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Which location are you appling to:  

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.


Personal Information:
 
 
 

 
 
 
 
   





Questionaire:
Are you 18 years or older?  
Are you legally eligible for employment in the United States?  
Have you ever been employed by National Pipe & Plastics, INC.?  
Are you employed now?  
If currently employed, may we inquire of your present employer?  
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.  
Position Applied for: Rate of pay expected: /
Special Licenses / Certificates Expiration Date:
Other position(s) qualified for:
Check the shift(s) you can work:  



Education:
Select Highest Grade Completed  
High School Name: High School Location:
Military Branch: Years served: Rank: Discharge:  
Other Graduate, Business or Vocational School, or Other Training Skills:



Employment Record:  
Company Name: Address: Telephone:
Type of Business: Salary Start:  /  Salary Last:  / 
Dates Employed:  To Your Position / Title: Supervisor:
Reason for leaving:
Briefly Describe your Duties & Responsibilities:

Company Name: Address: Telephone:
Type of Business: Salary Start:  /  Salary Last:  / 
Dates Employed:  To Title: Supervisor:
Reason for leaving:
Briefly Describe your Duties & Responsibilities:

Company Name: Address: Telephone:
Type of Business: Salary Start:  /  Salary Last:  / 
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.



References:
 
 
 
 
 
 
 
 
 
 
 
 



Additional Comments:



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

 






By clicking Submit Application, I certify that the information provided is true and accurate to the best of my knowledge. I authorize investigation of any information provided on this application and authorize investigation of my employment record and references. 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. I understand that any misrepresentation, falsification or omission is cause for voiding this application or termination of employment if hired. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time without any prior notice.