Pipe & Plastic

Which location are you appling to: SELECT Endicott, NY - Office Endicott, NY - Plant Colfax, NC - Plant  

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This application must be completed and signed personally by the applicant. If answer is NO or NONE, indicate same. We appreciate your interest in our company. National Pipe & Plastics, Inc. subscribes to all Federal and State statutes which prohibit discrimination. We consider all applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or any other legally protected class or status.

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Personal Information:
     
           

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Questionaire:

Are you 18 years or older?	Yes	No
Are you legally eligible for employment in the United States?	Yes	No
Have you ever been employed by National Pipe & Plastics, INC.?	Yes	No
Are you employed now?	Yes	No
If currently employed, may we inquire of your present employer?	Yes	No
Have you ever been convicted of and/or plead guilty to a felony or Misdemeanor? Please note: a conviction record will not necessarily be a bar to employment.	Yes	No

Position Applied for:		Rate of pay expected:	/ Hour Week Year
Special Licenses / Certificates		Expiration Date:

Other position(s) qualified for:

Check the shift(s) you can work:

Full Time

Part Time

Day Shift

Evening Shift

Night Shift

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Education:
Select Highest Grade Completed SELECT Grade School 01 Grade School 02 Grade School 03 Grade School 04 Grade School 05 Grade School 06 Grade School 07 Grade School 08 High School 09 High School 10 High School 11 High School 12 College 01 College 02 College 03 College 04 Graduate 01 Graduate 02 Graduate 03 Graduate 04  

High School Name:

High School Location:

Military Branch:

Years served:

Rank:

Discharge:

SELECT Honorable General OTH BCD ELS Dishonorable

Other Graduate, Business or Vocational School, or Other Training Skills:

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Employment Record:  

Company Name:		Address:		Telephone:
Type of Business:		Salary Start:	/  Hour Week Year	Salary Last:	/  Hour Week Year
Dates Employed:	To	Your Position / Title:		Supervisor:

Reason for leaving:
Briefly Describe your Duties & Responsibilities:

Company Name:		Address:		Telephone:
Type of Business:		Salary Start:	/  Hour Week Year	Salary Last:	/  Hour Week Year
Dates Employed:	To	Title:		Supervisor:

Reason for leaving:
Briefly Describe your Duties & Responsibilities:

Company Name:		Address:		Telephone:
Type of Business:		Salary Start:	/  Hour Week Year	Salary Last:	/  Hour Week Year
Dates Employed:	To	Title:		Supervisor:

Reason for leaving:
Briefly Describe your Duties & Responsibilities:
Explain and give details of any period of unemployment longer than 30 days.

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References:

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Additional Comments:

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Resume:
You may upload a resume. Only doc, docx, or pdf formats accepted.