Careers - Coastal Spray

Personal Details

Name*

Date of Birth*

Email

ID Number

Address

Country

Phone

Employment Desired

Choose locations where you can work:

Houston, Texas
Freeport, Texas
Nederland, Texas
Indianapolis, Indiana
Baton Rouge, Louisiana

Position

Date Available

Salary Desired (Hourly Rate)

Currently Employed?

Yes
No

Are you authorized to work in the United States?

Yes
No

Have you applied to work for Coastal Spray before:

Yes
No

If yes, where and when?

Education History

High School

School Name and Location

Years Attended

College

School Name and Location

Years Attended

Did you graduate?

Yes
No

Subjects Studied

Trade, Business, or Correspondence School

School Name and Location

Years Attended

Did you graduate?

Yes
No

General Information

Subjects of special study or research

Special Training

Special Skills

US Military of Naval Service

Yes
No

Last/Current Employee Information

Dates Employed

From

To

Name and Address of Employer

Salary

Position

Reason for Leaving

References

Name

Address

Business

Relationship

Years Known

Phone

Questionnaire

1. Please list your credentials (TWIC, Safety Council, etc.).

2. Do you have previous experience in refinery work? If so, please list.

3. Do you have previous experience in our type of work? If so, please list.

4. Do you have a valid driver’s license or a Texas I.D. card?

5. Can you work out of town?

6. Can you work overtime?

7. Can you work weekends?

8. Are you willing to do other duties, such as driving company vehicles when asked in order to help out?

Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

Date

Electronic Authorization

General Employment

Personal Details

Employment Desired

Education History

High School

College

Trade, Business, or Correspondence School

General Information

Last/Current Employee Information

Dates Employed

References

Questionnaire

Authorization

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