Employment Application Form

Today's Date*

Date

Name:*

First NameMiddle NameLast NameSuffix

Birth Date*

MonthDayYear

What is your country of birth?

Are you a United States citizen?

YesNo

If hired, can you present proof of identity and legal authorization to work in the United States?*

Yes

Social Security Number*

I have a Driver's License

YesNo

Driver's License Number

Driver's License State

Driving Record*

I give my consent to the release of my driving record to SilverLynx Construction, LLC. I authorize my driving record to be periodically obtained and reviewed for the purpose of initial and continued employment.

Phone Number:*

Area CodePhone Number

E-mail Address:*

example@example.com

Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

For what position are you applying?*

What is your desired wage per hour or salary?*

Can you perform the essential functions of the position that you seek with or without reasonable accommodations?*

Yes

Do you give permission for SilverLynx Construction LLC to perform a background check before employment?*

Yes

Have you ever been a member of the Armed Services of the United States?*

YesNo

If yes, which branch?

If "yes," please describe your duties and any special training.

Approximate date of the start of any military service.

Date

Approximate end date of any military service.

Date

Education

	Name	Location	Degree/Diploma Certification	Years Complete	Program Studied / Area of Concentration
High School
College
Graduate School
Vocational School

Prior Employers*

	Name	Location	Phone	Years	Title	Supervisor Name
Current/Most recent Employer
Previous Employer
Previous Employer
Previous Employer

We may contact the employers listed above unless you indicate otherwise.

List any employer(s) you do not want us to contact.

Reason(s) not to contact

Any other name that you have used in the past that may be needed to confirm your employment history.

Training/Certification*

List a few refineries/facilities/Oil & energy Companies that you have or have had site specific training or experience with. (This is regarding clients worked for on their pipeline/site/refinery) e.g. Targa Resources, Exxon, Etc. Write none if applicable.*

Have you pleaded "guilty" or "no contest" to or been convicted of a misdemeanor or felony other than minor traffic violations?*

YesNo

If "yes," please state the nature of the crime(s), when and where convicted, the disposition of the case, and any other relevant information you wish us to consider.*

*FOR MOST POSITIONS AT THE COMPANY, A CONVICTION OF AN OFFENSE WILL NOT AUTOMATICALLY DISQUALIFY AN APPLICANT FOR EMPLOYMENT. TO THE EXTENT POSSIBLE, THE COMPANY WILL UNDERTAKE AN INDIVIDUALIZED ASSESSMENT OF THE NATURE, DATE, CIRCUMSTANCES, AND RELEVANCE OF THE OFFENSE TO THE POSITION APPLIED FOR AND THE LEGAL REQUIREMENTS OF THE POSITION.

Are you 18 years of age or older?*

YesNo

Are you available to work...*

Full TimePart TimeBoth

If the job requires it, can you travel?*

YesNo

Are you related to anyone at SilverLynx Construction LLC?*

YesNo

If yes, please provide their name.

Have you previously submitted an application for employment to SilverLynx Construction LLC?*

YesNo

If yes, approximate date you applied.

Date

Have you previously worked for SilverLynx Construction LLC?*

YesNo

Upload Resume:

Upload a File

How were you referred to us?*

If you were referred to us by an employee, please provide their name.

Job Skills & Training

Describe your experience and skills you have in construction. This can include tasks you have experience with completing in pipeline and facility construction. What are you good at doing? (Think of safety, work completion, organization of site area, tools, paperwork and any other experience & skills.) Do have experience driving a forklift or with pipe-fitting or bolt-up? Can you fabricate, obtain permits or are you good with computers? Weld mapping? *

0/2000

References

Please list two (2) references that are familiar with your work life.

Reference 1

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference 2

Name:*

First NameLast Name

Phone Number*

Area CodePhone Number

Years Known:*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I certify that the information given by me herein is true, accurate, and complete to the best of my knowledge.*

Yes

I understand that, as part of the SilverLynx Construction LLC employment procedure, a routine inquiry may be made that will provide applicable information concerning my employment history, performance, and character.*

Yes

I hereby authorize SilverLynx Construction LLC and/or its agents to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment for the purpose of confirming the information contained on my application and/or obtaining other information that may be material to my qualifications for employment. I release from all liability all persons, companies, and corporations supplying such information, and I also release SilverLynx Construction LLC and any of its representatives from any liability as a result of any inquiries made by SilverLynx Construction LLC while conducting this investigation. I understand any false answers or statements or implications made by me in the application, in any interview, or in other documents shall be considered sufficient cause for denial of employment or termination of employment if I should be employed by SilverLynx Construction LLC. I further understand that my employment with SilverLynx Construction LLC is subject to the satisfactory completion of this investigation.

I agree with the statement above.*

Yes

All claims and disputes arising under or relating to this Agreement are to be settled by binding arbitration in the state of Texas or another location mutually agreeable to the parties. The arbitration shall be conducted on a confidential basis pursuant to the Commercial Arbitration Rules of the American Arbitration Association. Any decision or award as a result of any such arbitration proceeding shall be in writing and shall provide an explanation for all conclusions of law and fact and shall include the assessment of costs, expenses, and reasonable attorneys' fees. Any such arbitration shall be conducted by an arbitrator experienced in construction and shall include a written record of the arbitration hearing. The parties reserve the right to object to any individual who shall be employed by or affiliated with a competing organization or entity. An award of arbitration may be confirmed in a court of competent jurisdiction.

I agree to arbitration as described in the statement above.*

Yes

Additionally, I understand that nothing contained in this employment application or in the granting of an interview or in the conduct of such investigation is intended to create an employment contract between SilverLynx Construction LLC and myself either for employment or for the providing of any benefit. No promises or representations regarding employment have been made to me, and I understand no such promise, representation, or guarantee, whenever made, whether written or oral, is binding upon SilverLynx Construction LLC unless made in writing by the Human Resources Manager of SilverLynx Construction LLC. If an employment relationship is established, I understand that employment with SilverLynx Construction LLC is “at will” and if hired, I acknowledge that I have the right to terminate employment, with or without advance notice, for any reason at all, at any time and that SilverLynx Construction LLC retains the same right. If employed, I agree to sign the SilverLynx Construction LLC Employee Handbook, which outlines the the Company’s policies and procedures for its employees. In addition, if employed, I agree to sign the SilverLynx Construction LLC Employee Technology and Non-Disclosure Agreement, in which I agree to protect and not divulge any confidential information I have gained through employment with SilverLynx Construction LLC (This agreement also sets forth the conditions under which SilverLynx Construction LLC is assigned the entire right, title, and interest of certain inventions or ideas, including computer programs, developed in SilverLynx Construction LLC employ). If offered employment with SilverLynx Construction LLC, I understand that my employment is contingent upon the presentation of documents establishing my identity and eligibility to work in the U.S. I also understand that, if employed, I will be required to abide by all rules and regulations of SilverLynx Construction LLC and to complete satisfactorily a “new employee” period of employment during which I will not be eligible for certain benefits..

I agree with the statements in the paragraph above.*

Yes

I acknowledge that this application may be retained in the employee file, however, this application submission is only for a specific position now.*

Yes

Please submit a new application for any other future position opening.

Thank you for applying!

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