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APPLICATION FOR EMPLOYMENT

Last Name

First Name

Middle Name

Phone

City

Zip / Post Code

For Which Position Are Your Applying For?

Date You Are Available?

Are you willing to work..

Days

Weekend

Swing

Graveyard

Field Construction

Overtime

Were You Ever Employed By WPS Industries?

YES

If yes when?

Position Held

How did you hear about WPS Industries or this opening?

Do You Have A Valid Driver’s License?

yes

Name on License:

Driver’s License Number?

State of Issue

Type

Have you been convicted of a crime in the past seven years? (Conviction is not necessarily a bar to employment)

Yes

If yes please explain

PREVIOUS EMPLOYER

Most Recent Employer

Company Name

Are you currently working for this employer?

Yes

If yes may we contact?

Yes

Address

Job Title

Salary

City

Zip / Post Code

Employment Date From:

To:

Supervisor's Name:

Phone:

Fax:

Duties

Reason For Leaving

NEXT FORMER EMPLOYER

Company Name

Are you currently working for this employer?

Yes

If yes, may we contact?

Yes

Address:

Job Title

Salary

City

Zip / Post Code

Employment Date From:

To:

Supervisor's Name

Phone:

Fax:

Duties

Reason for Leaving

Next Former Employer:

Company Name:

Are you currently working for this employer?

Yes

If yes, may we contact?

Yes

Address

Job Title

Salary

City

Zip / Post Code

Employment Date From:

To:

Superviosor's Name

Phone

Fax:

Duties:

Reason For Leaving

Job Related Skills (Please list any past employment or skills that you feel would be of value to this job or this company:).

References

Name:

Phone

Years Known

Relationship

Name

Phone

Years Known

Relationship

Name

Phone

Years Known

Relationship

EDUCATION

High School

City

College

City

Other

City

WELDING/FABRICATION SKILLS EVALUATION

If applying for a welding/fabrication position, please evaluate your skills below (All positions require a weld/fabrication test prior to employment.)

The following ranking system should be applied as objectively as possible within each area:

A. Highly skilled in this area with 5 or more years experience.
B. Above average with 2 to 5 years experience.
C. Good skills with less than 2 years experience.
D. Little experience in this area.
E. No experience in this area.

1. Blue print reading skills

2. Can you read and understand welding symbols?

3. Basic Geometry Skills

4. Convert decimals to fractions

5. Cutting skills w/Oxy & Acyt

6. Cutting skills with Hand Held Plasma

7. Welding Skills (Choose One For Each)

Fluxcore Carbon Steel .045:

Fluxcore Stainless Steel .045

Hardwire Carbon Steel .035

Hardwire Stainless Steel .035

1/16th or Bigger

Tig-SS

1/8 – 308

7018

Galv

Sub Arc

6011

7024

8. Can you adjust a mig welding machine accurately for different wire?

Yes

9. Do you have any current welding certifications?

Yes

If Yes, List them (When & Where):

10. Fork lift experience?

Yes

11. Can you operate the following equipment?11. Can you operate the following equipment?

Yes

Power Shear

Yes

Power Rolls

Yes

Iron Worker

Yes

Press Break

Yes

Band Saw

Yes

Overhead Crane

Yes

Rigging Training

Yes

Any NC or CNC control experience on shear, rolls, or press brake?

Yes

WPS Industries Group considers all applicants without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, physical handicap, or the presence of disabilities.

I certify that all facts in this employment application and that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge. I understand that false information, omissions or misrepresentations of facts may result in rejection of my application or termination at any time during my employment. I authorize the company and/or its agents, to contact former employees education institutions, law enforcement agencies, city, state, county, parish, federal courts, and military services to release information about my background including consumer reporting bureaus, to verify any of this information. I release all former employers, persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. (THIS WILL SERVE AS YOUR ELECTRONIC SIGNATURE)

I AGREE *

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APPLICATION FOR EMPLOYMENT

Are you willing to work..

PREVIOUS EMPLOYER

EDUCATION

WELDING/FABRICATION SKILLS EVALUATION

WPS Industries Group considers all applicants without discrimination based on sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, physical handicap, or the presence of disabilities.

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