Application for Employment

An Equal Opportunity Employer

Successful completion of this application and the screening process are mandatory for employment.
A drug test may be required in connection with a job offer.

Personal Information
First Name           Last Name Middle Name
Social Security
Number
          Email
Present Address
City State Zip Code
Primary Telephone
Number
Secondary Telephone
Number
Are you Legally eligible for employment
in the U.S.A.?
TWIC Card?
Do you have a
valid U.S. Passport?
Passport Number Expires
Are you 18 years of age or older?
Are you subject to a non-competition agreement or other agreement that
would preclude or restrict your employment with Altair Strickland?
Emergency Contact Emergency Contact
Number
Position Information
Position Applied for Date available to work  
Years of Experience
Desired Wage
$
Were you previously employed by AltairStrickland? If yes, when?
List any friends or relatives working for AltairStrickland
Referred By
Craft Experience:
Craft      Craft    Craft     
 
Welding Qualification
and Skills
 
 
 
Welding Experience
(Months/Years)
Do you have NCCER Certification?        List Certifications       
 
Education
  Name Location Years
Attended
Graduated? Degree Type Major
High School
Business or
Trade School
College
Graduate or
Professional
 
Conviction History
Have you ever been convicted of a felony crime within the past seven (7) years?    
If yes, please explain: (A conviction will not necessarily disqualify an applicant for employment)
 
Employment History

Please list all employers for whom you have worked over the past 5 years starting with the most recent employer; furnish dates and explanations for each period of unemployment of one month or more. If you were self- employed, please indicate this. Do not omit any employment during these 5 years. Use the Supplemental Page(s) if needed to provide a full and accurate employment history.

 
Most Recent Employer
Company Address         
Supervisor Phone Type of Business
Position Employed From   Employed To  
Starting Salary
$
Ending Salary
$
Reason for Leaving
Duties
 
Company Address         
Supervisor Phone Type of Business
Position Employed From   Employed To  
Starting Salary
$
Ending Salary
$
Reason for Leaving
Duties
 
Company Address         
Supervisor Phone Type of Business
Position Employed From   Employed To  
Starting Salary
$
Ending Salary
$
Reason for Leaving
Duties
 
Company Address         
Supervisor Phone Type of Business
Position Employed From   Employed To  
Starting Salary
$
Ending Salary
$
Reason for Leaving
Duties
 
Driving Information
Do you have a driver’s license? Type:
Driver’s License Number Expiration Date State of Issue
Have you had any accidents during the past three years?
If yes, please describe
Have you had any moving violations during the past three years?
If yes, please describe
 
  Software Experience (if applicable) No Experience Novice Intermediate Advanced
    Primavera Project Management
    Microsoft Access (2003+)
    Microsoft Excel (2003+)
    Microsoft Word (2003+)
    Microsoft Power Point (2003+)
    Microsoft Project
    SAP (Client ERP System)
 
EEO Self-Identification

The information requested below is in conformity with federal government guidelines. Information obtained will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

While we encourage you to furnish this information, submission is voluntary and refusal to provide it will not subject you to any adverse treatment.

      Yes, I wish to voluntarily provide the information requested, as follows:
 
Gender
 
 
Ethnicity & Race
Are you Hispanic or Latino?     
 
What race(s) do you consider yourself to be?
 
Handicapped/Disabled
 
Are you Handicapped or Disabled? 
 
Veteran Status (check all that apply)
 
 
 
References
  List below the names of three (3) persons (not related to you) whom we may contact to obtain a reference.
Name Address Phone Relationship
 
Background Check

Altair Strickland has a long-standing record of excellence with corporate ethics and the safety and security of our employees. Part of our strong commitment in these areas includes a thorough background check of all candidates in the final stages of the interview process. Please be aware that if you should receive a verbal offer of employment from Altair Strickland, you will be subject to a background check. Depending on the position you have applied for, this background check may include, but is not limited to: social security number check, education verification, verification of the last 7 years of employment history, a drug screen, thorough check of your motor vehicle records, criminal records review, credit history, etc. Should your background check not meet our company standards, including failure to disclose, the offer of employment will be rescinded.

Pre-Employment Statement
I hereby certify that the information provided on this application (and accompanying resume) is true and complete to the best of my knowledge. I understand that any falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for termination if discovered at a later date.

II authorize a thorough investigation of my past employment and activities, agree to cooperate with such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information. I hereby agree to submit to any lawful drug testing that may be required as a condition of employment or continued employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including termination. I further understand the Company requires a Driver's License Check and Criminal Background Check. I agree to be drug tested in accordance with the Company's policy and give my consent for the Driver's License and Criminal Background Check to be conducted.

Any time after a conditional offer of employment or during employment, I authorize any physician or health care provider to release information advising the company: (1) whether I am currently able to perform the specific job for which I am being considered or employed with or without reasonable accommodation and the basis for such conclusions; and (2) whether I can perform the job without posing a direct threat to the health or safety of myself or others.

I understand that my employment is at will, and that I have no express or implied contract with the Company concerning the terms and conditions of my employment. Both the Company and I have the right to terminate the employment relationship at any time, with or without cause, and with or without notice. I further acknowledge that I have not relied, or will not rely, upon any representations to the contrary, either in accepting employment with the Company or in continuing my employment with the Company. Also, the Company has the right to modify any policies adopted by the Company, and such policies do not create any contractual commitments by the Company.

I understand that according to federal law all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and U.S. citizen status or, if aliens, their legal authorization to work in the U.S. As a consequence, I understand that any offer of employment would be contingent on my ability to produce the required documentation within the time period required by law.

Signature (as shown on Social Security Card)

Equal Employment Opportunity Policy

Altair Strickland is deeply committed to a policy of equal employment opportunity for all their job applicants and employees. We seek to employ qualified persons in all job classifications and to administer all personnel actions affecting our employees without discrimination on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identify, political ideology, ancestry, or genetic information. Individuals with disability, disabled Veterans, and Veterans of the Vietnam era will be given the fullest consideration for employment in positions for which they are qualified. We also are committed to making reasonable accommodation to qualified individuals with a disability as well as abiding by any and all state and local laws, which, in addition to the above, prohibit discrimination in any form.



Thank you for completing this application form and for your interest in AltairStrickland.