Job Application - Petro Mechanical

EMPLOYMENT / JOB APPLICATION

PERSONAL INFORMATION

Name*(Required)

First Middle Last

Date*(Required)

Address*(Required)

Street Address, Apt/Suite City State ZIP Code

Email*(Required)

Phone*(Required)

Social Security # (SSN)*(Required)

DL/State

Date Available*(Required)

Desired Pay: $*(Required)

Pay Setup*(Required)

Hour

Salary

Position Applied for*(Required)

What Position Are You Applying for?

EMPLOYMENT ELIGIBILITY

Are you legally eligible to work in the U.S?*(Required)

YES

NO

Have you ever been convicted of a felony?*(Required)

YES

NO

*if yes, please explain:

Have you ever worked for this employer?*(Required)

YES

NO

Start Date

End Date

EDUCATION

Highschool

City/State

From

To

Graduate?

YES

NO

Diploma

College

City/State

Graduate?

YES

NO

Degree

REFERENCES (PROFESSIONAL ONLY)

Reference 1

Name

First Last

Relationship

Company

Title

Email

Phone

Reference 2

Name

First Last

Relationship

Company

Title

Email

Phone

Reference 3

Name

First Last

Relationship

Company

Title

Email

Phone

MILITARY SERVICE

Are you a veteran?(Required)

YES

NO

From

To

Branch

Rank at Discharge

Type of Discharge

If not honorable, please explain:

BACKGROUND CHECK CONSENT

If asked, are you willing to consent to a background check?*(Required)

YES

NO

DISCLAIMER

Applicant understands that this is an Equal Opportunity Employer and committed to excellence through diversity. In order to ensure this application is acceptable, please print or type with the application being fully completed in order for it to be considered.
Please complete each section EVEN IF you decide to attach a resume.
I, the Applicant, certify that my answers are true and honest to the best of my knowledge. If this application leads to my eventual employment, I understand that any false or misleading information in my application or interview may result in my employment being terminated.

Applicant Signature*(Required)

Date*(Required)

Name*(Required)

First Middle Last

ACKNOWLEDGEMENT AND AUTHORIZATION FOR BACKGROUND DISCLOSURE

Petro Mechanical Services & Supply may obtain information about you from a third-party consumer reporting agency for employment purposes. Thus, you may be the subject of a “consumer report” which may include information about your character, general reputation, personal characteristics, and/or mode of living. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records (“driving records”), verification of your education or employment history, or other background checks. You have the right, upon written request made within a reasonable time, to request whether a consumer report has been run about you and to request a copy of your report. These searches will be conducted by Advanced Workplace Strategies, Inc. (AWSI), 17592 E. 17th Street, Suite 300, Tustin, CA 92780, Phone Number 714-731-3084, www.awsi.com.
The company may request an investigative consumer report about you from a third-party consumer reporting agency, in connection with your employment or application for employment (including independent contractor or volunteer assignments, as applicable). An “investigative consumer report” is a background report that includes information from personal interviews (except California, where that term includes reports with or without information obtained from personal interviews). The most common form of an investigative consumer report in connection with your employment is a reference check through personal interviews with sources such as your former employers and associates, and other information sources. The investigative consumer report may contain information concerning your character, general reputation, personal characteristics, or mode of living. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the company.
I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” by Petro Mechanical Services & Supply at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information services bureau, employer, or insurance company to furnish all background information requested by Advanced Workplace Strategies, Inc. (AWSI), 17592 E. 17th Street, Suite 300, Tustin, CA 92780, Phone Number 714-731-3084, www.awsi.com, and/or company. I agree that a facsimile (“fax”), electronic or photographic copy of this authorization shall be as valid as the original.

Name*(Required)

First Last

SSN*(Required)

Applicant Signature

Date*

Driver’s License Number*(Required)

State*(Required)

Date of Birth*(Required)

Phone*(Required)

I hereby authorize the release of my drug and/or alcohol testing results to TPS Alert (check one of the below).

My test was a DOT drug and/or alcohol test performed on the following date:

My test was a Non-DOT drug and/or alcohol test.

Date

Name(Required)

First Last

Signature(Required)

Job Application Form

EMPLOYMENT / JOB APPLICATION

PERSONAL INFORMATION

EMPLOYMENT ELIGIBILITY

EDUCATION

PREVIOUS EMPLOYMENT

EMPLOYER 1:

EMPLOYER 2:

EMPLOYER 3:

REFERENCES (PROFESSIONAL ONLY)

Reference 1

Reference 2

Reference 3

MILITARY SERVICE

BACKGROUND CHECK CONSENT

DISCLAIMER

ACKNOWLEDGEMENT AND AUTHORIZATION FOR BACKGROUND DISCLOSURE