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Encore Pipe and Construction, LLC is an equal opportunity employer dedicated to a policy of non-discrimination in employment based on race, color, religion, sex, sexual orientation, age, national origin, marital status, pregnancy, veteran status or because of a disability that does not prevent the individual from performing the essential functions of his or her job, with or without accommodation, as well as any other legally protected class status. The Company maintains a drug-free work place and requires all applicants to whom a conditional offer of employment is extended to receive a negative result on the pre-employment drug screen prior to commencing work.

Online Employment application

[ PERSONAL INFORMATION ]





Present Address:





[ EMPLOYMENT DESIRED ]






















[ Education ]
[ High School ]




[ College ]




[ Graduate School ]




[ Trade, Business or Other School ]




[ General Information ] For purpose of compliance with the Immigration Reform & Control Act of 1986,





















[ Former Employers ] List your employment history for the last 5 years starting with your most recent position, including all periods of unemployment.
Driver applicants need not complete this section but must provide this information in the driver's application section.
[ Employer 1 ]










[ Employer 2 ]










[ Employer 3 ]





















[ Read and Understand Before Submitting ]

I understand that this Application for Employment ("Application") is merely my expression of interest in employment with the Company. I understand that my submission of this Application or consider me for employment

I understand that an offer of employment with the Company does not constitute a contract of employment for any definite duration. If I become employed by the Company, I understand that the absent a written contract of employment clearly identified as such and signed by and authorized officer of the Company, my employment is "at will" and (i) I may resign my employment at any time; and (ii) the Company may terminate my employment with or without cause at any time at the Company's sole discretion.

As permitted by State law, I authorize an Investigation of all matters concerning my past employment, credit, criminal convictions, character or other activities; and the issuance of any information by any person, company or corporation with respect to any of the above, including the issuance of credit reports or other statements which may be furnished or obtained concerning my background at anytime. I release from any and all liability and responsibility all persons, companies and corporations supplying such information and the Company and its agents in obtaining and using the same.

I understand that any conditional offer of employment is subject to verification of all information contained In this Application or other pre-employment questionnaires or interviews, including, but not limited to, verification of applicable lawful age and legal rights to work in the United States, as provided under applicable law. I agree to furnish such additional information and complete such examinations as may be required to complete my employment file and to verify the information contained therein. I understand that the Company participates in E-Verify and that my identity will be confirmed with the Social Security Administration and that my eligibility to work may be confirmed with the Department of Homeland Security.

I understand that if I am offered a position at the Company, I will be required to take a drug test and receive a negative result on the drug test prior to beginning work. I understand that a positive drug test will result in my disqualification for the position. I also understand that if I refuse to take the test, I will receive no further consideration for employment.

I understand and agree that any false, misleading or incomplete information given in my Application, resume, interview(s) or other pre-employment questionnaires or procedures, regardless of when discovered by the Company, may disqualify me for employment or, if employed, may result in my immediate termination. I agree that the Company shall not be liable in any respect if I am hired or my employment is terminated as a result of providing such false, misleading or incomplete information.

I hereby certify that I am able to perform, with or without reasonable accommodations, the essential job functions of the position for which I am applying. Any time after a conditional offer of employment or during employment, if hired, I authorize any physician or health care provider to release information advising the Company: (i) what reasonable accommodations, if any, are required to meet the essential job functions of the position and (ii) whether I can perform the job without posing a direct threat to the health of safety of myself or others.

I understand that I am required to abide by all policies, rules and regulations of the Company including, but not limited to, all applicable safety rules and regulations and further acknowledge that my failure to follow Company policies, rules and regulations may be grounds for my termination. I understand that the Company's policies, rules and regulations may be modified by the Company at any time with or without notice.

I hereby acknowledge that I have read and understand all the information written above and agree to the terms therein. I certify that the facts contained In this Application are true and complete to the best of my knowledge.

Applications will be kept active until the position for which you are applying is filled. If you are not applying for a specific opening, the application will be kept for no more than 30 days.


DISCLOSURE REGARDING CONSUMER AND/OR INVESTIGATIVE REPORT

The Employer, ENCORE PIPE & CONSTRUCTION, LLC may obtain information about you for employment purposes from a third party consumer reporting agency. Thus, you maybe the subject of a "consumer report" and/or an "investigative consumer report" which may include information about your character, general reputation, personal characteristics, and/or mode of living, and which can involve personal interviews with sources such as your neighbors, friends, supervisors, or associates. These reports may contain information regarding your credit history, criminal history, social security verification, motor vehicle records("driving records"), verification of your education or employment history, or other background checks. Further, you understand that informaUon may be requested from various Federal, State, County and other agencies that maintain records concerning your past activities relating to your driving, criminal, civil, education, credit, and other experiences. Credit history will only be requested where such information is substantially related to the duties and responsibilities of the position for which you are applying.

You have the right, upon written request made within a reasonable period of time after receipt of this notice, to request whether a consumer report has been conducted about you, disclosure of the nature and scope of any investigative consumer report, and to request a copy of your report. Please be advised that the nature and scope of the most common form of investigative consumer report obtained with regard to applicants for employment is an investigation into your employment and/or education history. The scope of this notice and authorization is all-encompassing, however, allowing the Company to obtain consumer reports and investigative consumer reports now and throughout the course of your employment to the extent permitted by law, unless you otherwise revoke your consent by providing written notification to Company. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.

The consumer and/or investigative consumer report(s) will be obtained from: Accurate Background, Inc., 7515 Irvine CenterDrive, Irvine, CA 92618, (800) 2164024. Accurate Background's Informationand privacy policy can be found at www.accuratebackground.com.

Califonia applicants or employees only: By signing below, you also acknowledge receipt of A SUMMARY OF YOUR RIGHTS UNDER THE PROVISIONS OF CALIFORNIA CIVIL ODES1786.22. Please check the appropriate box below if you would like to receive a copy of your investigative consumer or consumer credit report at no charge.

Minnesota and Oklahoma applicants or employees only: Please check the appropriate box below if you would like to receive a copy of your consumer report free of charge.

New York and Maine applicants oremployees only: You have the right to inspect and receive a copy of any Investigative consumer report requested by Company by contacting the onsumer reporting agency identified above directly. You may also contact the Company to request the name, address and telephone number of the nearest unit of the consumer eporting agency designated to handle InquIries, which the Company shall provide within 5 days.

New York applicants or employees only: Upon request you will be informed whether or not a consumer report was requested by Company, and if such report was requested, informed of the name and address of the consumer reporting agency that furnished the report By signing the authorization, you also acknowledge receipt of Article 23-A of the New York Correction Law.

Oregon applicants or employees only: Information describing your rights under federal and Oregon law regarding consumer identity theft pprotection, the storage and disposal of your credit Information, and remedies available should you suspect or find that the Company has not maintained secured records is available to you upon request.

Washington State appiicants or empoyeesonly: You also have the right to request from the consumer reporting agency a written summary of your rights and remedies under the Washinton Fair Credit Reporting Act


ACKNOWLEDGMENT AND AUTHORIZATION FOR BACKGROUND CHECK

I acknowledge receipt of the DISCLOSURE REGARDING CONSUMER AND/OR INVESTIGATIVE REPORT and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand both of those documents. I thereby authorize the obtaining of "consumer reports" and/or investigative consumer reports by the Company at any time after receipt of this authorization and throughout my employment, if applicable. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, local, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Accurate Background, Inc., 7515 Irvine Center Drive, Irvine, CA 92618 (800) 2164024, www.accuratebackground.com, another outside organization acting on behalf of the Company, and/or the Company itself.

I understand that by signing my name below, that lam signing the Authorization form directing the background check as described above, and I certify that:

I have received the Disclosure Regarding Consumer and/or Investigative Report, have read and received the Summary of Your Rights, and if a California resident/applicant, the A Summary of Your Rights Under the Provisions of California Civil Code ยง1786.22.

I understand that my signature now and throughout this process will be binding. Additionally, notices, documents, and communications maybe provided electronically and will meet the requirements set forth underFederal and/or State law, as permitted by law. I agree that a facsimile ('fax"), electronic or printout of this authorization may be accepted with the same authority as the original.

For California, Oklahoma, or Minnesota employees and applicants: Please check the appropriate box to indicate if you would like to receive a copy of your consumer report free of charge.

For this online application, there will be no consumer report generated until you've been contacted by the employment office about the position you are applying for. At that time, you may sign the form mentioned above before any report is generated.

Prospective Employer ENCORE PIPE & CONSTRUCTION, LLC