Imperial Manpower Pre-Employment Application

Referred By: *

High Demand Position Applying For (check All that Apply)

combo welder

pipe fitters

Rigger's bull or Rigger

electrician

Please Describe

1. Personal Information

First Name

Last Name

Date of birth

Address

Street Address

City

State

Country

Postal Code

Phone *

Email *

Social Security Number (for background check)

Driver’s License – State & Number

Emergency Contact Name

Emergency Contact Phone

2. Position & Availability

Position(s) applying for

Pipe Welder

Combo Welder

Pipe Fitter

Other:

Explain for Other:

Desired shift

Day

Night

Rotational

Date available to start

Are you willing to work overtime?

Yes

No

3. Experience & Qualifications

Years of welding/pipe‑fitting/Other experience:

Last employer/project:

Describe your recent duties (welding positions, pipe sizes, materials, etc.):

List relevant training schools, apprenticeships or military experience:

4. Certifications & Pre‑Employment Tests

AWS/NCCER certifications (list codes and dates)

Boilermaker/NCCER rigging or other craft certifications

Have you previously passed Bechtel WPS tests? (P1‑AT‑Lh, P1‑T, P8‑T‑Ag)

Yes

No

If yes, specify test and date:

Are you prepared to take a 6G TIG/STICK pipe weld test?

Yes

No

OSHA‑10/30 or other safety training completed

Yes

No

(attach certificate)

5. Safety & Medical

Have you ever failed a drug or alcohol test? ____

Yes

No

If yes, explain:

Do you have any physical limitations that would prevent you from performing welding/pipe‑fitting duties (lifting, heights, confined spaces)?

Are you willing to submit to a pre‑employment physical exam?

Yes

No

6. Professional References

Upload Resume and References

7. Applicant Statement & Signature

By checking this Box I Agree to the terms and Corporate Employment Referral and Employment contract and Policy

I certify that the information provided in this application is true and complete to the best of my knowledge. I authorize Imperial Manpower or its clients to verify the information provided and to conduct background checks as necessary. I understand that any misrepresentation or omission of facts may disqualify me from employment consideration or result in dismissal if employed. I understand that submission of this application does not guarantee employment.

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