Application for Employment
If you are seeking job security, excellent pay and benefits, and a promising career, Carter Roag Coal Company in Randolph County, WV is the place for you. Our comprehensive benefits package is designed to meet the needs of all employees:

• Medical, Dental, Vision, and Prescription Drug insurance
• 401(k) Retirement Plan with company match
• Short- and long-term disability insurance
• Life and Accidental Death insurance
• Two weeks’ paid vacation
• Eight paid holidays
• Personal days
• Bereavement pay
• Jury duty pay
• Retention bonus

All applications are for full time positions. This application must be filled out by the named applicant.
Name (first, middle and last): *
What miner certification do you hold? *
Job(s) for which you are applying
What is your preferred job? *
What is your preferred shift (select as applicable)? *
What other jobs are you applying for? *
Personal Information
Phone Number: *
Cell Phone: *
Email Address: *
Current Street Address: *
City, State & Zip Code *
Have you ever been convicted of a felony, or a misdemeanor involving any violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged? *
Required
If yes, please briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case. (This company will not deny employment to any applicant solely because the person has been convicted of a crime. The company, however, may consider the nature, date and circumstances of the offense as well as whether the offense is relevant to the duties of the position applied for.)
Are you currently out on bail, the subject of a current warrant for arrest or released on your own recognizance pending trial? *
Required
Education
Highest grade attended: *
List all trade schools, junior college, college, universities attended (if not applicable, answer "Not Applicable"): *
Degree(s) (if not applicable, answer "Not Applicable"): *
Work Experience
Are you currently employed (check as applicable)? *
Required
Name of current employer (as applicable):
Your current position (as applicable):
Your base pay rate (as applicable):
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