Autonomy in your Oxygen and Nitrogen supply, with the most sustainable solution.

POSITION

Application for Employment

Position Desired

Manufacturing Engineer - Manufacturing Engineer Part Time Full Time

*Resume Submission Required Max. file size: 8 MB.

*Name

* Present Address

*How long have you lived there?

Do You have a previous address?

Yes No

*Contacts

*Have you ever worked for this Company Before? Yes No

*Has anyone related to you ever worked for this Company before? Yes No

From

*If hired, what is earliest date you are available to begin working?

Record of Previous Employment

Present or Last Employer

*Address

Your Title or Position

Name and Title of Last Supervisor

From

*Exact Reason for Leaving

Have you ever been terminated or asked to resign from any job? Yes No

Please explain circumstances:

Please explain fully any gaps in your employment history:

Have you ever been terminated or asked to resign from any job? Yes No

Please explain:

Please indicate any actual experience, special training and qualifications that you have which you feel are relevant to the position for which you are applying.

Have you ever used another name? Yes No

Employee Referral:

If hired, can you furnish proof that you are over 18 years of age? Yes No

Do you have the legal right to work in the U.S.? If not, do you require sponsorship from the Company?

Yes No

Be advised: PCI is a federal contractor. Employment may be contingent upon U.S. citizenship or valid “green card” holder status

Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying?

Yes No

Do you have adequate transportation to and from work? Yes No

To request a reasonable accommodation, Contact Human Resources – 951-479-0860, Fax request: 951-479-9452 or e-mail to pcicareers@pcigases.com or send a written request to PCI Human Resources, 12201 Magnolia Ave. Riverside, CA 92503

Education

School

Describe Specialized Training, Experience, Skills and Extra-Curricular Activities

Personal References

Please list persons who know you well - not previous employers or relatives

Information

*Address

*Phone

Applicant Identification form

Source of Referral

Racial/Ethnic Group

HISPANIC OR LATINO (H)

NATIVE AMERICAN OR ALASKAN NATIVE (NA/AN)

ASIAN, NOT HISPANIC OR LATINO (A)

NATIVE HAWAIIAN or OTHER PACIFIC ISLANDER, NOT HISPANIC OR LATINO (NH)

BLACK OR AFRICAN-AMERICAN/BLACK (not of Hispanic Origin) (B)

WHITE (not of Hispanic Origin) (W)

TWO OR MORE RACES (not Hispanic or Latino) (2)

DECLINED TO STATE

Gender Male Female Prefer not to say

Veteran's Status

Special Disabled Veteran (DV)

Vietnam Era Veteran (VV)

Veteran serving active duty during a war or in a campaign or expedition for which a campaign badge has been authorized (OV)

Recently separated Veteran (NSV)

Prefer not to say

Voluntary Self-Identification of Disability

Please check one of the boxes below:

Yes, I have a disability

No, I don't have a disability

I don't wish to answer

THIS APPLICATION WILL BE CONSIDERED ACTIVE FOR A MAXIMUM OF THIRTY (30) DAYS. IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY. BY SIGNING BELOW, I CERTIFY THAT I HAVE NOT OMMITTED ANY INFORMATION AND ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE

Survey Disclaimer:

Voluntary self identification:
This company is an Equal Opportunity Employer. Please complete this information to assist us in complying with equal opportunity and/or affirmative action requirements, including recordkeeping and reporting requirements. Providing this information is voluntary. Refusal to provide this information will not result in any adverse treatment

To comply with government Equal Employment Opportunity and/or Affirmative Action reporting regulations, we are requesting (but NOT requiring) that you enter this personal data. This information will not be used in connection with any employment decisions, and will be used solely as permitted by state and federal law. Your voluntary cooperation would be appreciated

About us

Solutions

Oxygen Solutions

Nitrogen Solutions

Aerospace & Defense

Product

Medical Oxygen

Industrial

Water & Environment

Other

Products

Industries

Product

Technologies

Industries

Industries

Medical Oxygen

Industrial

Water & Environment

Other

Industries

Industries

Contact & Support

Marketing Literature

Search

Search

POSITION

POSITION

POSITION

Record of Previous Employment

Education

Personal References

Applicant Identification form

Voluntary Self-Identification of Disability