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Applying For: Offshore Blaster/Painter

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First Name *

Last Name *

Phone*

Email*

Address*

City*

State*

Zip*

Are you authorized to work in the United States?*YesNo

Are you 18 years of age or older?*YesNo

Have you ever been employed by Quality Companies USA - QPC, QPM, TRACO or Zadok?*YesNo

How did you hear about this job opening?*

EDUCATION

High School City/State*

Did you graduate?*YesNo

College, City/State and Degree

Did you graduate?YesNo

WORK EXPERIENCE

Please detail your entire work history, beginning with your most recent position. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately.

Please explain any gaps in employment.

Organization*

Position*

Start Date*

End Date*

Reason for Leaving

REFERENCES

Please list at least three professional references (not relatives/family members). We will assume we have your permission to contact these people unless you indicate to the contrary.

First Name

Last Name

Relationship

Company/Position

Contact Phone

Contact Email

CERTIFICATIONS

Please list any current certifications

RESUME

Attach your resume, if applicable *

PLEASE READ CAREFULLY AND ACKNOWLEDGE THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION. I certify that the information on this application and its supporting documents is accurate and complete to be the best of my knowledge. understand and agree that failure to folly complete the form,or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or may result in termination after employment if discovered at a later date. I authorize Quality Companies to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and work background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an oiler of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Quality Companies serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to provide proof of eligibility to work in the United States. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for certain benefits including paid time off. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice.

I also give Quality Companies permission to process my data and contact me.