Employment Application
Stuczynski Trucking & Excavating

Commercial and Residential Trucking and Excavating Services

Personal Information

Current Address

Are you 18 years of age or older?

Are you legally eligible to work in the United States

Are you a Military Veteran?

Have you ever been convicted of any violation of the law?

Have you ever been known by any other name(s) that this company will require to verify any of the information provided on this application

Employment Desired


Do you have a High School Diploma or GED?

Employment History

Employer 1

Employer 2

Employer 3

May we contact previous employers?

Personal References

Reference 1

Reference 2

Reference 3

The law prohibits discrimination in hiring due to age, race, color, creed, sex, national origin, religion, disability, or veteran status.

Please provide any additional information about your abilities or interests that make you a good candidate for this position:

I certify that the information contained in this application is true and correct. I understand that falsification of this application in any detail is grounds for disqualification from further consideration or for dismissal from employment in accordance with company policy. I agree to conform to the rules and regulations of the company and understand that my employment and compensations can be terminated with or without cause and with without notice at any time at the option of either the company or the owner of the company. I consent to the release of information and records from the employers listed above, as they may be contacted as references. I certify that I am in possession of a currently valid driver’s license and I agree that Stuczynski Trucking & Excavating is authorized to perform a valid motor vehicle record check on my driver’s license and driving record.