Application Form

Positions Applied For

Are you over 18 years old

Do you have transportation?

Have you worked for this company before?

Are you employed now?

If not, how long since leaving last employment

Who referred you or how did you hear about RCM Utilities?

Is there any reason you might be unable to perform the functions of the job for which you have applied?

yes No

If yes, please explain

Mark the highest grade completed (High School)

9 10 11 12

Last School Attended

College and/or Vocational School

Number of years completed

1 2 3 4

Degree or Certificate Earned

May we contact your present employer?

yes No

If you wish to describe additional work experience or skills list here

Accident record for the last 3 years

Traffic convictions and forfeitures for the last 3 years (other than parking violations)

Have you ever been discharged or asked to resign from a job ?

Yes No

If yes please explain

Have you ever been denied a license, permit or privilege to operate a mototr vehicle?

Yes No

Has any license, permit or privilege ever been suspended or revoked?

Yes No

If answered yes to either of these last 2 question above, describe details

During the last ten years, have you ever been convicted of a crime other than minor traffic offense?

Yes No

If yes please explain (A conviction will not necessarily or automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.)

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize RCM Utilities, LLC to verify their accuracy and to obtain reference information on my work performance. I hereby release RCM Utilities, LLC from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application may and shall be considered enough basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules, and regulations of employment at RCM Utilities. I further understand that neither the policies rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will, and that either I or the Employer ma terminate my employment at any time with or without notice or cause.

RCM Application for Employment

Resume Upload

Get In Touch Today

Explore

Latest News

Contact