Work for Us

Personal Information

Please provide us with some information about yourself that will help us find a place for you.

First Name (Required) A value is required.

Middle Name (Optional)

Last Name (Required) A value is required.

Current Address

Street Address (Required)

Mailing Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Contact Information

Phone Number (Required) A value is required.Invalid format.

Alternate Phone Number (Required)

Email (Required)

General Information

Desired Position (Required)

Desired Salary (Required)

Are you presently employed? Yes No

May we contact your present employer? Yes No

Are you MSHA certified? Yes No

Date taken 32 hour class(Required)

Are you an experienced miner? Yes No

How many years?(Required)

Annual refresher? Yes No

Date taken last annual refresher(Required)

Have you ever been employed by Price Mine Service? Yes No

If so when and where?(Required)

Have you ever applied with PMS before? Yes No

If so when? (Required)

Do you have a valid drivers license? Yes No

Issuing State(Required)

License Class(Required)

Are you willing to provide your own transportation if necessary for your employement? Yes No

Are you eligible to work in the United States? (You will be required to provide documentation.) Yes No

Do you have any physical or mental limitations that would restrict your performance Yes No

If yes, please explain(Required)

Are you able to carry 50-75 lbs for a distance of 100 yards? Yes No

If no, please explain(Required)

Have you ever been injured on the job? Yes No

Do you have a full doctor's release? Yes No

If yes, explain (Include when, where, and type of injury) (Required)

Have you ever been convicted of a felony, or in the last 2 years a misdemeanor that resulted in imprisonment?* Yes No

If yes please provide the following

Description of the offense(Required)

County, City, and State of conviction(Required)

*Note: an affirmative response will not automatically disqualify you from being considered as a candidate for employment, and other factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into consideration.

Miscellaneous Experience/Training

List any specialized trainings or certifications:(Required)

What equipment can you operate?(Required)

Military Service (Dates of service, branch, rank, type of discharge):(Required)

List any computer skills and software application proficiency:(Required)

List any foreign languages you speak fluently(Required)

Employment History

Education

References

Contact Details

Corporate Office
140 North Cedar Hills Drive
PO Box 922
Price, UT 84501
(435) 637-9300

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