PES Application for Employment

* = required field

PERSONAL INFORMATION

Date
First name *
 Middle name
 Last name *
 Social Security # *
Present Address *
 Permanent Address *
Phone # *
 Email Address *
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *
Yes       No      
Are you 18 or older? *
Yes       No      

EMPLOYMENT DESIRED
Position
 Date you can start *
 Salary Desired (numbers only) *
Are you employed now?
Yes       No       		If so, may we contact your present employer?
Yes       No      
Have you ever applied to PES before?
Yes       No       		When?
 Referred By

EDUCATION
Name of High School *
 Years Attended *
 Did You Graduate? *
Yes       No       		Subject Studied *
Name of College
 Years Attended
 Did You Graduate?
Yes       No       		Subject Studied
Name of Trade/Business School
 Years Attended
 Did You Graduate?
Yes       No       		Subject Studied

FORMER EMPLOYERS

List last three employers, starting with the last one first
Name of Employer *
 Phone # *
 Month/Year Started *
 Month/Year Ended *
Salary *
 Position *
 Reason for leaving *
 Manager Name *

Name of Employer *
 Phone # *
 Month/Year Started *
 Month/Year Ended *
Salary *
 Position *
 Reason for leaving *
 Manager Name *

Name of Employer
 Phone #
 Month/Year Started
 Month/Year Ended
Salary
 Position
 Reason for leaving
 Manager Name

REFERENCES

Name three persons not related to you & whom you have known for at least six months
Name *
 Phone *
 Business *
 Months/Years Acquainted *
Name *
 Phone *
 Business *
 Months/Years Acquainted *
Name *
 Phone *
 Business *
 Months/Years Acquainted *
 
In case of emergency, notify:
 Name
 Address
 Phone
Are you a certified welder?
Yes       No       		If so, are you able to provide certification?
Yes       No       		Upload Resume
Only .pdf and .doc files are accepted


"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be termination, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions for my employment may be changed, with or without cause, and with or without notice, at anytime by the company. I understand that no company representative, other than it's president, and then only within writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."