Primary Position that you are applying for?

About you

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Email Address

Are you 18 or older?

Do you have a legal right to work in the United States?

Have you previously been fired from a job?

If yes, what was the reason you were given why you were fired?

How did you learn about our company?

Available Start Date

YYYY

If necessary for the job I am able to work which shifts? (check all that apply)

Day

Night

Overtime

Desired Pay

Have you worked for this company? (type "yes" or "no") If yes, please include dates worked.

Highest level of education completed?

Previous experience (most recent employer first)

Name of Employer

Position and Pay

Name and contact for supervisor

Reason for Leaving

Dates worked (if current employer, include start date and the word "current". Ex: 04/06/2010 - Current)

Name of Employer

Position and Pay

Name and contact for supervisor

Reason for Leaving

Dates worked

Please list courses or training, special equipment, or technical materials you can work with, areas of highest proficiency, special skills, or other items that may contribute to your abilities in performing the position sought after. Include any additional information about yourself that you would like to share.

Acknowledgement

In compliance with the Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age marital status, veteran status, non-job related disability, or any protected group status.

I understand that I am required to provide the following materials for the position I am applying for:

I authorize you to make such investigations and inquiries of my physical ability to do the job, employment history, criminal record, and other related matters as may be necessary in arriving at an employment decision. (Generally, inquiries regarding medical history relevant to my performance of the essential functions of my prospective job will be made only if and after a conditional offer of employment has been extended.) I hereby release employers, medical providers, school, and other persons from all liability in responding to inquiries and releasing information in connection with my application.

In the event of employment, I understand that false or misleading information in my application or interview(s) may result in discharge. I understand, also, that I am required to able by all rules and regulations of the company.

I understand that the information I provide regarding current/and or previous employers may be used, and those employer(s) will be contacted.

Please check the box below if you agree to the above acknowledgements and certify that all information on this submission is accurate and complete to the best of your knowledge.

I agree

Please type your full name and enter today's date below:

Today's Date

YYYY

Thank you for submitting your application to Energy Weldfab Inc. If you would like to add your resume email in PDF format to careers@ewf-inc.com with your name and primary position applying for in the subject line.

Questions?

Employee Application

EMPLOYMENT aPPLICATION