Job Application - RLP Mechanical

Application of Employment

It is the policy of this company to provide equal employment opportunities to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, physical or mental handicap or veteran status.

Step 1 of 7

Name
Name*
First Name Middle Initial Last Name
Current Address
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Permanent Address (if different from above)
Permanent Address (if different from above):
Street Address Address Line 2 City State ZIP Code
Personal Information
Phone*
Email*
Social Security Number*
Driver's License #*
Driver's License State:*
Driver's License State:

State
I am a U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis:*
I am a U.S. Citizen or otherwise authorized to work in the United States on an unrestricted basis:
If applicable, please list your visa type:
If applicable, please list your visa type:
Visa #
Visa #:
Visa Expiration
Visa Expiration:
Have you ever been convicted of a felony?*
Have you ever been convicted of a felony?
Please Explain:*
Please Explain:
Have you ever served in the U.S. Military?*
Have you ever served in the U.S. Military?
Branch of Service:
Branch of Service:
Rank at time of separation:
Rank at time of separation:
Dates Served:
Dates Served:
Special Honors:
Special Honors:

Employment History
Present / Most Recent Employer:
Present / Most Recent Employer:
Employer Address:
Employer Address:

Street Address Address Line 2 City State ZIP Code
Your Position:
Your Position:
Salary:
Salary:
Duties:
Duties:
Dates of Employment:
Dates of Employment:
Supervisor:
Supervisor:
Supervisor Title:
Supervisor Title:
May We Contact Your Supervisor?
May We Contact Your Supervisor?
- Yes
- No
Supervisor Phone Number:
Supervisor Phone Number:
Supervisor Email:

Supervisor Email:
Reasons For Leaving:
Reasons For Leaving:
Do You Want to Add a Second Employer?*
Do You Want to Add a Second Employer?
Prior Employer 2:
Prior Employer 2:
Employer Address:
Employer Address:

Street Address Address Line 2 City State ZIP Code
Your Position:
Your Position:
Salary:
Salary:
Duties:
Duties:
Dates of Employment:
Dates of Employment:
Supervisor:
Supervisor:
Supervisor Title:
Supervisor Title:
May We Contact Your Supervisor?
May We Contact Your Supervisor?
- Yes
- No
Supervisor Phone Number:
Supervisor Phone Number:
Supervisor Email:

Supervisor Email:
Reasons For Leaving:
Reasons For Leaving:
Do You Want to Add Another Employer?
Do You Want to Add Another Employer?
Prior Employer 3:
Prior Employer 3
Employer Address:
Employer Address:

Street Address Address Line 2 City State ZIP Code
Your Position:
Your Position:
Salary:
Salary:
Duties:
Duties:
Dates of Employment:
Dates of Employment:
Supervisor:
Supervisor:
Supervisor Title:
Supervisor Title:
May We Contact Your Supervisor?
May We Contact Your Supervisor?
- Yes
- No
Supervisor Phone Number:
Supervisor Phone Number:
Supervisor Email:

Supervisor Email:
Reasons For Leaving:
Reasons For Leaving:

Education
High School:
High School:
High School Address:
High School Address:

Street Address City State ZIP Code
Attended From:
Attended From:
Did you graduate?
Did you graduate?
Did you receive your GED?*
Did you receive your GED?
- Yes
- No
Special Honors or Awards:
Special Honors or Awards:
Technical or Vocational School:
Technical or Vocational School:
School Address:
School Address:

Street Address City State ZIP Code
Attended From:
Attended From:
Did you graduate?
Did you graduate?
Degree or Certification:
Degree or Certification:
Specialty:
Specialty:
Special honors or awards:
Special honors or awards:
College or University:
College or University:
College or University Address:
College or University Address:

Street Address City State ZIP Code
Attended From:
Attended From:
Did you graduate?
Did you graduate?
Degree:
Degree:
Major:
Major:
Special honors or awards:
Special honors or awards:
Do you want to add another college or university?*
Do you want to add another college or university?
College or University:
College or University:
College or University Address:
College or University Address:

Street Address City State ZIP Code
Attended From:
Attended From:
Did you graduate?
Did you graduate?
Degree:
Degree:
Major:
Major:
Special honors or awards:
Special honors or awards:

APPLICANT STATEMENT
I hereby certify that my answers and assertions set forth in this application are true and complete to the best of my knowledge. If I am employed, I understand that any false statements on this application shall be considered sufficient cause for my dismissal. I hereby authorize this company to investigate any aspect of my prior educational and employment history. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without prior notice, except as required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete and I-9 Form in this regard. This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the bases of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display or derogatory pictures or other graphic materials, and any other words or conduct that demean , stigmatize, intimidate, or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient to cause to (i) eliminated me from further consideration for employment, or (ii) may result in my immediate discharge from the employer’s service, whenever it is discovered. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT I certify that I have read, fully understand and accepts all terms of the foregoing Applicant Statement.
Signature*
Applicant Signature
Applicant Printed Name:*
Applicant Printed Name:
Date*
MM
DD
YYYY

Date
CAPTCHA

78373

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Office Hours

M-F: 7 AM - 5 PM

Our Services

Contact

Phone

972-617-3557

Mail

[email protected]

Address

4117 N Hwy 77
Waxahachie, Texas 75165

Application of Employment

Step 1 of 7

Name

Current Address

Permanent Address (if different from above)

Personal Information

Employment History

Education

Position Information

Skills

References

Resume & Cover Letter Upload

APPLICANT STATEMENT

Check Us Out!

Office Hours

Contact

Phone

Mail

Address