APPLICATION

First Name

Last Name

Phone

Phone Type

Home Cell

Emergency Contact

Emergency Contact Phone Number

Address

Military Service Status

Draft Classification Status

Position Apply For

Are You Currently Employed?

Yes No

If so, may we contact your current employer?

Yes No

If you have relatives/friends employed by this company, please give their names:

If you have ever worked for this company before, what position did you hold?

If you have ever worked for this company before, when did you work for us?

Do you seek full or part-time employment?

Shift or hours preferred?

Do you have any special skills experience or qualifications related to the position(s) applied for?

Personal References
Please list three non-relatives whom you have known for at least one year.

Personal Reference 1

First Name

Last Name

Address

Phone

Relationship

Years Known

Personal Reference 2

First Name

Last Name

Address

Phone

Relationship

Years Known

Personal Reference 3

First Name

Last Name

Address

Phone

Relationship

Years Known

Educational History

Languages Spoken

High School

Name

Location

Years Attended

Date Graduated

Subjects Studied/Majors

College

Name

Location

Years Attended

Date Graduated

Subjects Studied/Majors

Trade or Business Professional School

Name

Location

Years Attended

Date Graduated

Subjects Studied/Majors

Other

Job Related Licenses and/or Certificates Awarded

Previous Employment
Please list your most recent jobs. Please explain any gap in employment history below.

Previous Job 1

Company Name

Phone

Address

Start Date

End Date

Position Held

Reason For Leaving

Previous Job 2

Company Name

Phone

Address

Start Date

End Date

Position Held

Reason For Leaving

Reason For Gap In Employment History

Goals & Expectations

What are your job goals at P&A Metal Fab, Inc.?

What do you expect of P&A Metal Fab, Inc.?

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may regardless of the date of payment of my wages and salary, be terminated at any time without precious notice.

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