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Home
History
Services
Certifications
Conveyor Products
Conveyor Belt – New and Used
Superior® Components
The Almex Group
Flexco
American Eagle
Precision Pulley & Idler (PPI)
Depreux
Contact Us
Leadership
Employment Opportunities
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Employment Application
POSITION APPLIED FOR
Job code
AL001 – Belt Mechanic (Alabama)
AL002 – Lead Technician (Alabama)
UGAL001 – Underground Belt Mechanic (Alabama)
ICCSWV001 Entry Level Cleaner Tech (Beckley WV)
ICCSWV002 Lead Cleaner Tech (Beckley WV)
VA001 – Belt Mechanic (Virginia/WV)
VA002 – Lead Technician (Virginia/WV)
KY001 – Belt Mechanic (Kentucky)
TN001 – Belt Mechanic (Tennessee)
TN002 – Lead Technician (Tennessee)
ICCSTN001 – Entry Level Cleaner Tech (non-COAL)
ICCSVA003 – General Labor/Cleaners (Virginia/WV)
ICCSTN003 – General Labor/Cleaners (Tennessee)
ICCSAL003 – General Labor/Cleaners (Alabama)
DR001 – CDL Driver
SC001 – Belt Mechanic (SC)
SC002 – Lead Technician (SC)
NVA001 – Belt Mechanic (Northern WV/Va)
ICCSNWV001 – General Labor/Cleaners (Northern WV/Va)
FL001 – Belt Mechanic (FL)
FL002 – Lead Technician (FL)
Select Based on Location and Job Class (Duties)
APPLICANT HOME TELEPHONE
ADDRESS
APPLICANT CELL PHONE
YOUR NAME
*
First
Middle
Last
Social Security number
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.A
Yes
No
Have you ever been convicted of a felony?
Yes
No
I AM SEEKING A PERMANENT POSITION
Yes
No
IF NECESSARY FOR THE JOB I AM ABLE TO
Are you able to perform the essential functions of the position with or without accommodations?
Yes
No
(If yes. verification win be required.)
Which shifts are you available to work?
First Shift
Second Shift
Third Shift
All Shifts
Are you willing to work weekends/holidays?
Yes
No
What areas are you applying for work in?
Virginia / West Virginia
Northern Virginia/ Northern West Virginia
Kentucky
Alabama
Tennessee
South Florida
South Carolina
I am available to work from any Belt Tech office
Do you have a valid state driver's license?
Yes
No
EDUCATION / CERTIFICATIONS
High School
Completed
Yes
No
I WILL BE ABLE TO REPORT TO WORK —– DAYS AFTER BEING NOTIFIED THAT I AM HIRED.
Field of Study
Graduate or Degree
College/University
Completed
Yes
No
Graduate or Degree
Field of Study
Certifications (OSHA, Welding, CLD etc)
Completed
Yes
No
Mining Certifications
Red Hat
Black Hat
Underground
Surface
Issuing state / year issued
Other
Completed
Yes
No
MILITARY SERVICE
MILITARY SERVICE
Yes
No
Duty/Specialized Training
REFERENCES
List two personal references who ale not relatives or former supervisors.
Name
Address
Telephone
Occupation
Years known
Name
Address
Telephone
Occupation
Years known
EMPLOYMENT
List last employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here in the summary (following this section). or use an extra sheet of paper if necessary.
Employer Name and Address
Position Title/Duties Skills
Supervisor's Name
Telephone
Dates Employed
From
To
Reasons for leaving
Employer Name and Address
Position Title/Duties Skills
Supervisor's Name
Telephone
Dates Employed
From
To
Reasons for leaving
Employer Name and Address
Position Title/Duties Skills
Supervisor's Name
Telephone
Dates Employed
From
To
Reasons for leaving
Do you have experience in or familiarity with the coal or aggregates industry? If so, describe.
Upload a copy of your driver's license or state id.
Click or drag a file to this area to upload.
Upload a resume, if available
Click or drag a file to this area to upload.
Email
*
Name
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