APPLICATION FOR EMPLOYMENT

Personal Information

 

Full Name
Address:
City:
State:
Zip Code:
Phone:
Cell Phone:
Email:
   
Are you age 18 or older? 
  Yes No   
  (If no, hire is subject to verification that you are of legal minimum age to work)
Position(s) applying for:
Salary/Wage desired 
Have you ever been employed with us before? 
  Yes No   
  If yes, give dates
On what date would you be available for work?
 
Who do we need to notify in event of an emergency?
 
Name: 
Phone No. 
Address: 
   
   

 

Education/Skills

 

Grammar School
Name and Location of School
Number of years attended
Did you Graduate?
Degree obtained
Subjects Studied
   
High School
Name and Location of School
Number of years attended
Did you Graduate?
Degree obtained
Subjects Studied
   
College
Name and Location of School
Number of years attended
Did you Graduate?
Degree obtained
Subjects Studied
   
Trade, Business or Correspondence School
Name and Location of School
Number of years attended
Did you Graduate?
Degree obtained
Subjects Studied
   
Describe any experiences, skills or qualifications that would be of special benefit in the job for which you are applying.
 
   

 

Employment Record

 

Are you currently employed?
  Yes No   
We routinely contact an applicant’s current employer for reference checks.  Would this pose any particular difficulty for you?
  Yes No   
  If yes, please explain
   
   
Current or Last Employer  
Employer:
Phone
Address
Date (from when to when):
  
Supervisor:
Weekly Wages:
Position and Duties:
Reason for Leaving:
   
Next Previous Employer  
Employer:
Phone
Address
Date (from when to when):
Supervisor:
Weekly Wages:
Position and Duties:
Reason for Leaving:
   
Next Previous Employer  
Employer:
Phone
Address
Date (from when to when):
Supervisor:
Weekly Wages:
Position and Duties:
Reason for Leaving:
   
Please explain all periods of unemployment:
 
Have you ever been terminated from employment? 
  Yes No         
  If so, please explain:
   
The following section must be completed if you are applying for a position which requires the operation of a motor vehicle, owned or leased by the company, or if you must use your own vehicle for company purposes.
   
Do you have a valid driver's license?
  Yes No
Do you have auto liability insurance? 
  Yes No   
  If yes, please provide name of insurance company and expiration date:
Has your driver’s license ever been suspended or revoked for any reason? 
  Yes No   
  If yes, please give date and reason:
Have you been involved in a vehicle accident of any type within the past five years? 
  Yes No
  If yes, give date(s) and the nature and severity of the accident(s)

Traffic Violation Record

List traffic citations you have received during the five years proceeding date of this application, and state the disposition of each, such as “dismissed”, “paid fine”, “defensive driving”, etc.

Date:
Type:
Disposition:
   
Date:
Type:
Disposition:
   
Date:
Type:
Disposition:
   
If you have ever been convicted of driving while intoxicated or under the influence, please explain:
 
Note:  If you are hired for a position, which requires driving, you must keep us informed of any changes in your driving record.
 

 

Resume:

You can attach your resume to this application. Supported file types are: doc, pdf, rtf, txt, zip

 

Employers in Texas have a legal duty in regard to each employee’s safety.  Your, your fellow workers’ and our customers; safety is of utmost importance to Rykin Pump.  It is neither beneficial for neither you nor us to place you in a job where you have a higher risk of injury because of a physical or mental condition.  As an Equal Opportunity Employer, we consider applicant’s for all employment regardless of their disabilities; however in addition to our own requirement, the Americans with Disabilities Act also requires us to make certain that each employee is capable of performing the essential functions of the job.  Therefore, you must be honest with us in regard to your personal evaluation as to your abilities to perform the essential functions as described in the job description.  If you are unable to perform the essential functions of the job, we welcome you to discuss any needs for accommodations that would allow you to perform the job in accordance with the job description.

 
Do you have the physical and/or mental capabilities to perform the essential functions of the job?
  Yes No
  If no, state the accommodations that would allow you to perform the job.
   

By clicking here, I certify that all information given on this application is true, correct and complete to the best of my knowledge.  I also certify that I have accounted for my last three work experiences and any relevant training on this application, and that I have not knowingly withheld any fact or circumstance that would, if disclosed, affect my application unfavorably.

Rykin Pump is hereby authorized to make any investigation of my past employment and current employment if indicated above that this would not pose any difficulty, educational, credit, or criminal history through any investigative agencies or bureaus of its choice.  I release all relevant parties from all liability of any damages resulting from furnishing such information.

If employed by Rykin Pump, I agree to abide by its rules and regulations.  I understand that discovery of misrepresentation or omission of facts herein will make me ineligible for employment or will be cause for immediate dismissal.  I agree to furnish additional information as may be required to complete my employment file.  I understand that operating conditions may require me to temporarily work shifts other than the one I am applying and I agree to such scheduling change as directed by my supervisor.

I have received, read, and reviewed the job description of the position for which I am applying and understand that I must be capable of performing the essential functions contained therein.  I also understand that my employment is subject to the completion of the Medical Examination and Mobility Evaluation and that my continued employment may be conditioned upon maintaining a favorable health evaluation.  I also agree that all information concerning said physical examination can be supplied to Rykin Pump or an authorized agent of the company upon their request.

I understand that this is an application for employment and that no employment and that no employment contract, either express or implied, is being offered.  I also understand that if employed, such employment is for an indefinite period and can be terminated at will by either party, with or without notice, at any time, for any or no reason, and is subject to change in wages, conditions, benefits, and operating policies.

By clicking here, I hereby authorize Rykin Pump to investigate all facts contained in my application for employment with said company, and authorizes the release of any and all information by my present and past employers, wherever located, which may be required for a reference check.  I further authorize all of my previous employers and current employers to five any and all information concerning my employment and any other pertinent information which said employers may have, personal or otherwise and I release all parties from all liabilities for any damages which may result from the furnishing of said information.