Online Application Form - Extreme Precision

Applicant First Name *

Applicant Last Name *

Address

City

State

Zip Code

Phone Number

Email Address

Date of Application

Employment Position

Position Interested In?

How did you hear about this position?

Type Of Position

Full Time

Part Time

Temporary

What days are you available to work?

What hours or shift are you available for work?

If needed, are you available to work overtime?

Yes

No

Are you a U.S. citizen or approved to work in the United States?

Yes

No

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Yes

No

Have you ever been convicted of a criminal offense? (Felony or Misdemeanor)

Yes

No

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.

Please list below the skills/qualifications you possess for the position in which you are applying:

(Note: Extreme Precision Industrial Contractors complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.)

Education and Training

High School

High School Name

Location (City,State)

Year Graduated

Degree Earned

College/University

College/University Name

Location (City,State)

Year Graduated

Degree Earned

Vocational School/Specialized Training

Training School Name

Location (City,State)

Year Graduated

Degree Earned

Military

Are you a member of the Armed Services?

Yes

No

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous Employment

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

ParagraphReason for leaving:

Second Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

Third Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State and Zip Code:

Employer Telephone:

Dates Employed:

Reason for leaving:

References

Please provide 3 personal and professional reference(s) below:

Reference One

Contact Information

Reference Two

Contact Information

Reference Three

Contact Information

Additional Information

Emergency Contact Information:

Are you willing to travel for work if it requires?

Yes

No

At-Will Employment

The relationship between you and the Extreme Precision Industrial Contractors is referred to as
“employment at will”. This means that your employment can be terminated at any time for any
reason, with or without notice, by you or the Extreme Precision Industrial Contractors. No
representative of Extreme Precision Industrial Contractors has authority to enter into any
agreement contrary to the foregoing “employment at will” relationship. You understand that
your employment is “at-will”, and that you acknowledge that no oral or written statements or
representations regarding your employment can alter your at-will employment status, except for
a written statement signed by you and either or Executive Vice President/Chief Operations
Officer or the Company’s President.

Do you understand our At-Will Employment statement above?

Yes

No

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EXTREME PRECISION INDUSTRIAL CONTRACTORS