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860 W Chance Rd, Lumberton, TX 77657
Phone: (409) 755 4077
Fax: (409) 755 4133
Email: info@triplesindustrial.com
Triple "S" Industrial Corp.
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Home
Pipe Fabrication
Pipe Fabrication
Vessel Fabrication
Field Services
Construction
Civil & Structural Steel
Electrical & Instrumentation
Plant Maintenance
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Apply Now
More Information
Contact Us
Apply Now
Contact Information
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
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Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Legal Information
Are you at least 18 years of age?
*
Yes
No
If hired, can you prove evidence of legal eligibility to work in the U.S.?
*
Yes
No
Have you ever been convicted of a criminal offense which has not been annulled or sealed by a court?
*
Yes
No
If you answered yes to the previous question, please explain:
*
Have you ever been discharged or asked to resign by an employer?
*
Yes
No
If you answered yes to the previous question, please explain:
*
Positions
Please select up to 2 positions that you wish to be considered for from the list.
*
Auto/Heavy Equipment Mechanic
Clerk
Craft Apprentice/Helper
Laborer FG-CSA
Planner/Scheduler
Project Manager
Safety Coordinator
QA/QC Inspector
Assistant Superintendent
Superintendent
Craft Foreman
General Foreman
CDL Truck Driver
ASME Certified Welder (Alloy)
ASME Certified Welder (Carbon Steel)
Heavy Equipment Operator
NCCCO-NCCER Crane Operator
NCCER Certified Boilermaker
NCCER Certified Carpenter
NCCER Certified Electrician
NCCER Certified Ironworker
NCCER Certified Millwright
NCCER Certified Pipefitter
Concrete Finisher
Wage Desired:
Date you can begin work?:
MM slash DD slash YYYY
Would you be available for overtime?
*
Yes
No
Would you be available for full or part-time?
*
Full-Time
Part-Time
Past Addresses
Please list any past THREE (3) addresses that you have resided.
From: MM/YYYY
To: MM/YYYY
Address
City
State / Province / Region
ZIP / Postal Code
From: MM/YYYY
To: MM/YYYY
Address
City
State / Province / Region
ZIP / Postal Code
From: MM/YYYY
To: MM/YYYY
Address
City
State / Province / Region
ZIP / Postal Code
Emergency Contact
Please list your emergency contact.
Name
Relationship
Phone
Education
Please list any trade schools you have attended or courses you have taken that may be job-related or that you feel would be of value to this job or company.
High School
School Name
*
Year(s)
*
*
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Did you graduate:
*
Yes
No
If no, did you complete your GED?
*
Yes
No
Current School Information
Are you presently enrolled in school?
Yes
No
If yes, what is the name of the school?
Address
City
State / Province / Region
Expected Degree Date
College
School Name
Address
City
State / Province / Region
Major
Did you graduate?
Yes
No
Certifications
Do you possess a current Transportation Workers Identification Credential (TWIC) Card?
Yes
No
Do you possess a current ISTC Badge?
Yes
No
Please list current classes below:
Do you possess a NCCER or Other Craft Certification(s)
Yes
No
Please list certifications below:
Please list any job-related skills or accomplishments, including military service:
Employment Information
Please list positions (up to 3) that you have held that are pertinent to the position for which you are applying.
Employer 1
Name of Employer
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Phone
Job Title and Duties
End Date of Employment
MM slash DD slash YYYY
Starting Pay
Ending Pay
Reason for Leaving
Employer 2
Name of Employer
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Phone
Job Title and Duties
End Date of Employment
MM slash DD slash YYYY
Starting Pay
Ending Pay
Reason for Leaving
Employer 3
Name of Employer
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Supervisor
Phone
Job Title and Duties
End Date of Employment
MM slash DD slash YYYY
Starting Pay
Ending Pay
Reason for Leaving
Authorization
For the release of personal data and record information
As a condition of my employment with the Company, I understand that I must undergo and pass, to the Company’s satisfaction, a thorough investigation on educational background, employment experience, personal references, criminal/civil records, motor vehicle, record check, credit check, and physical examination, including a drug screen. I hereby authorize and request that any of the above information be provided to the Company. I further agree to release from all liabilities all persons and companies requesting or supplying information with respect to this inquiry. A photocopy of this authorization may be treated with the same authority as an original.
Typing your name into the following textbox constitutes a signature for all purposes described above. Please enter your name in the following textbox:
*
Sign
Acknowledgements
Please read and acknowledge each of the following by placing your initials in the textbox below each statement:
1.) I certify that all statements I have made in this application are true and agree that any misrepresentation or omission of facts requested may be sufficient cause for cancelation of my application or immediate dismissal from the Company, if I have been employed. In the event I am employed, I agree to conform to the rules and policies of the Company. I understand that these rules and policies may be changed, interpreted, withdrawn, or added to at the Company’s option at any time without notice.
Initial
*
2.) If I accept a job offer from the Company, I consent and agree to take a physical examination, if required, prior to beginning work. I agree to take such future physical examinations that may be required by the Company. I agree to submit to any lawful drug and alcohol testing, or skills and qualification testing that may be required either as a condition for employment or for continued employment. I understand and agree that refusal to submit to such testing during the course of my employment will result in immediate termination.
Initial
*
3.) I acknowledge the Company’s notification to me that a background investigation and/or an investigative consumer report on me may be made. I understand and agree that successful completion to the Company’s satisfaction of such investigation is required for employment or continued employment. I hereby authorize the Company to conduct or have conducted the investigation described above.
Initial
*
4.) I understand and agree that if any employment relationship is established with the Company, it will be of an “at will” nature. I understand that “at will” means that I may resign at any time and the Company may dismiss me at any time, with or without cause. I understand and agree that this “at will” employment relationship cannot be changed by any written document or oral statement unless this change is specifically acknowledged in writing by the President or higher level officer of the Company.
Initial
*
5.) I agree that the Company’s liability to me for wages is limited to the amount earned by me as of the date of such termination. I also authorize the Company to deduct at any time any funds owed by me to the Company whenever such deduction is not prohibited by law.
Initial
*
6.) I understand that federal law prohibits the employment of unauthorized aliens and that all persons hired must submit satisfactory proof of employment authorization and identity. I further understand that the failure to submit such proof will result in my immediate dismissal from the Company if I have been employed.
Initial
*
7.) I understand that my disclosure of prior convictions for criminal offenses will not necessarily prevent my employment with the Company; however, the omission of this requested information will be sufficient cause for cancellation of my application or my immediate dismissal from the Company.
Initial
*
8.) I have received a written job description and had the requirements of the job explained to me. I understand these requirements and represent to the Company that I can perform these requirements with or without reasonable accommodation.
Initial
*
9.) I have read and agree to the above acknowledgements.
Initial
*
Signature
Please indicate that all of the above is true by entering your full legal name in the following textbox:
Signature
*
Signature
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