Maruichi Leavitt Pipe and Tube Employment Application Form

  • Employment Application

    Maruichi Leavitt Pipe & Tube, LLC (“Maruichi Leavitt”) is an Equal Opportunity Employer.

  • We do not discriminate against qualified applicants based upon any protected group status, including but not limited to race, color, religion, gender, national origin, ancestry, age, marital status or medical condition as defined by applicable equal opportunity laws

    Please read the following statements carefully before you agree and submit this application.

    Maruichi Leavitt, in considering your application for employment, may verify the information set forth on this application and obtain additional information related to your background.

  • How were you referred to us?*
  • Upload a File
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  • Position/Employment Questionnaire 

  • Position You Are Applying For
  • Available Start Date*
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  • Part of Full Time?*
  • Are you available to work overtime if necessary?*
  • Are you available to work weekends, and/or holidays if necessary?*
  • Shift Availability*
  • Computer Experience*
  • Are you at least 18 years of age?*
  • Are you authorized to work in the U.S.?*
  • Have you ever worked for Maruichi Leavitt before?*

  • Education and Training

    Most Recent Education (post secondary school)

  • From
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  • To
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  • Diploma/GED
  • From
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  • To
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  • From
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  • To
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  • Employment History

    Please list your last 3 employers or employers within the last 7 years, whichever occurred first. You may provide a copy of your resume to become a part of your application

  • Employment Start*
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  • Employment Finish
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  • Current Working Here?
  • Hourly or Annual?*
  • Hourly or Annual?*
  • May we contact as a reference?*
  • Employment Start 2
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  • Employment Finish 2
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  • Hourly or Annual?
  • Hourly or Annual?
  • May we contact as a reference?
  • Employment Start 3
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  • Employment Finish 3
     - -
  • Hourly or Annual?
  • Hourly or Annual?
  • May we contact as a reference?

  • Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

  • Today's Date*
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