Positions available:
—Please choose an option—Pipefitter / MillwrightElectrical TechnicianEquipment Mechanic TechnicianHeavy Equipment OperatorWelderMechanicBagging Operations
An equal opportunity employer: We do not discriminate on the basis of race, color, religious creed, sex, gender, age, national origin, ancestry, citizenship, physical or mental disability, marital or veteran status, sexual orientation, pregnancy or any other basis protected by applicable federal, state or local law. It is our intention that all qualified applicants be given equal opportunity and that hiring decisions be based on job-related factors. Applicants who require reasonable accommodations to file an application or participate in the interview process should contact the HR office to arrange for such accommodation.
Personal information: You may submit a personal resumé to accompany this application, however you still must accurately answer all questions and complete all sections of this application.
Today’s date
Last name
First name
Middle name
Home address
City
State
Zip code
Length of time at this address
Telephone number() -
Alternate telephone number() -
Are you 18 years of age or older? (If hired, you may be required to submit proof of age.)
YesNo
Job applied for
Do you possess a valid driver’s license?YesNo
Have you ever applied at Lehigh Anthracite Coal, LLC before?YesNo
If yes, give dates (month/year)
Full-time shifts generally will consist of 5 (10) hour days.
Shift preference(s)
1st2nd
Salary desired
Days/hours available for work
When could you start work?
How did you learn about this employment opportunity?
Current Lehigh Anthracite Coal, LLC employee, if so list name:
Employment agency, if so list name:
Advertisement, if so list publication:
Other source (please describe):
List name and addresses of schools
Number of years completed
High school or GED:
College or university:
Vocational or technical:
List diploma/degree/certificate
Subjects studied
What skills or additional training do you have that are related to the job for which you are applying?
What machines or equipment can you operate that are related to the job for which you are applying AND how long?
What surface mining certifications do you hold and when did you obtain them?
Have you attended school or worked under any other name?
If yes, give names
Have you ever been discharged from a job or asked to resign?
If yes, please explain
Employment history: List name of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references.
May we contact your present employer?
If “No”, may we contact your present employer after you have accepted a conditional offer of employment?
Please give month AND year for dates of employment.
1. Name of employer
Job title & duties
Address
Dates of employment
From:
To:
Pay
Start $
Final $
Last supervisor
Reason for leaving
2. Name of employer
3. Name of employer
Zip Code
Name
Relationship
References: Please list three persons who are best qualified to comment on your experience and/or educational background that best qualifies you for the position for which you have applied. Note: Do not include relatives or friends.
1. Name
Daytime telephone
Years known
2. Name
3. Name
Attach your résumé: We accept .DOCX, .DOC, .RTF, .TXT, .PDF up to 500KB.
BROWSE FOR A FILE.
Please read each statement carefully before signing: I certify that the information provided in this application is complete and accurate. I understand that the withholding of any information sought by this Application or the giving of false information on this Application will reduce the chances for employment or, if discovered after I am hired, in disciplinary action up to and including immediate termination of my employment.
I understand that if I am hired, I will be employed on an “at-will” basis. I understand that this means that I can quit at any time and that Lehigh Anthracite Coal, LLC can terminate my employment at any time, with or without cause and with or without advance notice. I also understand that this means that if I am offered and accept employment, I will be required to abide by all rules and regulations of Lehigh Anthracite Coal, LLC. I further acknowledge and agree that no representative of Lehigh Anthracite Coal, LLC; other than an Officer in an express individualized writing, has the authority to enter into an agreement for compensation, promotional opportunities, or any other terms or conditions of employment.
I have read, understand, and by my signature, agree to the above statements.
Signature: Enter your name
Email address
Date
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