G&S Metal Products Company, Inc.

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Job Application

Applicants are considered for all positions without regard to race, color, religion, age, sex, national origin, disability, genetic information, veteran or military status, sexual orientation, or any other characteristic protected by federal, state or local laws.

Application Date

How did you hear about this position? *

Name *

First

Middle

Last

Address *

City *

State *

Zip Code *

Phone Number *

Email *

Social Security Number *

Are you a US citizen *

Yes
No

If NO, are you legally eligible to be employed in the United States? (Proof required by law).

Yes
No

Position applying for? *

Will you work overtime if asked? *

Yes
No

Have you worked with us before? *

Yes
No

If yes, when?

Position at the time?

Were you a full time employee or did you work for us through a temp agency?

Are you over 18 years of age? *

Yes
No

Have you ever been convicted of a crime (excluding misdemeanors and traffic offenses)? *

Yes
No

If yes, please describe in full:

(An affirmative answer will not automatically exclude you from consideration for employment.)

Can you perform the essential functions of the job for which you are applying with or without a reasonable accommodation? *

Yes
No

If no, please explain: (If you have any questions as to what functions are applicable to the position for which you are applying, ask before you answer this question.)

EDUCATION: High School *

Did you graduate? *

Yes
No

EDUCATION: College *

Did you graduate?

Yes
No

If yes, major:

Degree:

If no, years completed:

EDUCATION: Other/Trade School

Did you graduate?

Yes
No

Course of study:

Years completed:

Special qualifications or skills:

Professional licenses or memberships (Omit any organization which reflects your race, color, religion, age, sex or disability.)

PRIOR EMPLOYMENT: Employer *

Starting with most recent employer

From:

To:

Employer's Address: *

City *

State *

Zip Code *

Phone number *

Position: *

Duties: *

Reason for leaving: *

EMPLOYER # 2:

From:

To:

Employer's Address:

City

State

Zip Code

Phone number

Position:

Duties:

Reason for leaving:

I certify that the information provided by me in this Application for Employment is true and complete to the best of my knowledge. I understand that, if I am employed by G&S Metal Products Company, Inc, any misrepresentation or false statements may be considered cause for dismissal, regardless of when discovered. I hereby authorized G&S Metal Products Company, Inc. to investigate all statements on this application as may be necessary. I further authorize the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also hold such persons/entities providing such information harmless with respect to the information they provide. I understand that the completion of this application does not guarantee employment with this employer. I further understand and acknowledge that if I am offered employment, I will be an employee at-will, and my employment may be terminated with or without cause, with or without notice, at any time, at the option of G&S Metal Products Company, Inc or me. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand that I am required to take and successfully pass a drug/alcohol test as a condition of employment and that refusal to take such tests will disqualify me for employment and result in my termination of employment. I understand that this application will be considered active for only six months, after which time it will be discarded. If I wish to be considered for employment after that time, I need to fill out a new application. *

First

Last

Date *

Date

Numbers

Message

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