Contact Information

Your Name:

Street Address:

City:

State:

Postal / Zip Code:

Country:

Contact Phone:

Contact Email:

General Information

Are you over 18 years old?

NoYes

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?

NoYes

Do you have a valid drivers license?

NoYes

Please upload a copy of your 39 month MVR (You can obtain this copy from MVD online):

Please upload a copy drivers license (Front):

Please upload a copy drivers license (Back):

Do you have a commercial drivers license?

NoYes

How did you hear of this opening?

List people you know who work here:

Please enter the position or type of work you are applying for:

Shift Preferred:

Part TimeFull Time

Are you willing to work overtime as required?

NoYes

Are there any shifts, hours, or days that you cannot or will not work?

NoYes

Which shifts/hours/days?

When can you start?

Education, Experience, and Skills

Name of High School?

Did you graduate?

NoYes

Do you have college or university experience?

NoYes

Do you any natural gas piping or plumbing experience?

NoYes

Do you have any other training or experience?

Please attach your resume:

Work Experience

Most Recent Employer

Name and Title of Supervisor:

Phone Number:

Street Address:

City:

State:

Zip Code:

Country:

Positions Held:

Start Date:

End Date:

Reason for Leaving:

Name and Title of Supervisor:

Phone Number:

Street Address:

City:

State:

Zip Code:

Country:

Positions Held:

Start Date:

End Date:

Reason for Leaving:

Name and Title of Supervisor:

Phone Number:

Street Address:

City:

State:

Zip Code:

Country:

Positions Held:

Start Date:

End Date:

Reason for Leaving:

Application’s Certification and Agreement

I certify that the statements I have made in this application for employment is the truth to the best of my knowledge. I authorize RP Companies to verify the information that I have provided. Any false statements on this application for employment shall be considered enough cause for termination.

At-Will Employment

The relationship between you and RP Gas Piping is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or RPC. No Representative of RP Companies has the authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “ at will, “ and that you acknowledge that no oral or written statements or representation regarding your employment can alter your at-will employment status, except for a oral or written statement by you and either our Executive Vice President/Chief Operations Officer or the Company’s President.

Termination Agreement and Employment

Period shall be terminated at the time when any of the following may occur:

• Date of “at will” termination by either Employee or Employer

• Upon the Employee’s death

• Cause shall include, but is not limited to Employee’s gross misconduct, material damage to the Employer, Employee’s willful breach of this Agreement, or the Employee’s death occurs

I agree to these terms

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