Job Application Form

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Personal Information

Name

Email Address

Home Address

City, State, ZIP

Phone

Summary of Qualifications

Experience & Qualifications

Work Experience

Employer Name

Job Title

Start Date

End Date

Education & Training

Institution

Degree/Certificate

Field of Study

Date

Certifications & Licenses

Certification Name

Issuing Organization

Date Issued

Date Expiration

Specialized Skills

Check (rate) the following specialized skills you possess by stating level of Expertise: (1-Mininum) ; (3-Moderate) ; (5-Expert); -or- (0–New Adventure)

Radiography

Ultrasonic Testing

Magnetic Particle Testing

Liquid Penetrant Testing

Other (please specify):

Personal Goals for Continued Education:

Availability & Preferences

Available Immediately?

Yes No

Willing to work overtime?

Yes No

Willing to travel for work?

Yes No

Are you willing to relocate for short-term or long-term work projects?

Yes No

Are you currently on parole or probation?

Yes No

If Yes (please specify)

Any Comments or Questions from topics above?

Reference

Reference Name

Job Title

Company

Phone

How did you hear of XVISION?

If Referral (please enter their name)

If Others (please specify)

Agreement & Signature

I certify that the information provided in this application is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in my application being rejected or, if employed, termination of employment.

I understand that a background check will be conducted, and employment may be terminated based on its results.

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CONTACT US

X Vision NDT Services LLC

HEAD OFFICE
PO BOX 700
Eunice, NM 88231

PHONE

Sales: (214) 415-2006

Main Office: (254) 477-3450

EMAIL

support@xvisionndt.com

CONTACT US

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