Job Application Form
Unified Contracting Services currently has openings for a Petroleum Service Technicians and a Welder/Pipefitter. Service Technicians will be testing, troubleshooting and repairing fueling systems which include fuel dispenser electronics and hydraulics, submersible turbine pumps, monitoring equipment, and point of sale systems within the gas station industry.
Which position(s) are you interested in? *
Required
Personal Information
In compliance with Federal & State equal employment opportunity laws, qualified applicants are considered for all positions without regard for race, color, religion, sex, national origin, age, marital status, or non-job related disability.
Name *
First and last name
Current Address *
Phone number *
Email *
Are you a US Citizen *
Education *
Experience & Qualifications
Unified is looking for candidates with a strong work ethic and experience in a labor-intensive position (construction, heavy industrial cleaning, agriculture, etc).
Candidate must have a valid driver’s license, good driving record, and the ability to travel with occasional overnights.
Ability to operate mechanical equipment and machines as described.
Ability to enter and work in confined spaces
Candidate must successfully pass and maintain state and manufactures required certifications.

Qualifications for Experienced Service Technician:
Certifications in Gilbarco, Wayne, or Gasboy or Bennett dispensers.
Additional certifications in Veeder-Root, EVO, Gasboy or Fuelmaster.
State Licensed petroleum installer license.
Appropriate weights and measures permits a plus.

Do you have a valid driver's license? *
Describe any applicable driving or equipment experience. Examples: CDL Class, Straight Truck, Tractor & Semi-Trailor, Backhoe, Forklift, etc. *
Accident record for the past 3 years or more- Date of accident, nature of accident, fatalities, injuries *
Traffic convictions and forfeitures for the past 3 years (other than parking violations)- Location, Date, Charge, Penalty. *
Are you able to pass a pre-employment alcohol and drug test? *
Employment Record
Answer employment record questions or email your resume to info@unifiedco.com
Last Employer- Company Name, Address, Phone Number *
Last Employer- Position Held, Dates of Employment, and Salary *
Reason for Leaving *
Second to Last Employer- Company Name, Address, Phone Number
Second to Last Employer- Position Held, Dates of Employment, and Salary
Reason for Leaving
Third to Last Employer- Company Name, Address, Phone Number
Third to Last Employer- Position Held, Dates of Employment, and Salary
Reason for Leaving
Submit
Never submit passwords through Google Forms.
This form was created inside of Unified Contracting Services.