Employment - Outlaw Welding

Basic Information

Tell us about yourself

Date of Application *

Prefix

First Name *

Middle Name

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Home Telephone Number *

Cellular Number *

Email Address *

Resume and/or Cover Letter *

Do you have a valid driver's license? *YesNo

Do you have a reliable means of transportation to and from work if hired? *YesNo

Are you at least 18 years of age? *YesNo

If hired, can you present evidence of U.S. citizenship or your legal right to live and work in this country? *YesNo

Have you ever been convicted of a crime other than minor traffic violations? *YesNo

Please explain the nature of the crime and the results of the court case: *0 / 150

Skills and Experience

Position applying for: *0 / 30

Date you would be available to start work: *

How did you hear about us? *0 / 30

Our type of work requires some weekend work. Would you be available to work on weekends? *YesNo

Are you able to perform tasks associated with construction, such as bending, lifting, and carrying heavy loads? *YesNo

Please explain: *0 / 50

Occasionally, work crews are required to stay out of town overnight. Would you be able to stay out of town during the week if required? *YesNo

Have you ever applied with us before? *YesNo

If so, when? *

Do you have particular skills, certifications, or qualifications which you would like to share in relation to this type of work?0 / 150

Can you operate any type of equipment?0 / 150

Employment History

Please list three most recent

Name of Employer *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone *

From *

To *

Position *0 / 30

Wage (annual) *

USD

Reason for Leaving *0 / 250

Name of Employer

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone *

From *

To *

Position *0 / 30

Wage (annual) *

USD

Reason for Leaving *0 / 250

Name of Employer

Street Address *

City *

State/Province *

ZIP / Postal Code *

Phone *

From *

To *

Position *0 / 30

Wage (annual) *

USD

Reason for Leaving *0 / 250

Name

Street Address *

City

State/Province

ZIP / Postal Code

Phone *

Years acquainted *

Name

Street Address *

City

State/Province

ZIP / Postal Code

Phone *

Years acquainted *

Please read the following statements and sign by typing your full name below: By typing my full name below, I certify that the answers given in this application for employment are true and correct to the best of my knowledge. I authorize any inquiry into the statements made in this application as may be necessary in reaching an employment decision. I understand that any false or misleading information given in this application or during a pre-employment interview, including failure to disclose requested information, may result in my discharge. I understand that I will be required to pass a drug test before a final offer of employment is made. By typing my full name below, I consent to these procedures. I understand that if I voluntarily terminate my employment within the first 30 calendar days, the cost of this procedure will be deducted from my final paycheck. I also understand that I will be required to provide, at my own expense, a copy of my DMV driving record and that an unsatisfactory driving record could be grounds for not being offered employment. I understand that any employment relationship with this employer is "at-will", which means that the employee may resign at any time and the employer may discharge the employee at any time, with or without cause. I also understand that this at-will employment relationship may not be changed by any written document or by any behavior, unless the change is specifically acknowledged in writing by M. Phillip Burleigh.

Signature of applicant *0 / 60

Date *

DUE TO REPORTS REQUIRED BY AFFIRMATIVE ACTION AND EQUAL OPPORTUNITY, THE FOLLOWING NEEDS TO BE ANSWERED.

Sex *0 / 15

Race *0 / 15