Employment Application

Applicant information

Date available for hire *

Position applying for *

How did you hear about us?

First name *

M.I.

Last name *

Phone *

Email *

Street address *

Apt #

City *

State *

ZIP *

Driver license number

Driver license issuing state

License class and endorsements

Last four digits of SSN

Are you legally authorized to work in the United States? *

Have you ever worked for this company? *

Employment history

Start with your most recent employer. Add as many as apply.

Employer 1

Company

Phone

Address

Supervisor

Job title

May we contact this supervisor?

Starting pay

Ending pay

Pay basis

Start date

End date

Reason for leaving

Responsibilities

Employer 2

Company

Phone

Address

Supervisor

Job title

May we contact this supervisor?

Starting pay

Ending pay

Pay basis

Start date

End date

Reason for leaving

Responsibilities

Skills and availability

Related skills, certifications and training

Do you have reliable transportation?

Are you willing to travel to job sites?

Certification

Precision Solids Control is an equal opportunity employer. We consider all applicants without regard to any characteristic protected by federal, state or local law. Employment with Precision Solids Control is at will, which means either you or the company may end the employment relationship at any time, with or without cause or notice. Any offer of employment may be contingent on the successful completion of a background check, a drug and alcohol screen, and verification of your ability to perform the essential functions of the position. I certify that the answers given in this application are true and complete, and I understand that a false statement or omission may result in denial of employment or, if discovered later, in termination.

I have read and accept the statement above, and I certify that the information in this application is true and complete. *

Type your full name as your signature *

What is 8 + 4? *

Applicant information

Employment history

Skills and availability

Certification

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