PAT TANK

IMPORTANT: READ TERMS OF EMPLOYMENT CAREFULLY. TYPE ANSWERS TO EVERY QUESTION. ALL INFORMATION ON THIS APPLICATION WILL BE CONFIDENTIAL. FEDERAL AND STATE LAWS PROHIBIT DISCRIMINATION BECAUSE OF RACE, COLOR, RELIGION, NATIONALITY, AGE, SEX, OR DISABILITY.

Please complete all required fields to be considered for employment

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Personal Information

Date of Birth

In Case of Emergency Notify:

Have You Ever Been Convicted of a Felony?

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IF YES, PLEASE ATTACH A SUMMARY OF DETAILS. DISCLOSURE OF A CRIMINAL RECORD DOES NOT DISQUALIFY YOU FROM EMPLOYMENT CONSIDERATION. YOUR CASE WILL BE JUDGED ON ITS OWN MERITS.
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Do You Have a Drivers License?

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Are You Legally Authorized to Accept Employment in this Country?

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(PROOF OF CITIZENSHIP OR IMMIGRATION STAUS WILL BE REQUIRED UPON EMPLOYMENT)

Do You Have Adequate Means of Transportation to Get to Work on Time Each Day and When Called in on Short Notice and Are You Willing to Travel?

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Do You Have Previous Tank Experience?

Education

List All Schools Attended

High School
Graduated
Degree or Diploma

College/University
Graduated
Degree or Diploma

Business/Technical
Graduated
Degree or Diploma

Work Interest

Employment Desired
Have You Ever Filed an Application with PAT Tank Before?
Have You Ever Been Interview by PAT Tank Before?

Employment History

List all previous work experiences including military and periods of unemployment. begin with present position and work back to your first position. attach resume, if necessary. if there were periods of more than one month where you were self-employed, list names and addresses of person(s) who can verify your activities during this period(s).




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Availability and Work Preferences

Shifts You Can Work
Will You Work Overtime Whenever Scheduled or Requested?
Would You Accept Part-Time Work?
Can You Work Weekend Whenever Scheduled or Requested?
Would You Accept Temporary Work?

All Applicants Who Have Experience In The Following Skills Should Complete This Section

Can You Read and Work Blueprints?
Do You Have a TWIC Card?
Are Your Safety Classes Current?

Previous Employer Information

References

List The Name And Phone Number of Four Individuals (not relatives or former employers) who can provide personal references

Consent and Agreement


I HEREBY STATE THAT THE INFORMATION GIVEN BY ME IN THIS APPLICATION IS TRUE IN ALL RESPECTS. I UNDERSTAND THAT IF I AM EMPLOYED AND THE INFORMATION IS FOUND TO BE FALSE IN ANY RESPECT, I WILL BE SUBJECT TO DISMISSAL WITHOUT NOTICE AT ANY TIME. I HEREBY AUTHORIZE MY FORMER EMPLOYER TO RELEASE INFORMATION PERTAINING TO MY WORK RECORD, MY WORK HABITS, AND MY WORK PERFORMANCE WHILE IN THEIR EMPLOY. I HEREBY AUTHORIZE THE INDIVIDUALS LISTED AS PERSONAL REFERENCES TO RELEASE ANY PERSONAL INFORMATION THAT MAY PERTAIN TO MY WORK HABITS OR WORK PERFORMANCE. I UNDERSTAND AND AGREE THAT ANY EMPLOYEE HANDBOOK WHICH I MAY RECEIVE WILL NOT CONSTITUTE AN EMPLOYMENT CONTRACT, BUT WILL BE MERELY A GRATUITOUS STATEMENT OF PAT TANK’S CURRENT POLICIES. I UNDERSTAND THAT THE COMPANY WILL REQUIRE APPLICANTS FOR EMPLOYMENT TO TAKE A URINALYSIS OR BLOOD TEST FOR DRUG AND ALCOHOL SCREENING AS PART OF A PRE-EMPLOYMENT PHYSICAL EXAMINATION, AND THAT OFFER OF EMPLOYMENT WITH PAT TANK IS CONDITIONED UP ON THE RESULTS OF MY PHYSICAL EXAMINATION (INCLUDING URINALYSIS OR BLOOD TEST FOR DRUG OR ALCOHOL SCREENS) BEING SATISFACTORY. I UNDERSTAND, THAT IF I AM EMPLOYED WITH PAT TANK, THE COMPANY WILL REQUIRE THAT I SUBMIT TO A DRUG OR ALCOHOL SCREEN IF I APPLY FOR PROMOTION, IF I AM INVOLVED IN AN ON-THE-JOB ACCIDENT, OR IF THE COMPANY HAS A REASONABLE SUSPICION THAT I AM UNDER THE INFLUENCE OF DRUGS OR ALCOHOL. I HEREBY AUTHORIZE THE RELEASE OF THE RESULTS OF ANY PHYSICAL EXAMINATIONS OR DRUG TEST REQUIRED HEREIN TO PAT TANK. I FURTHER UNDERSTAND, THAT THE COMPANY MAY INSPECT ALL LOCKERS AND ANY BAGS (INCLUDING PURSES OR BRIEFCASES) OR PARCELS BROUGHT INTO OR TAKEN OUT OF PAT TANK AND THAT MY REFUSAL TO SUBMIT TO A URINALYSIS, BLOOD TEST OR SEARCH, WHEN REQUESTED TO DO SO, MAY RESULT IN THE TERMINATION OF MY EMPLOYMENT.

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