Center Coal Co. North Dakota
701-794-3400
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Name
*
First
Middle
Last
Suffix
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Montana
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New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
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Washington
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Armed Forces Americas
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State
ZIP Code
Phone
*
Email
*
Enter Email
Confirm Email
Are You 18 Years or Older?
*
Yes
No
Are you authorized to work in the US?
*
Yes
No
Have you worked for Center Coal Company before?
*
Yes
No
Have you ever been convicted of or plead guilty or no contest to a felony?
*
Yes
No
A "Yes" response will not necessarily disqualify a candidate from employment. The nature and seriousness of the offense, the date of the offense, the relevance of the offense to the specific position(s) and other factors will be considered.
Your highest academic level
*
High school or equivalent
Technical or occupational certificate
Some college coursework completed
Associate degree
Bachelor’s degree
Master’s degree
Doctorate
Professional
General Information
Position Applying For
*
Operator: Skidsteer
Operator: Wheel Loader
General: Laborer
General: Application
Date Able to Start
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Days Available for Work
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Select All
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Expected Wage (per hour)
*
Equipment Operating Experience
use the plus button to the right to add more lines
*
Type of Equipment
Years of Experience
use the plus button to the right to add more lines
Driving Record Information
Drivers License No
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Class
*
Endorsements
*
D - Doubles
H - Haz Mat
N - Tanker
P - Passenger
S - School Bus
X - Tank/Haz Mat
None
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 or Actual Physical Control 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 Information & Training
MSHA 8 Hr. Refresher
*
Yes, I can provide proof of completion
No, I cannot provide proof of completion
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MSHA 24 Hr.
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Yes, I can provide proof of completion
No, I cannot provide proof of completion
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OSHA 10 Hr.
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Yes, I can provide proof of completion
No, I cannot provide proof of completion
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PEC
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Yes, I can provide proof of completion
No, I cannot provide proof of completion
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List All Safety Training Received in the Last 5 Yrs. (Type and Date)
In case of an emergency notify
*
First
Last
Phone
*
In case of an emergency notify
*
First
Last
Phone
*
References
Upload: References
Accepted file types: docx, pdf, Max. file size: 15 MB.
Reference #1
Name
*
First
Last
Phone
*
Email
*
Reference #2
Name
*
First
Last
Phone
*
Email
*
Reference #3
Name
*
First
Last
Phone
*
Email
*
Employment History
Upload: Cover Letter
Accepted file types: docx, pdf, Max. file size: 15 MB.
Upload: Resume
Accepted file types: docx, pdf, Max. file size: 15 MB.
Please include: Company Name, Phone Number, Address, Supervisor's Name, Job Title, Starting Salary, Ending Salary, Responsibilities, Start Date, End Date, & Reason for Leaving.
Company #1
Company Name
*
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
First
Last
Job Title
*
Starting Salary
Ending Salary
Responsibilities
*
Start Date
*
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Reason for Leaving
*
May we contact your supervisor for a reference?
*
Yes
No
Company #2
Company name
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
First
Last
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date
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Reason for Leaving
May we contact your supervisor for a reference?
Yes
No
Company #3
Company name
Phone
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor's Name
First
Last
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date
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Reason for Leaving
May we contact your supervisor for a reference?
Yes
No
Drug Screening
Are You Willing To Take a Pre-Employment Drug Test?
*
Yes
No
Consent
*
I fully understand that the presence of and/or illegal drugs may cause my rejection from further consideration for employment with Center Coal Company.
*
Consent
*
I fully understand that refusal to submit to a Drug Screening Test will constitute voluntary withdrawal of my Application for Employment.
*
Before Submitting
*
I certify that all of the information I provided is true
I certify that my answers are true and complete to the best of my knowledge and authorize Center Coal Company to verify their accuracy and to obtain reference information on my work performance, as well as conducting criminal background checks, pre-employment drug test, and checking driving records. I waive any action against Center Coal Company based on statements made during these investigations.
If this application leads to employment, I understand that false or misleading information or any kind of omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.
I acknowledge that the conditional offer of employment I may receive is contingent on my satisfactory completion of this background check and drug test. If the results of the background check or the drug test determine that I do not fit the conditions for employment, the conditional offer is revoked and I no longer will be considered a qualified candidate for employment.
Signature
*
Entering your name here is your signature of agreement on this application.
Date
*
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Day
Year