Job Opportunities

Name *

Phone Number *

Email Address *

Home Address *

U.S. Citizen? *

Yes

No

Work Permit type? (if you are NOT a U.S. citizen)

Have you ever been convicted of a felony? *

Yes

No

Welder - Please check all that apply

Fitter - Please check all that apply

Structure

Pipe

Combo

Welder/Fitter Combo

Education - Name of School

Dates attended School - From:

Date attended School - To:

Did you recieve a degree or diploma?

Degree

Diploma

Please list any additional licenses, skills and/or training

Previous Employer Name: *

Previous Employer Address *

Job Title/Position *

Salary/Pay Rate *

Date Employment Started *

Date Employment Ended *

Reason for leaving: *

End Section

Name *

Phone Number

Email Address *

How do you know them? *

Friend

Previous Supervisor

Business Associate

OtherOther

End Section