logo
ENGINEERING MECHANICAL FIRE PREVENTION LIFE SAFETY

88 Foundry Street Wakefield, Massachusetts 781.245.9888
About Us | Services | Expertise | Testimonials | Financing | Projects | Employment | Contact Us

EmploymentApplication

Applicants for employment at LVR Corp. are considered without regard to race, color, religion, sex, sexual orientation, age, genetic information, national origin, veteran status, or physical or mental disability.
 
Name:  
FirstLast Middle Initial
Address:  
Street
City       StateZip
Home Phone:  
Business Phone: 
Position applied for:  
Salary Expected: 
Hours applying for:
   Full time    Part time    Any
Have you ever filled out an application here before?
    No    Yes
Have you ever been employed here before?
    No    Yes
When could you begin work?
Would you work overtime if asked?
Are you willing to travel if a job requires it?
    No    Yes
Are you currently on layoff status and subject to recall?
    No    Yes
How did you hear about LVR?

RECORD OF EDUCATION

School Name & Address of School Course of Study
(major/minor)
Number of Years Completed Diploma or Degree Received
College: 
High School: 
Other: 

RECORD OF EMPLOYMENT

List below all past & present employment, beginning with your most recent. You may include any verifiable work performed on a volunteer basis. If you need additional space, please continue on a separate sheet of paper.


Company: 
From:  To: 
Address: 
Supervisor: 
Phone: 
May we contact this employer?
 No    Yes
Job Title: 
Last Salary/Rate of Pay: 
Work Performed: 
Reason for Leaving:

Company: 
From:  To: 
Address: 
Supervisor: 
Phone: 
May we contact this employer?
 No    Yes
Job Title: 
Last Salary/Rate of Pay:
Work Performed: 
Reason for Leaving:

Company: 
From:  To: 
Address: 
Supervisor:  
Phone: 
May we contact this employer?
 No    Yes
Job Title: 
Last Salary/Rate of Pay: 
Work Performed: 
Reason for Leaving: 

Company: 
From:  To: 
Address: 
Supervisor: 
Phone: 
May we contact this employer?
 No    Yes
Job Title: 
Last Salary/Rate of Pay:
Work Performed: 
Reason for Leaving: 

Professional, Trade, Business or Civic Activities and Offices Held

You may exclude any membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status. 

SPECIALIZED SKILLS

Check skills/equipment operated:
 Mac  PC
 Calculator  Fax
 MSoffice  PBX system
Production/Mobile Machinery (list):
Other (list):

SPECIAL SKILLS AND QUALIFICATIONS


References

Give the name, address and telephone number of three (3) references who are not related to you and are not previous employers. 

Are you under the age of 18?
 No    Yes

An applicant for employment with a sealed record on file with the commissioner of probation may answer 'no record' with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment with a sealed record on file with the commissioner of probation may answer 'no record' to an inquiry herein relative to prior arrests or criminal court appearances. In addition, any applicant for employment may answer 'no record' with respect to any inquiry relative to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court for criminal prosecution.

Have you been convicted of a felony?
Conviction will not necessarily disqualify an applicant from employment.
 No  Yes
If yes, please explain:
Have you ever been convicted of a misdemeanor within the past 5 years (other than a first conviction for any of the following misdemeanors: drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace)?
 No    Yes
If yes, please explain:

Employee Qualifications

It is the policy of LVR Corp. not to allow employees to use tools and equipment that they are not qualified to use. Safety is our first concern.

Please indicate below the tools and equipment on which you have had training or are licensed to operate.

Fork Lift : 
 No    Yes
Date:
Cutting Torches : 
 No    Yes
Date:
Cut Off Saw : 
 No    Yes
Date:
Main Lift : 
 No    Yes
Date:
Roll Groover : 
 No    Yes
Date:
Small Power Tools (drills, saws & grinders) : 
 No    Yes
Date:
Star Gun (Ramset) : 
 No    Yes
Date:
Threading Machine : 
 No    Yes
Date:
Welder : 
 No    Yes
Date:

Please check:

Do you have a valid driverís license?
 No    Yes
Do you have a criminal record?
 No    Yes
Do you have any physical limitations?
 No    Yes

It is LVR's policy that all vehicles and equipment that become unsafe to use are reported immediately and not used until repaired. All damaged vehicles and equipment must be reported in job logs. It is also company policy that every field employee wears a hard hat and safety goggles on the job site.

As an employee of LVR Corp., I understand that in order to drive any of LVR's vehicles, I am required to have a valid driver's license.

DRIVERíS LICENSE NUMBER:    
STATE: : 
EXPIRATION DATE: : 
Home About Us | Services | Expertise | Testimonials | Financing | Projects | Employment | Contact Us