CONTACT US ABOUT US EMPLOYMENT

1.800.348.4RPM

RPM and Associates, Inc. Rapid City, SD

RPM Companies - On-line Employment Application

AN EQUAL OPPORTUNITY EMPLOYER
DATE OF APPLICATION

PERSONAL INFORMATION
NAME
First Name M.I. Last Name
PRESENT ADDRESS

Address
City State/Province ZIP/Postal Code
PERMANENT ADDRESS

Address
City State/Province ZIP/Postal Code
PHONE NO.
EMAIL
REFERRED BY



EMPLOYMENT DESIRED
POSITION APPLYING FOR


WHICH RPM COMPANY ARE YOU APPLYING FOR?
RPM & Associates, Inc.
RPM Solutions, Inc.
RPM Innovations, Inc.
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
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 race, 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
Telephone
Address

Address Line 1

Address Line 2
City State ZIP
Job Title
Dates Employed
FROM TO
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?
Yes
No
Later
Hourly Rate/Salary Starting $ per
Hourly Rate/Salary Ending $ per
Summary of Work

Employer #2 Employer
Telephone
Address

Address Line 1

Address Line 2
City State ZIP
Job Title
Dates Employed
FROM TO
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?
Yes
No
Later
Hourly Rate/Salary Starting $ per
Hourly Rate/Salary Ending $ per
Summary of Work

Employer #3 Employer
Telephone
Address

Address Line 1

Address Line 2
City State ZIP
Job Title
Dates Employed
FROM TO
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?
Yes
No
Later
Hourly Rate/Salary Starting $ per
Hourly Rate/Salary Ending $ per
Summary of Work

Employer #4 Employer
Telephone
Address

Address Line 1

Address Line 2
City State ZIP
Job Title
Dates Employed
FROM TO
Immediate Supervisor and Title
Reason for Leaving
May we contact for reference?
Yes
No
Later
Hourly Rate/Salary Starting $ per
Hourly Rate/Salary Ending $ per
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 B. No. of Years Completed C. Degree Diploma D. GPA Class Rank E. Major E. Minor

List any foreign language(s) and check box that best describes your skill level.

Language 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.

Name Telephone Years Known

In case of Emergency Notify

Name Address Phone No.
List special accomplishments, publications, awards. (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.


In order to attach a resume, it must be in one of the following formats.
  • Adobe Acrobat PDF (.pdf)
  • Microsoft Word (.doc, .docx)
The file must also be less than 25 Mb.

If you would like to send your a resume directly, e-mail it to Personnel@RPMandAssociates.com. 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:

   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.

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.

About RPM & Associates

About RPM and Associates

RPM's chrome carbide-overlayed pulverizer rolls are precision-engineered for long life and reliable performance to ensure reduced cost per unit for our customers.

Rapid City, the Black Hills, and South Dakota ... Our Home

About Rapid City and the Black Hills

The Black Hills are home to some of the best turkey hunting available.