Personal Information



High School


Post College

Trade School

U.S. Military Service

General Information

Answer the following questions only if you are applying for a position involving the use of Company vehicles or driving your own vehicle on a regular basis

Work Availability

Employment Experience

Please provide the following information for your current and previous two employers, starting with your most recent employer first. This section must be completed in detail even if you upload a resume.

Employer #1

Employer #2

Employer #3

Unemployment Record

Account for all periods of unemployment of 30 days or more in the past 5 years.


Please provide the following information for three professional references from your current or former supervisors or managers.

Please note: Friends, coworkers, and family members cannot be used as professional references.

Reference #1

Reference #2

Reference #3

Special Skills & Qualifications

Upload a Resume

Please take a moment to upload a copy of your current resume. While it is not required, attaching your resume is extremely helpful in providing the management team with as thorough an overview as possible of your unique set of skills and experience. To attach your resume to this job application, click on the button below.

Consent to Pre-Employment Drug and Alcohol Testing and Release of Results

All offers are contingent upon passing a pre-employment drug and alcohol test. If offered employment,
do hereby consent to undergo a drug and alcohol test as required by the Arthur G. Russell Company Inc. Further, I authorize the hospital, clinic and/or testing facility to release to The Arthur G. Russell Company Inc. the results of such test and I release the hospital, clinic, and/or testing facility, its doctors, and medical personnel from liability from any release or use of this information. Signing this form does not constitute an offer or promise of employment at The Arthur G. Russell Company Inc.


The following information is requested solely to help us comply with government record keeping, reporting, and other legal requirements. This data is for analysis and reporting purposes only and will be maintained in a confidential file separate from your application for employment and other personnel records. Completion of this data will not affect your opportunity for employment, or terms or conditions of employment, if hired. Your responses to this requested information is strictly voluntary. If you do not wish to complete the survey, please check the box in Section II below, indicating that you prefer not to provide any information contained in this self-identification form.


Section 1


Section 2


  • I understand that employment will be subject to my submitting documentary proof of my identity and legal eligibility to work.
  • I have read and understand the privacy policy.
  • I understand that the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time or for any reasons consistent with applicable state or federal law.
  • I understand that this application is not a contract of employment.
  • I understand that the company will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named herein, except my current employer if so noted, to provide any information request about me, and I release them from all liability for damage in providing this information.
  • I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.


Signing this form does not constitute an offer or promise of employment at The Arthur G. Russell Company Inc.