List your last four (4) employers starting with the most recent, including military experience.
Explain any gaps in employment in comments section below.
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).
List any foreign language(s) and check box that best describes your skill level.
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.
In case of Emergency Notify
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
It is understood and agreed upon that any offer of employment
will be contingent on the following:
1. Passing a pre-employment drug screen.
2. Acceptable background check.
3. Acceptable motor vehicle report.
4. Completion of a post-offer medical questionnaire.
5. When applicable, completion of a post-offer functional job assessment.
6. When applicable, completion of a Department of Transportation Physical.
7. Proof of U.S. Citizenship or immigration status will be required.
8. 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.
9. 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.
RPM's wear liners can be made using our overlayed plate or tungsten carbide tiles
The Black Hills are home to some of the best turkey hunting available.
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RPM & Associates, Inc.
333 Concourse Drive
Rapid City,SD 57703
e-mail: Sales (at) RPMAndAssociates (dot) com