.
Have you ever been denied a license, permit, or privilege to operate a motor vehicle?
YesNo
If yes, Explain
Have you ever had a license, permit, or privilege be suspended or revoked?
YesNo
If yes, Explain

Employment History

Current Employer
Name
Phone
Position Held
From
To
Reason for Leaving
Salary
Explain any Gaps in Employment
While employed here were you subject to the Motor Carrier Safety Regulations?
YesNo
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?
YesNo
Previous Employer
Name
Phone
Position Held
From
To
Reason for Leaving
Salary
Explain any Gaps in Employment
While employed here were you subject to the Motor Carrier Safety Regulations?
YesNo
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?
YesNo
Third Employer
Name
Phone
Position Held
From
To
Reason for Leaving
Salary
Explain any Gaps in Employment
While employed here were you subject to the Motor Carrier Safety Regulations?
YesNo
Was the job designated as a safety-sensitive function in any Department of Transportation-regulated mode subject to alcohol and controlled substances testing as required by 49 CFR, part 40?
YesNo

Edcuation History

High School
College
Other

By submitting this form, you are authorizing us to make investigations (including contacting current and past employers) into you personal, employment, financial, medical history, and other related matters as may be necessary in arriving at an employment decision. You hearby release employers, schools, health care providers, and other persons from all liability in responding to inquires and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the company.

I understand that the information the information I provide regarding my current and/or prior employees may be used, and those employer(s) will be contacted for the purpose of investigating my safety performance history as required by 49 CFR 391.23. I understand that I have the right to:

  • Review information provided by current/previous employers
  • Have errors in the information corrected by previous employers, and for those previous employers to resend the corrected information to the prospective employer
  • Review information provided by current/previous employers
  • Have a rebuttal statement attached to the alleged erroneous information, if the previous employer(s) and I cannot agree on the accuracy of the information.

Sales Department

770-480-4794

Accounting Department

912-966-2330
Z

Human Resources Department

912-966-2330 

Credit Application

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Concrete Calculator

Slabs
Footing
Columns
Thickness
inches
Width
feet
Length
feet
Concrete:
cubic yards

Complete Precast, Inc,  - A precast concrete structure producer has relied on Southeast Ready Mix, Inc. to provide all our ready-mix concrete for almost a decade. Throughout this time, their products have met and/or exceeded our expectation.  Our rapport with their dispatchers is second to none.

Complete Precast, Inc. March 21, 2017

Southeast Ready Mix, I wanted to thank you for the service you have given us on the Argent Boulevard Apartment Complex, we are 1500 yards poured and the service is excellent. The concrete consistency is + or - a 1" slump over 1500 yards and 60 - 80 yards per hour consistently. 7 day breaks exceed job requirements for 28 days. I greatly appreciate the service you provide and look forward to working together on many future projects.

John Harsanyi - Valverde Concrete March 23, 2017