Date:
*
Company Name:
*
First Name:
*
Last Name:
*
Primary Phone:
*
E-mail Address:
*
Secondary Phone:
Fax Number:
Company Address:
*
City:
*
State:
*
Zip Code:
*
Available Position:
*
Location:
*
Brief Description of the Position:
Welding Process(es) Used:
*
Mig
Stick
Tig
Flux Cored
Pipe (Stick)
Pipe (Tig)
Other
First Shift:
*
Yes
No
Number of Available FS Positions:
*
FS Hours From/To:
*
FS Hourly Salary Range From/To:
*
Second Shift:
*
Yes
No
Number of Available SS Positions:
*
SS Hours From/To:
*
SS Hourly Salary Range From/To:
*
Third Shift:
*
Yes
No
Number of Available TS Positions:
*
TS Hours From/To:
*
TS Hourly Salary Range From/To:
*
Applicant should inquire about the position by: (Please choose one)
*
Email
Phone
Application should be submitted by: (Please choose one)
*
Email
Website- Apply Online
Fax
Mail
Website:
Alternate Address:
Alternate City:
Alternate State:
Alternate Zip Code:
Would you like WTTIs placement officer to contact you:
*
Yes
No
Is there any additional information you would like to offer:
*
Required
Welder Training & Testing Institute © 2006
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