Interstate Rock Products
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Main Office · (435) 635-2628Hurricane Pit · (435) 635-2442La Verkin Pit · (435) 635-7305Fredonia Pit · (928) 433-6886St. George Ready-Mix · (435) 628-2848
(435) 635-2628

Apply to Drive for Us

Our driver application, online: the employment application, the truck driver page and the PSP authorization. Fill it in, sign it, and it goes straight to our office.

Not a driving job? Use the job application. Rather fill it out on paper? Call (435) 635-2628, ext. 5.

Applicant Information

All applicants will be required to undergo drug testing as a condition of employment.

Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Interstate Rock Products, Inc. participates in E-Verify.

Interstate Rock Products, Inc. is an equal opportunity employer.

Read this application carefully. You must sign and date this application and include all information requested. False statements, evidence of fraud or deceit in connection with this application will disqualify you from the selection process, and if discovered after employment, are grounds for discharge. This application and all attached documents are official records of Interstate Rock Products, Inc. and cannot be returned.

Construction work is physically demanding. This job requires the ability to lift 100+ pounds multiple times daily, bending, twisting, climbing and similar physical demands. Will you be able to meet these job requirements?

Education, Training and Certifications

Experience

In the following section, please list all employment for the last 5 years beginning with the present/most recent experience. There can be no unexplained gaps. If you were unemployed, in the military, attending school, etc. you must list that period of time. If you wish to elaborate on your experience, a supplemental sheet or resume may be attached, but this section must be completed.

Employer 1
Full time or part time

Do you have a valid CDL?

References

List three people, not related to you, who know your qualifications for the position for which you are applying.

Reference 1
Reference 2
Reference 3

Truck Driver Applicants: Additional Information Required

Driving Experience

Truck 1
Truck 2
Truck 3
Truck 4
Truck 5
Truck 6

Accident Record for Past 3 Years

Accident 1
Injuries or tow-aways?
Accident 2
Injuries or tow-aways?
Accident 3
Injuries or tow-aways?
Accident 4
Injuries or tow-aways?
Accident 5
Injuries or tow-aways?

Traffic Citations and Motor Carrier (FMCSA) Violations for Past 3 Years, Other Than Parking Violations

Citation 1
Citation 2
Citation 3
Citation 4
Citation 5
Citation 6
A. Have you ever been denied a license, permit or privilege to operate a motor vehicle?
B. Has any license, permit or privilege ever been suspended or revoked?
C. Have you tested positive or refused to test for drugs or alcohol in the last 2 years?

Applicant may be required to provide additional information as required by Federal Motor Carrier Safety Regulations.

Certification of Applicant

Please read the following paragraphs carefully before signing.

I hereby authorize any previous employer and references to give and release to Interstate Rock Products, Inc. any and all information of whatever kind in either written or verbal form. I release Interstate Rock Products, Inc. from any liability for the use of this information in considering and reviewing my application for any available position.

I understand that this employment application and any other Interstate Rock Products, Inc. documents are not contracts of employment and that any oral or written statements to the contrary are expressly disavowed.

I certify that all statements made in this application are true and complete and understand that any misrepresentation of material fact in the document or during an interview may subject me to disqualification or dismissal.

Rather sign on paper? Call (435) 635-2628, ext. 5, and we'll get you a paper application.

Signature
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Date:

Employment Application, Part 2

Interstate Rock Products, Inc. adheres to the policy of Equal Employment Opportunity for all applicants and employees. Employment decisions are made in a non-discriminatory manner without regard to race, color, religion, sex, national origin, age, marital status, medical condition, disability, handicap, or any other legally protected classification.

Interstate Rock Products, Inc. complies with Equal Employment Opportunity government reporting requirements and is required to obtain information and keep applicable records as a result of this compliance. Please provide us with the information below for the sole purpose of recordkeeping, reporting, and other legal obligations. Providing this information is voluntary. This information will be kept strictly confidential and separate from the application and employment records. We appreciate your cooperation.

Male or female
Please check one of the following race/ethnic groups
Please check any of the following that apply

PSP Disclosure and Authorization

THE BELOW DISCLOSURE AND AUTHORIZATION LANGUAGE IS FOR MANDATORY USE BY ALL ACCOUNT HOLDERS

IMPORTANT DISCLOSURE
REGARDING BACKGROUND REPORTS FROM THE PSP Online Service

In connection with your application for employment with Interstate Rock Products, Inc. (“Prospective Employer”), Prospective Employer, its employees, agents or contractors may obtain one or more reports regarding your driving, and safety inspection history from the Federal Motor Carrier Safety Administration (FMCSA).

When the application for employment is submitted in person, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer will provide you with a copy of the report upon which its decision was based and a written summary of your rights under the Fair Credit Reporting Act before taking any final adverse action. If any final adverse action is taken against you based upon your driving history or safety report, the Prospective Employer will notify you that the action has been taken and that the action was based in part or in whole on this report.

When the application for employment is submitted by mail, telephone, computer, or other similar means, if the Prospective Employer uses any information it obtains from FMCSA in a decision to not hire you or to make any other adverse employment decision regarding you, the Prospective Employer must provide you within three business days of taking adverse action oral, written or electronic notification: that adverse action has been taken based in whole or in part on information obtained from FMCSA; the name, address, and the toll free telephone number of FMCSA; that the FMCSA did not make the decision to take the adverse action and is unable to provide you the specific reasons why the adverse action was taken; and that you may, upon providing proper identification, request a free copy of the report and may dispute with the FMCSA the accuracy or completeness of any information or report. If you request a copy of a driver record from the Prospective Employer who procured the report, then, within 3 business days of receiving your request, together with proper identification, the Prospective Employer must send or provide to you a copy of your report and a summary of your rights under the Fair Credit Reporting Act.

Neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. You may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If you challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. Your request will be forwarded by the DataQs system to the appropriate State for adjudication.

Any crash or inspection in which you were involved will display on your PSP report. Since the PSP report does not report, or assign, or imply fault, it will include all Commercial Motor Vehicle (CMV) crashes where you were a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, all inspections, with or without violations, appear on the PSP report. State citations associated with Federal Motor Carrier Safety Regulations (FMCSR) violations that have been adjudicated by a court of law will also appear, and remain, on a PSP report.

The Prospective Employer cannot obtain background reports from FMCSA without your authorization.

AUTHORIZATION

If you agree that the Prospective Employer may obtain such background reports, please read the following and sign below:

I authorize Interstate Rock Products, Inc. (“Prospective Employer”) to access the FMCSA Pre-Employment Screening Program (PSP) system to seek information regarding my commercial driving safety record and information regarding my safety inspection history. I understand that I am authorizing the release of safety performance information including crash data from the previous five (5) years and inspection history from the previous three (3) years. I understand and acknowledge that this release of information may assist the Prospective Employer to make a determination regarding my suitability as an employee.

I further understand that neither the Prospective Employer nor the FMCSA contractor supplying the crash and safety information has the capability to correct any safety data that appears to be incorrect. I understand I may challenge the accuracy of the data by submitting a request to https://dataqs.fmcsa.dot.gov. If I challenge crash or inspection information reported by a State, FMCSA cannot change or correct this data. I understand my request will be forwarded by the DataQs system to the appropriate State for adjudication.

I understand that any crash or inspection in which I was involved will display on my PSP report. Since the PSP report does not report, or assign, or imply fault, I acknowledge it will include all CMV crashes where I was a driver or co-driver and where those crashes were reported to FMCSA, regardless of fault. Similarly, I understand all inspections, with or without violations, will appear on my PSP report, and State citations associated with FMCSR violations that have been adjudicated by a court of law will also appear, and remain, on my PSP report.

I have read the above Disclosure Regarding Background Reports provided to me by Prospective Employer and I understand that if I sign this Disclosure and Authorization, Prospective Employer may obtain a report of my crash and inspection history. I hereby authorize Prospective Employer and its employees, authorized agents, and/or affiliates to obtain the information authorized above.

NOTICE: This form is made available to monthly account holders by NIC on behalf of the U.S. Department of Transportation, Federal Motor Carrier Safety Administration (FMCSA). Account holders are required by federal law to obtain an Applicant’s written or electronic consent prior to accessing the Applicant’s PSP report. Further, account holders are required by FMCSA to use the language contained in this Disclosure and Authorization form to obtain an Applicant’s consent. The language must be used in whole, exactly as provided. Further, the language on this form must exist as one stand-alone document. The language may NOT be included with other consent forms or any other language.

NOTICE: The prospective employment concept referenced in this form contemplates the definition of “employee” contained at 49 C.F.R. 383.5.

LAST UPDATED 2/11/2016

Signature
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Date:

Sending this emails your application to our hiring office. This website doesn't keep a copy.