Application

We have a wonderful staff that we are proud of all the commitments they make on a daily basis. I feel safe to say that anyone should be proud to work with the people within our organization. If you want to work with a great staff of people then please complete the application form below and we look forward to hearing from you.

Contractor Application

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Other Phone Number *

Date of Birth *

Position(s) applied for *

Date of Application *

How did you hear about us? (put a name if known) *

If necessary, best time to call you is at *

May we contact you at work? *

If yes please provide your work number and the best time to call.

Work Phone Number *

Time: *

Have you ever completed an application with LPI before? *

If yes, when? *

Are you legally eligible for employment in this country? *

Date available to start work *

If they have been explained to you, are you able to meet the attendance requirements of the position? *

If no, please explain. *

Do you have a reliable transportation to where the job is located? *

Answering "yes" to the following questions does not constitute an automatic bar from L.P.Inc. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Have you ever been bonded? *

Have you ever pled "guilty" or "no contest" to, or been convicted of a felony? *

If yes, please provide date(s) and details below: *

Please note: There will be a background check.

AN EQUAL OPPORTUNITY CONTRACTOR

Employment History

Starting with your most recent employer, please provide the following information:

Employer #1 *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dates employed (please provide month and year) *

Starting compensation and job title *

Final Compensation and job title *

Immediate supervisor and title (for most recent position held) *

May we contact for reference? *

Reason for leaving: *

Summarize the type of work performed and job responsibilities. *

What did you like most about your position? *

What were the things you liked least about your position? *

Employer #2 *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dates employed (please provide month and year) *

Starting compensation and job title *

Final Compensation and job title *

Immediate supervisor and title (for most recent position held) *

May we contact for reference? *

Reason for leaving: *

Summarize the type of work performed and job responsibilities. *

What did you like most about your position? *

What were the things you liked least about your position? *

Employer #3 *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Dates employed (please provide month and year) *

Starting compensation and job title *

Final Compensation and job title *

Immediate supervisor and title (for most recent position held) *

May we contact for reference? *

Reason for leaving: *

Summarize the type of work performed and job responsibilities. *

What did you like most about your position? *

What were the things you liked least about your position? *

Explain any gaps in your employment. *

Have you ever been fired or asked to resign from a job? *

If yes, please explain. *

SKILLS AND QUALIFICATIONS

Summarize any special training, skills, licenses, and / or certifications that may assist you in performing the position for which you are applying for: *

EDUCATIONAL BACKGROUND

Starting with your most recent school attended please provide the following information:

HIGH SCHOOL (list school and city / state): *

Years attended *

Completed with a diploma or GED? If yes please identify which one. *

COLLEGE (list school and city / state): *

Years attended *

Completed with a diploma, degree, or certification? Please identify which one if yes. *

VOC / TECH (list school and city / state) *

Years attended *

Completed with a diploma, degree, or certification? Please identify which one if yes. *

REFERENCES

List name and telephone number of three business / work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Reference #1 *

First

Last

Title *

Relationship to you *

Phone Number *

Years known *

Reference #2 *

First

Last

Title *

Relationship to you *

Phone Number *

Years known *

Reference #3 *

First

Last

Title *

Relationship to you *

Phone Number *

Years known *

Is there any other job related information you want us to know about you? *

APPLICATION STATEMENT

I certify that all information I have provided in order to apply for and secure work with this contractor is true, complete and correct.

I expressly authorize, without reservation, the contractor, its representatives or agents to contact and obtain information from all references (personal and professional),employers, public agencies, licensing authorities and educations institutions and to otherwise verify the accuracy of all information provided by me in this application, resume' or job interview . I herby waive any and all rights and claims I may have regarding the contractor, its agents or representatives, for seeking ,gathering information for furnishing such information ,in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this contractor does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting of elimination any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for a 90 day period. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the contractor reserves the same right to terminate my contract at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for any specified period or definite duration. I understand that no supervisor or representative of the contractor is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the contractor's present.

I also understand that if I am contracted, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (I) eliminate me from further consideration, or (II) my result in my immediate discharge from the contractor's service, whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE APPLICANT STATEMENT

I certify that I have read, fully understand, and accept all terms of the foregoing Applicant Statement.

Digital Signature *

First

Last

Date *

Submit