8032 N. State Rd 9

Greenfield, IN 46140

(317) 326-3101



Our company is an equal opportunity employer and adheres to the principles and practices outlined in the Civil Rights Act of 1964, which makes it illegal to discriminate against a person on the basis of race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), or national origin. and Public Law 90-202 which prohibits discrimination based on age.

This application will be given thoughtful attention, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.


Have you ever been convicted of a crime (including felonies, misdemeanors, guilty pleas, or pleas of no contest), other than convictions that were ordered expunged by a court?     

If yes, state the offense, location, date and outcome:    

A prior conviction will not necessarily bar you from employment. The company will consider factors such as the nature and gravity of the offense or offenses committed, the time that has passed since the conviction and or completion of the sentence, and the nature of the job sought by the applicant.

Our company is an equal opportunity employer and does not discriminate against applicants or employees on the basis of age, race, color, gender, religion, national origin, ancestry, physical or mental disability, genetic information, or any other classifications protected by federal, state, or local law. Equal access to employment, services, and programs is available to all qualified persons. Applicants requesting reasonable accommodation or the application and/or interview process should notify a company representative.


Are you seeking:
Have you worked for our company before ?    

If your answer to the above questions is yes, state when and where you worked :  

Type of CDL held:    

Original CDL Issue Date:     















Were you referred to imi by a current employee? Employee's name:     

Are you legally authorized to work in the United States?    

(Pursuant of the Immigration Reform and Control Act of 1986, if you are hired you must produce documents which are specified by the Federal Government, establishing your identity for employment in the United States.)

Are you willing to take a drug screen? (This is required for employment with IMI).     
Do you have a current D.O.T Physical card?     
Date issued:


Did you graduate High School?     
If no, do you obtain a GED?     
Year issued:


This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. I certify that the answers given by me to the foregoing questions and statements are true and correct without any consequential omissions of any kind. I understand that any misleading or incorrect statements set forth in my application, resume, or any other materials submitted as part of the employment application process or given by me during any interviews will render this application void and will be just cause for refusal of employment and if employed would be cause for my termination, regardless of the date of discovery. I further agree to waive all claims I may have against Irving Materials, Inc., its parent corporations, successors, subsidiaries, and affiliates, whether owned in whole or in part, and all their present and former directors, officers, agents, employees, attorneys, partners, and representatives, now or in the future, in any respect if my employment is terminated because of false statements, answers or omissions made by me in this questionnaire. I also authorize the companies, persons or schools named on this application to give any information regarding my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment to Irving Materials, Inc.; I hereby release said companies, schools, or persons from all liability for any damage resulting from issuing this information. I certify that all statements and answers to questions are true and were made without reservations. I further understand that the taking of drug screens is a condition of my employment and refusal to take such screens when asked will result in my termination. In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment is terminable at will, that I am not being employed for any specified time and that this application is not and is not intended to be a contract for current or continued employment. Further, I understand that my employment, with its compensation, can be terminated with or without cause or notice, at any time, at the option of either the company or myself. I also understand that no manager or representative of the company, other than the CEO, General Counsel or VP of Human Resources has any authority to enter into any agreement with me for employment for any specified period or to make any agreement different from or contrary to the foregoing. I also understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and one of the individuals designated above. The information provided by you herein may be used, and your prior employers may be contacted, for the purposes of investigating your background.