Home
Our Technology
Freeform
Repair and Cladding
Services
Laser Systems
557XR
222XR
Company
News
Videos
Careers
Contact Us
RPM Innovations - Online Employment Application
AN EQUAL OPPORTUNITY EMPLOYER
*
Indicates required field
DATE OF APPLICATION
*
PERSONAL INFORMATION
NAME
*
First
Last
PRESENT ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
PERMANENT ADDRESS
*
Line 1
Line 2
City
State
Zip Code
Country
PHONE NUMBER
*
EMAIL
*
REFERRED BY
*
EMPLOYMENT DESIRED
POSITION APPLYING FOR
*
DATE YOU CAN START
*
SALARY DESIRED
*
TYPE OF EMPLOYMENT DESIRED
*
Full Time
Part Time
Temporary
Seasonal
Educational Co-op
HAVE YOU EVER BEEN EMPLOYED HERE BEFORE?
*
Yes
No
IF YES, WHEN
*
HAVE YOU EVER FILED AN APPLICATION HERE BEFORE?
*
Yes
No
IF YES, WHEN
*
ARE YOU A U.S. CITIZEN?
*
Yes
No
ARE YOU LEGALLY ELIGIBLE FOR EMPLOYMENT IN THE U.S.?
*
Yes
No
ARE YOU OVER 18 YEARS OF AGE?
*
Yes
No
HOW DID YOU LEARN ABOUT US?
*
Advertisement
Friend
Relative
Employment Agency
Other
Please specify
*
ARE YOU ON LAY-OFF AND SUBJECT TO RECALL?
*
Yes
No
WILL YOU TRAVEL IF JOB REQUIRES IT?
*
Yes
No
WILL YOU WORK OVERTIME IF REQUIRED?
*
Yes
No
WILL YOU WORK SHIFTS?
*
Yes
No
ARE YOU ABLE TO OBTAIN A PASSPORT/VISA FOR TRAVEL IF REQUIRED?
*
Yes
No
We consider applicants for all positions without regard to ace, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
EMPLOYMENT HISTORY
List your last four (4) employers starting with the most recent, including military experience. Explain any gaps in employment in comments section below.
Employer #1 (Most Recent)
Employer #1 Name
*
Employer #1 - Phone Number
*
Employer #1 - Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer #1 - Job Title
*
Employer #1 - Dates Employed
FROM
*
TO
*
Employer #1 - Immediate Supervisor and Title
*
Employer #1 - Reason for Leaving
*
Employer #1 - May we contact for reference?
*
Yes
No
Later
Employer #1 - Hourly Rate/Salary Starting $
*
per
*
Employer #1 - Hourly Rate/Salary Ending $
*
per
*
Employer #1 - Summary of Work
*
Employer #2
Employer #2 Name
*
Employer #2 - Phone Number
*
Employer #2 - Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer #2 - Job Title
*
Employer #2 - Dates Employed
FROM
*
TO
*
Employer #2 - Immediate Supervisor and Title
*
Employer #2 - Reason for Leaving
*
Employer #2 - May we contact for reference?
*
Yes
No
Later
Employer #2 - Hourly Rate/Salary Starting $
*
per
*
Employer #2 - Hourly Rate/Salary Starting $
*
per
*
Employer #2 - Summary of Work
*
Employer #3
Employer #3 Name
*
Employer #3 - Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer #3 - Job Title
*
Employer #3 - Dates Employed
*
FROM
*
TO
*
Employer #3 - Immediate Supervisor and Title
*
Employer #3 - Reason for Leaving
*
Employer #3 - May we contact for reference?
*
Yes
No
Later
Employer #3 - Hourly Rate/Salary Starting $
*
per
*
Employer #3 - Hourly Rate/Salary Ending $
*
per
*
Employer #3 - Summary of Work
*
Employer #4
Employer #4 Name
*
Employer #4 - Phone Number
*
Employer #4 - Address
*
Line 1
Line 2
City
State
Zip Code
Country
Employer #4 - Job Title
*
Employer #4 - Dates Employed
FROM
*
TO
*
Employer #4 - Immediate Supervisor and Title
*
Employer #4 - Reason for Leaving
*
Employer #4 - May we contact for reference?
*
Yes
No
Later
Employer #4 - Hourly Rate/Salary Starting $
*
per
*
Employer #4 - Hourly Rate/Salary Ending $
*
per
*
Employer #4 - Summary of Work
*
Comments (including explanation of gaps in employment)
*
Skills and Qualifications Summarize special skills and qualifications acquired from employment or other experiences that may qualify you to work with our company.
*
EDUCATIONAL BACKGROUND
A. List last three (3) schools attended, starting with last one. B. List number of years completed. C. Indicate degree or diploma earned, if any. D. Grade Point Average or Class Rank and, E. major and minor field of study (if applicable).
A. School #1
*
B. No. of Years Completed
*
C. Degree Diploma
*
D. GPA Class Rank
*
A. School #2
*
B. No. of Years Completed
*
C. Degree Diploma
*
D. GPA Class Rank
*
A. School #3
*
B. No. of Years Completed
*
C. Degree Diploma
*
D. GPA Class Rank
*
FOREIGN LANGUAGE(S)
List any foreign language(s) and check box that best describes your skill level.
Language #1
*
Language #1 Skill Level
*
Read and Write
Read and Speak
Read only
Speak only
Language #2
*
Language #2 Skill Level
*
Read and Write
Read and Speak
Read only
Speak only
Language #3
*
Language #3 Skill Level
*
Read and Write
Read and Speak
Read only
Speak only
Language #4
*
Language #4 Skill Level
*
Read and Write
Read and Speak
Read only
Speak only
REFERENCES
List name and telephone number of three business/work references that are not related to you and are not previous supervisors. If not applicable, list three school or personal references that are not related to you.
Reference #1 - Name
*
Reference #1 - Telephone
*
Reference #1 - Years Known
*
Reference #2 - Name
*
Reference #2 - Telephone
*
Reference #2 - Years Known
*
Reference #3 - Name
*
Reference #3 - Telephone
*
Reference #3 - Years Known
*
EMERGENCY CONTACT INFORMATION
Name
*
Address
*
Phone No.
*
ADDITIONAL INFORMATION
List special accomplishments, publications, awards. (Exclude information which would reveal sex, race, religion, national origin, age, color, disability, or other protected status.)
*
(Exclude information which would reveal sex, race, religion, national origin, age, color, disability, or other protected status.)
List any additional information you would like us to consider
*
RESUME
In order to be considered for employment, you must provide a resume.
Please attach a resume if you have an electronic version. Select the "Browse" button below to select your file.
Upload File
*
Max file size: 20MB
In order to attach a resume, it must be in one of the following formats.
Adobe Acrobat PDF (.pdf)
Microsoft Word (.doc, .docx)
If you would like to send your a resume directly, e-mail it to
[email protected]
. Be sure to include your name and the position you are applying for.
AGREEMENT
It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.
I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
It is understood and agreed upon that any offer of employment will be contingent on the following:
Passing a pre-employment drug screen.
Acceptable background check.
Acceptable motor vehicle report.
Completion of a post-offer medical questionnaire.
When applicable, completion of a post-offer functional job assessment.
When applicable, completion of a Department of Transportation Physical.
Proof of U.S. Citizenship or immigration status will be required.
Agreement to comply with our clean shaven policy in order to meet OSHA standards for respirator fit testing as well as respirator use when required.
Agreement to comply with all of our RPM company policies.
The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I AGREE
Home
Our Technology
Freeform
Repair and Cladding
Services
Laser Systems
557XR
222XR
Company
News
Videos
Careers
Contact Us