APPLICATION FOR EMPLOYMENT CURRENT OPENINGS ; United States Employment application used for positions based in the United States Today's Date* Date Format: MM slash DD slash YYYY Full Legal Name* First Middle Last Suffix Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone #1*Phone #2Email* Enter Email Confirm Email Are you legally eligible for employment in the US?*YesNo(if yes, verification will be required)Are you over age 18?*YesNoWere you previously employed by VME?*NoYesIf yes, were you employed at VME or Cortex?*When were you previously employed by VME?*Position you are applying for today:If applying for welding position, which welding processes are you experienced in?Can you perform the duties of the job you are applying for?*YesNoDon't Know / Not SureIf your application is considered favorably, on what date would you be available for work?* Date Format: MM slash DD slash YYYY RECORD OF EDUCATIONDo you have a high school diploma?*YesNoLast Year of High School Completed*3 (Junior)2 (Sophomore)1 (Freshman)Did Not Attend High SchoolNumber of High Schools Attended1234Did Not AttendHigh School #1: NameHigh School #1: City & StateHigh School #2: NameHigh School #2: City & StateHigh School #3: NameHigh School #3: City & StateHigh School #4: NameHigh School #4: City & StateDid you attend college?*NoYesLast year of college completed:Less than 1 year1234More than 4 yearsNumber of Colleges/Universities AttendedDid Not Attend1234More than 4College #1: NameCollege #1: City & StateCollege #1: Major and/or degree earnedCollege #2: NameCollege #2: City & StateCollege #2: Major and/or degree earnedCollege #3: NameCollege #3: City & StateCollege #3: Major and/or degree earnedCollege #4: NameCollege #4: City & StateCollege #4: Major and/or degree earnedCollege #5: NameCollege #5: City & StateCollege #5: Major and/or degree earnedHave you received other education/training?*NoYesNumber of Other Educational/Training Organizations Attended0123456Other #1: Name, City & StateOther #1: Field of study, certifications and/or degrees earnedOther #2: Name, City & StateOther #2: Field of study, certifications and/or degrees earnedOther #3: Name, City & StateOther #3: Field of study, certifications and/or degrees earnedOther #4: Name, City & StateOther #4: Field of study, certifications and/or degrees earnedOther #5: Name, City & StateOther #5: Field of study, certifications and/or degrees earnedOther #6: Name, City & StateOther #6: Field of study, certifications and/or degrees earnedRECORD OF EMPLOYMENTList below present and past employment, for the past 10 years, beginning with your most recent employer. A resume may be uploaded, however, you are still required to complete all information requested. How many present and past employers have you had in the last 10 years?*012345More than 5Company #1 (Most Recent) : Name*Company #1 (Most Recent) : City & State*Company #1 (Most Recent) : Type of Business:*Company #1 (Most Recent) : Start Date* Date Format: MM slash DD slash YYYY Company #1: (Most Recent) End Date* Date Format: MM slash DD slash YYYY Is Company #1 Your Present Employer?*YesNoCompany #1 (Most Recent) : Supervisor Name:Company #1 (Most Recent) : Reason for Leaving*Company #1 (Most Recent) : Describe the work that you did.*Company #2: NameCompany #2 : City & StateCompany #2 : Type of Business:Company #2 : Start Date Date Format: MM slash DD slash YYYY Company #2: End Date Date Format: MM slash DD slash YYYY Is Company #2 Your Present Employer?NoYesCompany #2 : Supervisor Name:Company #2 : Reason for LeavingCompany #2 : Describe the work that you did.Company #3: NameCompany #3 : City & StateCompany #3 : Type of Business:Company #3 : Start Date Date Format: MM slash DD slash YYYY Company #3: End Date Date Format: MM slash DD slash YYYY Is Company #3 Your Present Employer?NoYesCompany #3 : Supervisor Name:Company #3 : Reason for LeavingCompany #3 : Describe the work that you did.Company #4: NameCompany #4 : City & StateCompany #4 : Type of Business:Company #4 : Start Date Date Format: MM slash DD slash YYYY Company #4: End Date Date Format: MM slash DD slash YYYY Is Company #4 Your Present Employer?NoYesCompany #4 : Supervisor Name:Company #4 : Reason for LeavingCompany #4 : Describe the work that you did.Company #5: NameCompany #5 : City & StateCompany #5 : Type of Business:Company #5 : Start Date Date Format: MM slash DD slash YYYY Company #5: End Date Date Format: MM slash DD slash YYYY Is Company #5 Your Present Employer?NoYesCompany #5 : Supervisor Name:Company #5 : Reason for LeavingCompany #5 : Describe the work that you did.PERSONAL REFERENCESNot former employers or relativesReference #1: Name* First Last Reference #1: Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Reference #1: Phone*Reference #2: Name* First Last Reference #2: Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Reference #2: Phone*Reference #3: Name* First Last Reference #3: Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Reference #3: Phone*EQUAL OPPORTUNITY EMPLOYMENT STATEMENTWe are an Equal Employment Opportunity Employer, and maintain a policy of non-discrimination with respect to all employees and applicants for employment.AT WILL STATEMENTPlease read, initial and date. Note: If you interview for a position at VME, we will ask for your physical signature on this document.“I understand that, if hired, my employment would be “at-will” and could be terminated at any time by either party, with or without cause and with or without notice.”Initials*Date* Date Format: MM slash DD slash YYYY STATEMENT OF TRUTHPlease read, initial and date. Note: If you interview for a position at VME, we will ask for your physical signature on this document.“I certify that the statements I have made are true and correct to the best of my knowledge. I understand that the submission of any false information or the omission of any requested information in connection with my application for employment, whether on this document or not, may be cause for failure to hire or for immediate discharge should I be employed by VME, or any of its entities."Initials*Date* Date Format: MM slash DD slash YYYY AUTHORIZATION TO RELEASE INFORMATIONPlease read, initial and date. Note: If you interview for a position at VME, we will ask for your physical signature on this document.In consideration of my application for (including contract services), or continued employment with VME or any of its entities, I authorize VME, to conduct and report research and share with each other, information about my background including, but not limited to, information about my prior employment, education, driving record, consumer credit history, criminal record, workers’ compensation claims and general public records history. Further, I understand that an investigative consumer report may be requested from various Federal, State, Local and other agencies. I understand that such an investigative report may contain information about my background, mode of living, character and personal reputation; and that I am entitled to be advised of the nature and scope of the investigation requested within a reasonable time after I ask for this information in writing. I HEREBY AUTHORIZE, WITHOUT RESERVATION, ANY PERSONS, AGENCY OR OTHER ENTITY CONTACTED BY VME TO FURNISH THE ABOVE-MENTIONED INFORMATION. I understand that any offer of employment may be contingent upon my having completed the entire hiring process. That process includes employment or personal references; pre-employment drug screen; preemployment assessments; and satisfactory background check, which may include but not limited to motor vehicle, credit and criminal records. Initials*Date* Date Format: MM slash DD slash YYYY DRUG & ALCOHOL FREE WORKPLACEThe Company desires to maintain a safe working environment and a drug and alcohol free workplace for all of its employees. We expect employees to work without being under the influence of drugs or alcohol. The Company specifically prohibits the following: The use, possession, solicitation for, or sale of narcotics or other illegal drugs, alcohol, or prescription medication without a prescription on Company or customer premises or while performing an assignment. Being impaired or under the influence of legal or illegal drugs or alcohol away from the Company or customer premises, if such impairment or influence adversely affects the employee's work performance, the safety of the employee or of others, or puts at risk the Company's reputation. Possession, use, solicitation for, or sale of legal or illegal drugs or alcohol away from the Company or customer premises, if such activity or involvement adversely affects the employee's work performance, the safety of the employee or of others, or puts at risk the Company's reputation. The presence of any detectable amount of prohibited substances in the employee's system while at work, while on the premises of the Company or its customers, or while on company business. "Prohibited substances" include illegal drugs, alcohol, or prescription drugs not taken in accordance with a prescription given to the employee. DRUG & ALCOHOL TESTING POLICYAs a condition of employment, successfully pass a drug test. After being hired, an employee may at some point again be asked to submit to a drug or alcohol test under the circumstances outlined below or whenever it is required by a customer contract. Refusal to submit to a requested drug or alcohol test within 45 minutes of being requested to do so is grounds for immediate discharge. RANDOM TESTING: Employees may be selected at random for drug testing at any interval determined by an independent third party. Because the selection is random, it is possible for one particular employee to be tested more than once while another employee is not tested at all during the same time period. FOR CAUSE TESTING: The Company may ask an employee to submit to a drug or alcohol test at any time it feels that the employee may be under the influence of drugs or alcohol, including, but not limited to, the following circumstances: (i) reckless equipment use; (ii) disruptive or belligerent behavior; (iii) lack of care or interest in work or grooming; (iv) failure to meet schedules; (v) bloodshot, glazed, unfocused, or dilated eyes; (vi) odorous breath; (vii) lack of coordination; (viii) diminished physical or mental control; (ix) slurred or thickened speech; (x) inability to concentrate; (xi) unusual, excessive drowsiness; (xii) unexplained changes in mood; (xiii) evidence of drugs or alcohol on or about the employee's person or in the employee's vicinity; (xiv) unusual conduct on the employee's part that suggests impairment or influence of drugs or alcohol; (xv) negative performance patterns; (xvi) excessive and unexplained absenteeism or tardiness; or (xvii) similar activity and behavior. The foregoing list is meant only to be representative and is not exhaustive of what shall constitute reasonable cause for alcohol or drug testing. Any employee subject to for cause testing will be taken by the Department Manager and at least one co-worker to the testing location and returned to the Company premises upon completion of the test. At that time, the employee shall contact someone to pick them up from the Company, or if necessary, the Department Manager may notify the employee’s emergency contact listed in the personnel file. Under no circumstances will the employee be allowed to leave the premises unattended. The employee may be suspended from work with pay pending the results of the test. POST-ACCIDENT TESTING: Any employee involved in an on-the-job accident or injury under circumstances that suggest possible use or influence of drugs or alcohol in the accident or injury event will be required to submit to a drug and/or alcohol test. "Involved in an on-the-job accident or injury" means not only the one who was injured, but also any employee who potentially contributed to the accident or injury event in any way. Any employee subject to post-accident testing will be taken by the Department Manager and at least one co-worker to the testing location and returned to the Company premises upon completion of the test. At that time, the employee shall contact someone to pick them up from the Company, or if necessary, the Department Manager may notify the employee’s emergency contact listed in the personnel file. Under no circumstances will the employee be allowed to leave the premises unattended. The employee may be suspended from work with pay pending the results of the test. If an employee is tested for drugs or alcohol within the employment context and the results indicate a violation of this policy, the employee will be subject to appropriate disciplinary action, up to and possibly including discharge from employment. In such a case, the employee will be given an opportunity to explain the circumstances prior to any final employment action becoming effective. If an employee is tested for drugs or alcohol outside of the employment context and the results indicate a violation of this policy, the employee may be subject to appropriate disciplinary action, up to and possibly including discharge from employment. In such a case, the employee will be given an opportunity to explain the circumstances prior to any final employment action becoming effective. Prescription MedicationAny employee taking prescription medication(s) that may affect the ability to perform their job safely must obtain and present to their Department Manager a physician’s release stating whether or not the employee may safely perform their specific job duties. (i.e. operating heavy equipment, operating a forklift, driving on behalf of the Company, etc.) Employees will not be allowed to return to their regular duties without such a release. If light duty work is available, the employee will be assigned to such until a proper release is presented. In the event light duty is not available, the employee will be placed on leave of absence. Any unused vacation or personal time will be charged. If no paid time off remains, the employee will be placed on unpaid leave. Employee Acknowledgment, Consent and Release Concerning Drug & Alcohol Testing PolicyPlease read, initial and date. Note: If you interview for a position at VME, we will ask for your physical signature on this document.I acknowledge that I have received a copy of VME’s Drug Testing Policy,that I have read and understand the policy, and that by signing this acknowledgment, I agree to adhere to the policy as a condition of my employment and/or continuing employment with VME. I alsoacknowledge that I am an at-will employee and that my employment may be terminated at any time for good cause, bad cause or no cause. I further acknowledge that my failure to adhere to this policy may subject me to disciplinary action, up to and including immediate termination without advance warning. I further acknowledge that I have reviewed the policy and have been given the opportunity to ask questions about the policy. I understand that my refusal to submit to a drug screen or a positive result on such a drug screen can lead to my immediate termination for work-related misconduct.Initials*Date* Date Format: MM slash DD slash YYYY Resume UploadYou may upload a resume along with your application here (not required)VME Participates in E-Verify: Click to ViewRight to Work: Click to ViewFamily Medical & Leave Act: Click to ViewCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
