"Fabricating Our Future on a Strong Foundation"

APPLICATION FOR EMPLOYMENT
 Position   Desired Salary
 Name  Date of Application 
 Social Security #  Drivers License State  Drivers License Number
 Cellular Number  Home Phone Number  
 Present Address (Street, Apt. or Unit Number)
 City  State  Zip Code
 Position Applied For Are you 18 years or older?
Are you able at the time of employment to submit verification of your legal right to work in the U.S.
(verification and completion of for I-9 must be submitted no later than three business days after the date of hire)
Are you willing to work overtime  Date which you can start
Within the past ten (10) years have you been convicted of a felony?
(Do not include convictions that were sealed, eradicated, erased, or expunged; convictions that resulted in referral to a diversion program; or marijuana-related convictions that are more than two (2) years old.)
Do you currently have a TWIC card?   Expiration Date
List all current training and certifications. (i.e. HASC, Fit Test.....)
List the special technical skills you feel qualify you for the job your applying
(i .e., computer programming / language, software, equipment operation, special tools or machines, ect.) 
Work Experience please answer All Questions. Resumes Are Not A Substitute For A Completed Application.
Start with your present or last place of employment. You may include any verifiable work performed on volunteer basis, internships, or military service
Employer  Address
Type of Business Phone Dates Employed from to
Job Title  Supervisors Name
May we contact?   Wages Start Final Wages
Reason for Leaving Duties
Employer  Address
Type of Business Phone Dates Employed from to
Job Title Supervisors Name
May we contact? Wages Start Final Wages
Reason for Leaving Duties
Employer  Address
Type of Business Phone Dates Employed from to
Job Title Supervisors Name
May we contact? Wages Start Final Wages
Reason for Leaving Duties
REFERENCES
Name Position Years Known Work Relationship Telephone
1. 1. 1. 1. 1.
2. 2. 2. 2. 2.
3. 3. 3. 3. 3.

APPLICATION CERTIFICATION

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.
If employed by 3-J Ryan, Inc., I understand and agree that 3-J Ryan, Inc., to the extent permitted by federal, state, and local law, may exercise it's right, without
prior warning or notice, to conduct investigations of property (including but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances my personal property.
I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge.
I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY 3-J RYAN INC., EMPLOYMENT IS ON AN AT-WILL BASIS. THIS MEANS 3-J RYAN INC. IS FREE TO TERMINATE NY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AMD FREE TO TERMINATE MY EMPLOYMENT WITH 3-J RYAN INC. AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF 3-J RYAN, INC. AND ME. I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF 3-J RYAN INC., AND I UNDERSTAND THAT 3-J RYAN INC. HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.


I authorize 3-J Ryan, Inc. or it's agents to confirm all statements contained in this application and/or resume as it relates to the position I am seeking and to extent permitted by federal, state, and local law. I agree to complete any requisite authorization forms for the background investigation.

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge and hold harmless, to the extent permitted by federal, state, or local law, any party delivering information to 3-J Ryan, Inc. or its duly authorized representative pursuant to this authorization from ahy liability, claims, charges, or caused of action which I may have a result of the delivery or disclosure of above information. I hereby release from liability 3-J Ryan, Inc. and its representative for seeking such information and all other persons corporations, or organizations furnishing such information.

I understand 3-J Ryan, Inc. hires only individuals who are legally eligible to work in the United States.

Type you name into the following box to authorize and sign this document

 

3-J Ryan, Incorporated
809 West Pasadena Freeway, Pasadena, Texas 77506
Phone: (713) 472-0606
Fax: (713) 472-8558