An interesting and challenging experience awaits you as an employee of Durus Industrial LLC. We provide competitive wages, strong benefits, and the satisfaction that comes with being part of a successful team. We are always looking for skilled, dedicated individuals who can help us reach our goals while providing rewarding work and pay for the employee.

To download the Durus Employment Application click here. Completed applications and resumes can be email to careers@durusindustrial.com or faxed to 602-926-8982.

Personal Data

Name*

Phone Number* (888) 888-8888

Email Address*

Date* MM/DD/YYYY

Address*

Are You 18 Years or Older?*

Have You Been Employed with Durus Before?*

Years of Education Completed*

General Information

Position Applying For*

Date Able to Start* MM/DD/YYYY

Expected Wage (per hour)*

Time and Days Available for Work*

Equipment Operating Experience

Type of Equipment / Years of Experience

Driving Record Information

Drivers License*

No person will be considered for a position which requires the routine operation of a motor vehicle if any of the following offenses are shown on your Driving Record within the last two year period prior to the date of application: A) DUI B) Reckless or Aggravated Driving C) Negligent Homicide or Manslaughter resulting from the Operation of a Motor Vehicle D) Driving Under Suspension or Revocation of Drivers License E) 3 or more Violations within the last 6 months, unless there have been No Other Violations for the past 12 months

Safety Training

MSHA—24 Hr.*

Date MM/DD/YYYY

MSHA—8 Hr. Refresher*

Date MM/DD/YYYY

OSHA—10 Hr.*

Date MM/DD/YYYY

List All Safety Training Received in the Last 5 Yrs. (Type and Date)

Drug Screening

Are You Willing To Take a Pre-Employment Drug Test?*

I fully understand that the presence of and/or use of Illegal Drugs may cause my rejection from further consideration for employment with Durus Industrial, LLC. I further understand that refusal to submit to a Drug Screening Test will constitute voluntary withdrawal of my Application for Employment.

Electronic Signature*

Date* MM/DD/YYYY

References

Reference #1*

Reference #2*

Reference #3

Employment History

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