Online Employment Application

Personal Info

Full Name:

Present Address

Street:

City:

State:

Zip:

Phone:

Referred By:

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

From:

To:

Have you ever been convicted of a felony?*
YesNo

If yes, state when, where and nature of the felony:

Employment Desired

Welder:

StructuralShort ArcPipeTigAluminumStick3G / 4G6GR Fluxcore

Fitter:

StructuralPipe

Scaffold:

Lead CarpenterScaffold Lead ManHelperRigger

Fitter/Welder Combination:

Fitter/Welder Combination

Other:

Education

School1

Name and Address of School:

Major Degree/Diploma:

Graduation Date:

School2

Name and Address of School:

Major Degree/Diploma:

Graduation Date:

Skills and Qualifications: Licenses, Skills, Training, Etc.

Employment History

Employer 1

Employer Name:

Date:Month/Year

From:

To:

Address of Employer:

Position/Duties:

Starting Salary:

Final Salary:

Reason for leaving:

Employer 2

Employer Name:

Date:Month/Year

From:

To:

Address of Employer:

Position/Duties:

Starting Salary:

Final Salary:

Reason for leaving:

Employer 3

Employer Name:

Date:Month/Year

From:

To:

Address of Employer:

Position/Duties:

Starting Salary:

Final Salary:

Reason for leaving:

Employer 4

Employer Name:

Date:Month/Year

From:

To:

Address of Employer:

Position/Duties:

Starting Salary:

Final Salary:

Reason for leaving:

May we contact your current employer?

YesNo

References

Give Below the Names of Three Persons Not Related to You, Whom You Have Known At Least One Year

Reference 1

Name:

Phone:

Business Name:

Address:

Reference 2

Name:

Phone:

Business Name:

Address:

Reference 3

Name:

Phone:

Business Name:

Address:

Reference 4

Name:

Phone:

Business Name:

Address:

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