Application for Employment Definitive Industrial Group Application for Employment At Definitive Industrial Group, Inc., we are an equal opportunity employer, dedicated to a policy of nondiscrimination in employment on any basis including race, creed, color, age, sex, religion, disability, national origin, or veteran status. Click here for the offline version of the job application that can be printed, completed, and emailed back to us. Any *REQUIRED* fields on the online form must be completed to submit online application. Located at 4635 Jerry Ware Drive, Beaumont, TX 77705 (409) 299-9631 Office (409) 220-8355 Fax | HR@definitiveindustrialgroup.com Application for Employment First & Last Name * Today's Date * Email * How did you hear about us? * Cell Phone Home Phone Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Resumé or Cover Letter Drop a file here or click to upload Choose File Maximum upload size: 516MB Have you ever appliyed for employment with us? * Yes No If so, which location? Social Security Number * Position Desired Years of Relevant Experience Pay Expected Which shifts are you available for? (Select all that apply) * Day Shift Night Shift Both Will you work overtime if asked? * Yes No Are you willing to travel? * Yes No Do you own your own tools? * Yes No Trade Years in Trade Emergency Contact Information First & Last Name * Are you legally eligible for employment in the United States? * Yes No Address of Contact * Address of Contact Address of Contact Address of Contact City City State/Province State/Province Zip/Postal Zip/Postal Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Côte d'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Phone * When will you be able to begin work? * Relationship * Employment History (Employer 1) Please give accurate, complete full-time and part-time employment records. Start with present or most recent employer. Employer 1 - Most Recent Company Name * Employer 1 Company Address * Employer 1 Name of Supervisor Employer 1 Company/Supervisor Phone Employer 1 Start Date * Employer 1 Start Date End Date * Employer 1 End Date Starting Hourly Pay * Employer 1 Start Hourly Pay Last Hourly Pay * Employer 1 Last Hourly Pay Employment History (Employer 2) Please give accurate, complete full-time and part-time employment records. Start with present or most recent employer. Employer 2 Company Name * Employer 2 Company Address * Employer 2 Name of Supervisor Employer 2 Company/Supervisor Phone Employer 2 Start Date * Employer 2 Start Date End Date * Employer 2 End Date Starting Hourly Pay * Employer 2 Start Hourly Pay Radio Buttons Option 1 Option 2 Last Hourly Pay * Employer 2 Last Hourly Pay Employment History (Employer 3) Please give accurate, complete full-time and part-time employment records. Start with present or most recent employer. Employer 3 Company Name * Employer 3 Company Address * Employer 3 Name of Supervisor Employer 3 Company/Supervisor Phone Employer 3 Start Date * Employer 3 Start Date End Date * Employer 3 End Date Starting Hourly Pay * Employer 3 Start Hourly Pay Last Hourly Pay * Employer 3 Last Hourly Pay Skills, Qualifications, & Education What skills & qualifications are relevant to the position in which you are applying? * Have you been skill assessed? (NCCER) Yes No If you have been skill assess, list below: Education High School Attended & Location Number of Years Completed Did you graduate? Yes No College Attended & Location Number of Years Completed Did you graduate? Yes No Type of Degree Acquired Trade, Business, or Correspondence School Attended & Location Numbers of Years Completed Did you graduate? Yes No Sign & Submit Application Please read the following statement carefully prior to signing this Application. I, hereby apply for employment with Definitive Industrial Group, Inc., (hereinafter referred to as EMPLOYER). I specifically verify that all the information provided in this APPLICATION FOR EMPLOYMENT is true, complete, and correct. I agree any false statement or omission in this application shall be cause for rejection or dismissal. I hereby authorize Definitive Industrial Group to investigate any of the information included in this application and I release from liability those supplying such information. If an offer of employment is made, I agree to submit to a pre-employment physical and testing for drug use and understand that any employment offer may be conditioned on passing such tests. I will also provide proof of my right to work as required by “The Immigration Reform & Control Act of 1986.” The use of this application form does not indicate there are positions open and does not in any way obligate Definitive Industrial Group. to provide employment. I understand that should I be employed, my employment is not for any definite period or succession of periods and is considered an “at will” arrangement. This means that I am free to terminate my employment at any time for any reason, as is Definitive Industrial Group. This application is current for only 30 days. At the conclusion of this time, if I have not heard from Definitive Industrial Group and still wish to be considered for employment, it will be necessary to fill out a new application. I will abide by the safety rules of this company. If injured, I authorize my employer to use best judgment for treatment unless I instruct otherwise. Background Authorization By signing this form, you authorize Definitive Industrial Group, Inc., to process a criminal and social security background check in addition to a medical examination by a company doctor including a test for drug use. False or intentionally misleading answers to these questions as well as false or misleading answers on your application and/or job interview, or not having a safety or accident record satisfactory to us, unrelated to a disability, are grounds for rescinding this offer or terminating your employment. I, the applicant, agree with the statement above (Sign Full Name Below) Applicant Signature * Clear Name of Application & Signee * Name of Application & Signee First First Last Last If you are human, leave this field blank. Submit
