Employment

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Welder

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Welder

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Welder

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Welder

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Employment Application

"*" indicates required fields

Step 1 of 4

25%

Name*

First Last

Home Phone

Cell Phone

Enter Email Confirm Email

Current Address*

Street Address Address Line 2 City State ZIP Code

Position(s) Applying For:

1st Class Fitter

2nd Class Fitter

1st Class Welder

2nd Class Welder

1st Class Machinist

2nd Class Machinist

CNC Machinist

Driver

CNC Programmer

Office

Detail Department

Helper

Machine Operator

Forklift Operator

Other:

Check all that apply.

Do you have reliable transportation?*

Yes

Do you have excellent attendance habits?*

Yes

Is occasional overtime on weekends a problem?*

Yes

How do you feel about working overtime when needed?*

What do you believe are the three most important things an employee should do to be successful?*

Are you authorized to work in the United States?*

Yes

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation?*

Yes

If answered "no" describe the functions that cannot be performed:

Have you worked for a Tubal-Cain company before?*

Yes

When?

If yes, which company?

Do you have any relatives, friends or acquaintances currently working for the company?*

Yes

If so, please give names and relationships:

Employment History and References

Are you currently employed?*

Yes

May we contact your current employer?*

Yes

Available start date?*

MM slash DD slash YYYY

Current or Most Recent Employer

Employer Name:

Employer Phone:

Employer Address:

Street Address City State ZIP Code

Postion/Duties:

Supervisor:

Hire Date:

MM slash DD slash YYYY

Reason for Leaving:

Next Previous Employer

Employer Name:

Employer Phone:

Employer Address:

Street Address City State ZIP Code

Postion/Duties:

Supervisor:

Hire Date:

MM slash DD slash YYYY

Reason for Leaving:

Next Previous Employer

Employer Name:

Employer Phone:

Employer Address:

Street Address City State ZIP Code

Postion/Duties:

Supervisor:

Hire Date:

MM slash DD slash YYYY

Reason for Leaving:

References

List only those who are acquainted with your capabilities. Do NOT list relatives.

Reference 1

Name:

Phone:

Address:

Street Address Address Line 2 City State ZIP Code

Position:

Years Known:

Reference 2

Name:

Phone:

Address:

Street Address Address Line 2 City State ZIP Code

Position:

Years Known:

Reference 3

Name:

Phone:

Address:

Street Address Address Line 2 City State ZIP Code

Position:

Years Known:

Education, Training & Experience

Highest grade or level of education completed:

Last School Attended:

School Name:

Dates Attended:

City:

State:

Degree/Diploma:

Vocational or Business Schools Attended::

School Name:

Dates Attended:

City:

State:

School Name:

Dates Attended:

City:

State:

Certificates, other specialized training (please list):

Military Service

Army

Air Force

Navy

Coast Guard

Marines

Check appropriate box.

Length of services (years):

Area of specialization:

Skills:

(indicate # of years of experience)

Overhead Cranes

Circle Pattern Burner

Brake Press

Track Torch

Pencil/Die Grinder

Lift Trucks

Jib Cranes

Mag/Hogan Drill

Mig Welder

Portable Grinder

Manual Engine Lathe

Plate Bender

Turreth Lathe

Air Chisel

Vertical Mill

Gouger

CNC Lathe

Iron Worker

CNC Mill

Large Band Saw

CNC Plate Processor

Threader

CNC Drill/Saw Combo

Drill Press

TIG Welder

Office Applicants

Word Processor

QuickBooks

Spreadsheets

Data Base

Fabtrol

Timberline Accounting

10 Key Calculator

Keyboard Skills

Other Skills

Please enter other skills.

Please solve the following math problems (shop applicants only):

3/8 + 5/8 =

3/4 + 1/8 =

3/4 + 5/16 =

9/16 + 15/16 =

1/2 + 1/4 =

7/8 + 7/8 =

15/16 + 7/16 =

7/8 + 15/16 =

3/8 + 3/8 =

X =

Fitting & Welding Skills (to be completed by those applying for fitting or welding positions)

Can you weld?

Yes

If yes, what kind of welding?

MIG

Stick

Other

Can you read shop drawings?

Yes

Do you have your own tools?

Yes

Are you prepared to take a fitter test?

Yes

Are you prepared to take a welder test?

Yes

How many years of shop experience do you have?

Please give the meaning of the following symbols:

W12x26

––––––

G.O.S.L.

3 1/2 GA

NS - FS

13/16?

U.N.

LLOS

Describe the image:

Machinist Skills (to be completed by those applying for machinist positions)

What kind of machine tools can you operate?

Can you read shop drawings?

Yes

Do you have your own tools?

Yes

What is the length of your experience?

Give years and months.

What do the following symbols mean?

UNC

125 RMS

.001"

+.005" -.000"

TPI

While using a 2" to 3" O.D. micrometer, what reading is shown in the diagram above?

3.463"

450"

1.424"

2.385"

2.035"

None of these

Required Personal Tool List

Welders

Toolbox (lockable)
Welding hood
Leathers (optional)
Fillet gauges
Welding gloves
Wire Brush
Chipping hammer
Torch striker
Crescent wrench/bottle wrench
Welding pliers
File/Rasp
Hammer 2 or 3 pound
Wire brush
Channel lock pliers
25' Tape measure
Flashlight
Mirror
Safety Toed Boots

Fitter

Steel-Toed Boots
Toolbox (lockable)
Welding Hood
Leathers
Crescent Wrenches
Chipping Hammer
25' Tape Measure
Wire Brush
Torpedo Level
24” Level
Rasp & Files
Welding gloves
Hammer (4 lb.)
Center Punch
Tri-Square
Hammer (2 lb.)
(2) Framing Squares
Striker & Tip Cleaner
Speed Square or Tri Square
Clamps
24 oz. Plumb Bob
Welding pliers
Channel lock pliers
Tape measures 100'
Straight edge 4' min
Various Clamps suitable for structural steel fabrication
Flashlight
90 deg. magnet
Radius marker
String/chalk line

Additional Background

What is your greatest strength as an employee?

What is your greatest weakness?

What is the most difficult project you have ever worked on?

What kinds of things bother you most about your current or last job?

What (work related) have you done that you are proud of?

Why do you want to work at Tubal-Cain Industries?

Employment Notices: Applicant is to read and acknowledge the following:

Arbitration Agreement:

I hereby agree to submit to binding arbitration all disputes and claims arising out of the submission of this application and/or any way relating to my request for employment with the company. Binding arbitration shall be conducted through the American Arbitration Association and pursuant to their rules for employment disputes. I agree and acknowledge that in the event that I am hired by the company, all disputes that cannot be resolved by informal, internal resolution, whether during or after my employment, will be submitted to binding arbitration. I acknowledge that the company's arbitration and alternative dispute resolution agreement apply to me as an applicant to the company. I understand that my signature here confirms acceptance of this agreement in its entirety. I understand that I will be required to sign the full agreement for the company records in the event that I am offered employment with the company, but that I am committing myself to that agreement by signing here at this time. I understand that I have the ability to consult an attorney before signing this agreement if I choose to do so.

Drug Test:

After conditional job offer has been made or at any time during my employment, you may be asked to take a drug test to detect the presence of controlled substances.

Medical Exam:

Employment at this business requires all employees to be fit to perform any physical and/or mental activities related to the essential functions of their jobs, as well as to appear regularly and on time for work as assigned. After an offer of employment is made to you and before you report to work, you may be required to submit to a medical review. Depending on company policy and the requirements of the job, you may be required to be examined by a medical professional chosen by the company.

At - Will Employment:

You should understand that the position for which you are applying is considered at-will, which means that either you or the company can terminate employment for any reason or no reason at any time. No one except the company president has the authority to amend this agreement.

I HAVE READ and understand the above statement.*

Agree

Consent to Perform Criminal History Background Check in Compliance with the FCRA and the DPPA

(Fair Credit Reporting Act and the Federal Driver's Privacy Protection Act)

Date

MM slash DD slash YYYY

Driver's Lic/ID#:

State Issued:

Name

First Last

Current Address

Street Address Address Line 2 City State ZIP Code

Maiden and/or Other Last Names Used:

Date of Birth

Social Security Number:

Gender

Male

Female

This authorization and consent for release of personal information acknowledge that Tubal-Cain Industries Inc. (Hereafter referred to as "Company") and/or its agent, Secure Search, may now, or at any time I am assigned to, volunteer with or am employed by this Company, conduct investigations whether the records are of public, private or confidential nature. These investigations might include, but are not limited to, searches of educational institutions attended; records of previous employment, including work history, complaints and grievances filed by or against me; records and recollections of attorney-at-law or of other counsel, whether representing me or any other person (in either a civil or criminal case in which I have been involved); criminal history information of file in local, state or federal agencies; and motor vehicle records, and following an employment offer, workers' compensation reports from either the Department of Labor, National Personnel Records or the Industrial Commission or similar agencies under the provisions of the Fair Credit Act 15, USC section 1681 et seq.

I understand that these searches will be used to determine work assignment or employment eligibility under the company's employment or volunteer policies. Therefore, I authorize and consent for full release of records (either orally or in writing) to the authorized representatives of the company. In addition, I release and discharge the company and its agent and associates to the full extent permitted by law from any claims, damages, losses, liabilities, costs expense or any other charge or complaint filed with any agency arising from retrieving and reporting this information. After reading this document, I fully understand its contents and authorize the background verification.

The following are my responses to questions about my criminal record history (if any) with descriptions to any question with a YES answer:

Have you ever been convicted or plead guilty before a court of any federal, state, or municipal criminal offense? (Excluding minor traffic violations)

Yes