PTT Employment Application

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Application for Employment

Position(s) Applied for: *				Date of Application: *
How Did You Learn About Us?
Advertisement	Friend			Walk-In
Employment Agency	Relative			Other
Last Name: *		First Name: *				Middle Initial:
Address: *
City: *		State: *			ZIP Code: *
Telephone Numer(s): *			Social Security Number: *

If you are under 18 years of age, can you provide required proof of your eligibility to work?							Yes No
Have you ever filed an application with us before?							Yes No
Have you ever been employed with us before? *							Yes No
Are you currently employed? *							Yes No
May we contact your present employer *							Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment.) *							Yes No
On what date would you be available for work?
Are you available to work: Full Time Part Time Shift Work Temporary
Are you currently on "lay-off" status and subject to recall?							Yes No
Can you travel if a job requires it? *							Yes No
Do you have a valid driver's license? *							Yes No
Do you have reliable transportation? *							Yes No
Do you have a fear of heights? *							Yes No
Have you been convicted of a felony with the last 7 years? * Conviction will not necessarily disqualify an application from employment.)							Yes No
If yes, please explain:

		School Name			Location		Years Completed
High School
College/University
Graduate/Professional
Describe any specialized training, apprenticeshop, skills and extra-curricular activities:
Describe any honors you have received:
State any additional information you feel may be helpul to us in considering your application.
Indicate any foreign languages you can speak, read and/or write
	Fluent			Good		Fair
Speak:
Read:
Write:
List professional, trade, business or civic activities and offices held.
References: Give name, address and telephone number of three references who are not related to you and are not previous employers.
Name:			Address:			Phone:



Have you ever had any job related training in the United States Military ? *						Yes No
Are you physically capable of performing the duties of the job for which you are applying? *						Yes No

Employment Experience Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected status.
1. Employer: *			Dates Employed: * From To
Work Performed: *
Address: *
Telephone Numbers: *		Hourly Rate/Salary: * Start: Final:
Job Title: *		Supervisor: *
Reason for Leaving: *
	Check this box, if the above is your only history of employment.
2. Employer: *			Dates Employed: * From To
Work Performed: *
Address: *
Telephone Numbers: *		Hourly Rate/Salary: * Start: Final:
Job Title: *		Supervisor: *
Reason for Leaving: *
3. Employer:			Dates Employed: From To
Work Performed:
Address:
Telephone Numbers:		Hourly Rate/Salary: Start: Final:
Job Title:		Supervisor:
Reason for Leaving:
Special Skills and Qualifications: Summarize special job related skills and qualifications acquired from employment or other experience.

I certify the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as deemed necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed six months. Any applicant wishing to be considered for employment beyond that time period should inquire as to whether or not applications are being accepted at that time. I hereby verify that I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge an Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, that I am required to abide by all rules and regulations of the employer. Pittsburg Tank & Tower is a drug free work place. All prospective employees are required to submit to drug testing. Employment is subject to successfully passing a drug test(s). I understand that clicking the accept button below is the equivalent of my signature on this application.
I accept * I do not accept				Date: