Employment Application

P.C.I. International, Inc. is an Equal Opportunity Employer and does not discriminate based on race, color, ethnicity, national origin, sex, sexual orientation, sexual identity, gender identity, religion, marital status, age or handicap in the hiring, retention, and promotion of employees. This application in no way constitutes an offer of work. Please complete the following truthfully and to the best of your ability. Your application will remain on file for 90 days.

                      

Today's Date:
 
Date Available to Start:  
 
Currently Employed? Yes  No
                 

* *

Name

First   M.I.     

Last 

 

Phone Number:   

*

How did you hear about our company?:

*

Are you willing to Travel?:

Yes  No

Are you inquiring about work at a specific job site? If so, where?:

*

 

Positions Applying for:
Blaster
Ground Operator
Painter
Rigging
Vaccumer
 

Have you ever completed work on any of the following? (check all that apply):
Bridge Painting
Industrial Commercial Painting
Water Tank Painting             

                             

 Do you have any of the following Certifications or Training? (check all that apply):
OSHA 10
OSHA 30
NACE 1
NACE 2
NACE 3
SSPC C-3
Traffic Control
CPR/First Aid
Forklift Operator
Crane Operator
              

Are you a member of a Union?:
Yes    No     

If yes, Local Union #:
ApprenticeJourneyman
  
 

Employment History (starting with most recent): 
 

Employer 1:

Position:

Employed from:
 to

Reason for Leaving:

 Employer 2:

Position:

Employed from:
 to

Reason for Leaving:

 Employer 3:

Position:

 Employed from:
 to 

Reason for Leaving:

                      

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