Riggs Industries Online Application


Personal Information

Name:
Present Address:
Phone Number:
Attach a Resumé:
Are you at least 18 years of age? Yes No


Special Questions

Do not answer any of the questions in this section unless the employer has checked a box preceding a question; thereby, indicating that the information is required for a bona fide occupational qualification, or dictated by national security laws, or is needed for other legally permissible reasons.

Are you prevented from lawfully becoming employed in the U.S.? Yes No
What foreign languages do you speak fluently?
Read?
Write?
Have you ever been convicted of a felony or misdemeanor? Yes No


Employment Desired

Position(s)
Date you can start:
Salary Desired:
Are you employed now?
If so, may we inquire of your present employer?
Have you ever applied for this company before? Yes No
Where?
When?
Have you ever worked for Riggs Industries, Inc or its subsidiary companies before? Yes No
If yes, where and when?


Education

Education Name and Location of School No. of Years Completed Did you Graduate Subject(s) Studied
List Degree of Diploma
Elementary School
High School
College
Trave/Business or Vo-Tech School
Other special training or skills:
(machine operation, hobbies, etc.)
U.S. Military or Naval Service: Yes No
Rank:
Present Membership in National Guard or Reserves:


Former Employers

List below last six employers, starting with the most recent:  If applicable, give at least a 10-year history.

Dates of Employment Name and Address of Employer Salary Position(s) Reason for Leaving
From To
[+] Add Another


References

Give the names of three persons not related to you, whom you have known at least one year.

Name Address / Phone No. Business and Association to you Years Acquainted
Do you have any relatives that work for Riggs Industries, Inc. or any of its subsidiary companies? Yes No
If yes, list name(s) and relation to you:
Where do they work?
Physical Record:  Do you have any physical limitations that preclude you from performing any work for which you are being considered? Yes No

If yes, what can be done to accommodate your limitation?
Please describe


In case of an emergency notify

Name:
Address:
Phone:

“I understand that the facts contained in this application are true and complete to the best of my knowledge and understand that, if hired, falsified statements on this application shall be grounds for termination.  I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability for any damages that may result from furnishing same to you.

I understand and agree that, if hired, I will work any shift and overtime as deemed necessary by the company.  I acknowledge that, if hired, I understand my employment is “At-Will”, which means that my employment is for no definite period of time and I may be terminated at any time without prior notice.”