Date of Birth:
If you are not a US Citizen, have you the legal right to work in the US? YesNo
If yes, under what type of permit?
Have you been employed by this company previously? YesNo
Have you ever been convicted of a felony?* YesNo
If yes, state when, where and nature of the felony:
StructuralShort ArcPipeTigAluminumStick3G / 4G6GR Fluxcore
Lead CarpenterScaffold Lead ManHelperRigger
Name and Address of School:
Skills and Qualifications: Licenses, Skills, Training, Etc.
Address of Employer:
Reason for leaving:
May we contact your current employer?
Give Below the Names of Three Persons Not Related to You, Whom You Have Known At Least One Year
I CERTIFY THAT INFORMATION CONTAINED IN THIS APPLICATION IS TRUE AND COMPLETE. I UNDERSTAND THAT FALSE INFORMATION MAY BE GROUNDS FOR NOT HIRING ME OR FOR IMMEDIATE TERMINATION OF EMPLOYMENT AT ANY POINT IN THE FUTURE IF I AM HIRED. I AUTHORIZE THE VERIFICATION OF ANY OR ALL INFORMATION ENTERED ABOVE. I Agree
Providing safe, cost effective solutions to the Gulf Coast and Gulf of Mexico.
280 Ford Industrial Rd
Morgan City, LA 70380
Phone: (985) 354-4043