BRS Application
B.R.S., Inc. is an equal opportunity employer and does not discriminate because of age, race, color, sex, religion, national origin, or disabilities not affecting safety or job performance. We accept your application with a pledge of good faith and fair dealing; we expect the same in return.
PLEASE READ INSTRUCTIONS: 1: Answer all questions; Incomplete applications will not be considered. 2: Do not provide information that is not requested. 3: All applications are subject to pre-employment drug screening. 5: Applications will be active for 30 days.
**Notice: IF YOU HAVE USED ANY ILLEGAL DRUGS IN THE LAST 60 DAYS - DO NOT FILL OUT THIS APPLICATION!!
Enter your name from your Social Security Card.
Last Name *
Your answer
First Name *
Your answer
Middle Name
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Date of Birth (All jobs may require occasional driving. D.O.T. requires age.
MM
/
DD
/
YYYY
DRIVING INFORMATION
Driver's License number
Your answer
State
Your answer
Exp. Date
Your answer
Class
Your answer
Restrictions
Your answer
An MVR will be requested. Is your driving record free of serious violations?
ARE YOU DRUG FREE?
IF NO HOW LONG SINCE YOU LAST USED AN ILLEGAL DRUG?
Your answer
Check the items you are physically able to perform
Check the job you are applying for:
Check equipment you can operate skillfully and safely
EMPLOYMENT HISTORY: List Last Position First
1: Name of Employer
Your answer
1: Estimated Dates Worked
Your answer
1: Supervisor's Name
Your answer
1: Job Title
Your answer
1: Telephone Number
Your answer
1: Wage or salary
Your answer
1: Reason for leaving
Your answer
1: Would they rehire you?
2: Name of Employer
Your answer
2: Estimated Dates Worked
Your answer
2: Supervisor's Name
Your answer
2: Job Title
Your answer
2: Telephone Number
Your answer
2: Wage or salary
Your answer
2: Reason for leaving
Your answer
2: Would they rehire you?
3: Name of Employer
Your answer
3: Estimated Dates Worked
Your answer
3: Supervisor's Name
Your answer
3: Job Title
Your answer
3: Telephone Number
Your answer
3: Wage or salary
Your answer
3: Reason for leaving
Your answer
3: Would they rehire you?
Have you ever worked for B.R.S., Inc.?
If yes, what year
Your answer
EDUCATION - CHECK HIGHEST YEAR COMPLETED
Elementary School and High School
College
Trade/Business School
Your answer
Can you read and understand written instructions?
Can you read and understand construction plans(blue prints)?
Can you follow verbal instructions?
Can you weld?
Are you certified?
I SUBMIT THIS APPLICATION WITH THE UNDERSTANDING THAT ALL APPLICANTS MUST TAKE AND PASS A SUBSTANCE ABUSE TEST.
I understand that: This application is not an offer of employment; That by accepting this application, the company does not guarantee that I will be offered a position; That I will not be paid for time spent while applying for a position, taking a physical examination after a conditional offer of employment, or any other processing prior to beginning of employment.
I understand and agree that my future employment is at-will and is not for any guaranteed length of time and both the company and I have the freedom to terminate the employment relationship whenever either chooses to do so. Incomplete applications will not be considered for employment. I understand that this application will remain active for 30 days only. Any and all employment arising from this application is to be considered temporary employment for this project.
Nickname
Your answer
Were you referred by a current B.R.S employee?
If yes, who?
Your answer
Do you know a current B.R.S employee
If yes, who
Your answer
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