Job Application

It is Rush Overland's policy to offer employment to applicants possessing the best qualifications with respect to the requirements of the position regardless of race, creed, color, gender, religion, disability, national origin, age, sexual orientation, or other protected status. We are an equal opportunity employer.This application may be considered by Rush Overland but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.
Name*
First Middle Last
Contact Number*
Present Address*
Street Address Address Line 2 City State ZIP Code
Email
Are you at least 18 years of age?*
- Yes
- No
Are you legally authorized to work for Rush Overland in the United States?*
- Yes
- No
Will you now or in the future require sponsorship for employment visa status? (e.g., H-1B visa status)*
- Yes
- No
Have you ever been convicted of, pleaded guilty or no contest to any crime (excluding minor traffic violations) including DWI?*
- Yes
- No
If yes, state the offense, location, date and disposition.
Are you willing to take a drug screen at company expense?*
- Yes
- No
Who should be contacted in case of emergency?
Relationship
Street Address and State of emergency contact
Emergency Contact Phone

High School Name
High School Address
High School Location
From Date (High School)
MM slash DD slash YYYY
To Date (High School)
MM slash DD slash YYYY
Did you graduate from high school?
- Yes
- No
Diploma
College Name
College Address
College Location
From Date (College)
MM slash DD slash YYYY
From Date (College)
MM slash DD slash YYYY
Did you graduate from college?
- Yes
- No
Degree (College)
Trade School Name
Trade School Address
Trade School Location
From Date (Trade School)
MM slash DD slash YYYY
From Date (Trade School)
MM slash DD slash YYYY
Did you graduate from Trade School?
- Yes
- No
Diploma (Trade School)
If you did not graduate, why did you leave high school or college?
Are you planning to pursue further studies?
- Yes
- No
If so, when and what courses?
List any scholastic honors, offices held and activities involved in during high school and college.
List and describe any other school or specialized training.

Have you ever served in the military?*
- Yes
- No
Service Branch
Date Entered
MM slash DD slash YYYY
Date Separated
MM slash DD slash YYYY
Final Rank

List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If selfemployed, give firm name and supply business references. Please give month and year. Include any additional employers on a separate sheet.
Work History 1
If you have never had any work history, enter "NONE" here.
Name of Employer
Name and Title of Supervisor
Street Address, City, State, Zip Code
Start Date (Month and Year)
End Date (Month and Year)
Starting Salary
Ending Salary
Nature of Business
Contact Number
Title and Duties
Reason for Leaving
Work History 2
Name of Employer
Name and Title of Supervisor
Street Address, City, State, Zip Code
Start Date (Month and Year)
End Date (Month and Year)
Starting Salary
Ending Salary
Nature of Business
Contact Number
Title and Duties
Reason for Leaving
Work History 3
Name of Employer
Name and Title of Supervisor
Street Address, City, State, Zip Code
Start Date (Month and Year)
End Date (Month and Year)
Starting Salary
Ending Salary
Nature of Business
Contact Number
Title and Duties
Reason for Leaving
If you worked under any of your previous positions under another name, please give that name:
Are you presently employed?*
- Yes
- No
If Yes, may we contact your present employer?
- Yes
- No
Have you ever been discharged by an employer?*
- Yes
- No
lf Yes, please explain.
Have you ever resigned from employment under threat of discharge or discipline for misconduct or unsatisfactory performance?*
- Yes
- No
lf Yes, please explain.

How many years of precision welding experience do you have? (Rig welding experience does not count.)
Describe any computer experience or training below:*
Describe below why you are interested in working for our company and list those skills and abilities which you feel particularly qualify you for a position with us.*

Give three references, excluding relatives and former employees.
List 3 references. Use the + icon to add each reference.
Name Address Contact Number Occupation

- I certify that the answers given by me in this application, and during my pre-employment interview(s ), are true and correct. I understand that any misleading or incorrect statements, including a failure to disclose requested information, may result in my disqualification for employment with Rush Overland or, if hired, in termination of my employment with Rush Overland. I further agree that Rush Overland shall not be liable in any respect if my employment is terminated because of falsity of statements answers, or omissions made by me in this application.
- I understand that any offer of employment from Rush Overland is contingent upon the successful completion of a criminal background check. I authorize the companies, schools, and individuals named in this application to give any information regarding my employment, character, and qualifications, and hereby release said companies, schools, and individuals from all liability caused in issuing this information. I further authorize Rush Overland and its agents or contractors to obtain and verify information concerning me from law enforcement agencies and credit reporting agencies.
- I understand that once a conditional job offer is made, submitting to and successfully completing alcohol and drug screens is a condition of employment at Rush Overland, and refusal to take such tests when asked will subject me to termination.
- If employed, I agree to abide by all company policies and procedures. I understand that my employment with Rush Overland is at will, for an indefinite duration, terminable at any time without notice or cause, and that Rush Overland may terminate or modify the employment relationship at any time without prior notice or cause.
- I also understand that no individual is authorized to enter into any written or verbal employment contracts on behalf of the company without the express written consent of the President or Human Resources Representative.
- I agree that, if I am employed by Rush Overland, as conditions of my continued employment at Rush Overlandd, I will furnish proof of my lawful right to work in the United States, and I will, if requested, execute certain other agreements with Rush Overland (including agreements regarding trade secrets, confidential information, ard conflict of interest).
Digital Signature (Type your full name)
Today's Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.

Job Application

Step 1 of 8 - Personal Information

Work History 1

Work History 2

Work History 3

Give three references, excluding relatives and former employees.

Have any questions?

Name	Address	Contact Number	Occupation