H3 Welder

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Personal Information

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Additional Information


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Shift Availability

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Employment and Education

Employment History

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Education History

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Professional References


Please furnish (2) two professional references, preferably individuals you have directly worked. By providing these references you or your designee authorize to release information concerning you whether on record or not, to New Leader Manufacturing.  You also release any individual, partnership or corporation and their officers, agents and employees from any liability for any damage whatsoever for releasing such information.

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Applicant's Statement


It is agreed and understood that any misrepresentations of any information by applicant shall be considered an act of dishonesty and may subject applicant to immediate discharge, if hired.

It is agreed and understood that the Company may investigate the applicant's background to ascertain any and all information of concern to applicant's record, whether same is on record or not, and applicant releases former and/or current employers named herein from all liability for any damages for furnishing such information. It is understood that the information in this application will be used and that prior employers will be contacted for purposes of investigation.

If it is agreed that if employment is obtained under this application, that the applicant will comply with all orders, rules and regulations of the Company.

Additionally, it is understood that nothing contained in this application or in the granting of an interview is intended to create an employment contract between the applicant and the Company. If an employment relationship is established, it is understood that the applicant has the right to terminate his/her employment at will, and that the Company also has the same right.

It is Understood and Agreed, that as a condition of employment, all applicants are subject to a physical exam and drug/alcohol testing at the request of the Company.

I affirm that I have a genuine interest and no other purposes in applying for a job with this company.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.



I understand that New Leader Manufacturing is committed to providing a productive and safe work environment for all employees. In accordance with its employee screening policy, the Company conducts a physical and drug screen for its post-job offer/pre-employment candidates. The screening program involves testing of urine samples, performed in a laboratory setting along with an Occupational Medical Evaluation Fitness of Duty Screening. These screenings are necessary qualifications for employment, including the ability to perform all job functions and non-use of illegal drugs.

As a candidate for employment, I understand, authorize, and consent to Highway Equipment Company or its agent(s), conducting the screening as part of my application for employment. I consent to and authorize of all information generated by or obtained from my participation in the physical and drug testing program to the Company, its agents, representatives, insurers and appropriate governmental agencies such as the state unemployment of worker's compensation commission. I further understand, authorize, and consent that an unacceptable result will preclude my employment with the Company.

To the extent allowed by applicable law, I consent to release and hold harmless individually and collectively, each person or business entity involved in the sample request, collection, testing, evaluation, reporting and for any decisions, adverse or otherwise, made concerning my application for employment, continued or benefits eligibility based on the results of the test.

I authorize a drug screen to be retaken if I am involved in any work related accident of injury which would require treatment by a physician.

My E-signature below indicates that I have read and understood, authorize and consent to the above statement and hereby voluntarily participate in the Post-job off/Pre-employment Screening Program.

Candidate Sign Off

I certify that all of the information in this application is true and correct as of this date.

Application Review