Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Can you work Fridays & Saturdays 9am-5pm if needed? *

Yes

No

Some

I am 18 years or older. Check box *

Yes

No

I am a US Citizen. Check box *

Yes

No

Will you consent to a mandatory controlled substance test? *

Yes

No

Have you ever been convicted of a criminal offense? (Felony or Misdemeanor) *

Yes

No

Tool / Skill Proficiency *

Please check the box of each tool / skill that you are proficient at using and will not require training.

Mig Welder

Tig Welder

Stick Welder

Plasma Cutter - Hand Held

CNC Machine

CAD

Bandsaw

Drill Press

Measuring for Railing Specifications

Installation for Railing

Blacksmithing Skills (Not Required)

Interest in learning Blacksmithing? (Check for Yes)

Forklift

Are you certified to drive a forklift? *

Yes

No

Do you feel you have good or very good hand eye coordination? *

Yes

No

May we contact this employer? *

Yes

No

May we contact this employer? *

Yes

No

May we contact this employer? *

Yes

No

AT-WILL EMPLOYMENT: The relationship between you and Sculpture Bliss, LLC is referred to as "employment as 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 Sculpture Bliss, LLC. No Representative of Sculpture Bliss, LLC has the authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and 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. *

I have read and understand the statement

Date *

MM

DD

YYYY