Employment Application

Lake Shore Paving, Inc. is an equal opportunity employer. Lake Shore Paving, Inc. does not discriminate in employment with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law.

Application Information


Employment History


Give the names of three persons not related to you, whom you have known at least three (3) years:

Disclaimer and Signature

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Lake Shore Paving to hire me. If I am hired, I understand that either Lake Shore Paving or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Lake Shore Paving has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Lake Shore Paving true and complete information on this application. No requested information has been concealed. I authorize Lake Shore Paving to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

1279 N. Main Street
Jamestown NY 14701