Employment Opportunities Application First Name, Middle Initial Last Name Mailing Address, including City, ST, Zip Code Phone Number Your E-mail Address Are you a Citizen of the United States? Yes No Have you ever worked for this company? Yes No Have you ever been convicted of a felony? Yes No Position Applying For Certified Welder Millwright Mechanic Helper If applying for welding what type are you certified in? Stick MIG TIG SS Alloy Pipe Structural/Plate Previous Employer Company Name Previous Employer Phone Number Do you have a valid driver's license? Yes No Certifications Forklift CPR First-Aid Mining Card/MSHA OSHA 10 OSHA 30 Do you understand that all positions require travel? Yes No Do you have reliable transportation? Yes No Do you have the tools of your trade? Yes No How did you hear about our Company? Radio Ad Newspaper Ad Digital/Social Media Referred by 3 + 9 = Statement:
