Personal Information



    School Name


    Years Attended

    Did you Graduate?

    Subject(s) Studied and Degree(s) Received

    Employment History(List your last four employers, most recent first)

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    I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by PEI Pipeline Services.

    I understand that any employment is conditioned on a background check. I authorize PEI Pipeline Services to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to PEI Pipeline Services, without giving me prior notice of such disclosure. In addition, I release PEI Pipeline Services, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

    I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be “at will” and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of myself or PEI Pipeline Services. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon PEI Pipeline Services unless made in writing.