Error! Total Valve Systems is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative. Please fill out all of the sections below: Applicant Information *First Name *Last Name *Address *City *State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming *Zip Code *Telephone Number *Email Employment Position Position Applying For: Valve Service Tech - ALL LOCATIONS How did you hear about this position? What days are you available for work? What hours or shift are you available for work? If needed, are you available to work overtime? Yes No On what date can you start working if you are hired? Salary desired: Personal Information *Have you ever applied to or worked for Total Valve Systems before? Yes No If yes, when? *Do you have any friends, relatives, or acquaintances working for Total Valve Systems? Yes No If yes, state name and relationship? *Are you 18 years of age or older? Yes No *Are you a U.S. citizen or approved to work in the United States? Yes No *What document can you provide as proof of citizenship or legal status? *Will you consent to a mandatory controlled substance test? Yes No Job Skills/Qualifications *Please list below the skills and qualifications you possess for the position for which you are applying: {Note: Total Valve Systems complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.) Education and Training High School Name Location (City, State) Year Graduated Degree Earned College/University Name Location (City, State) Year Graduated Degree Earned Vocational School/Specialized Training Name Location (City, State) Year Graduated Degree Earned Military Are you a member of the Armed Services? Yes No What branch of the military did you enlist? What was your military rank when discharged? How many years did you serve in the military? What military skills do you possess that would be an asset for this position? Previous Employment Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed Reason for leaving: Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed Reason for leaving: Employer Name: Job Title: Supervisor Name: Employer Address: City, State and Zip Code: Employer Telephone: Dates Employed Reason for leaving: References Please provide 3 personal and professional reference(s) below: Reference Contact Information: Reference Contact Information: Reference Contact Information: AT-WILL EMPLOYMENT The relationship between you and the Total Valve Systems is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Total Valve Systems. No representative of Total Valve Systems has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President. Please enter the numbers displayed to submit the application.