Application Date
First Name
Middle Name
Last Name
Street
APT
City/State
Zip
Phone Number
Email
Position Sought
Available Start Date
Desired Pay Range
If yes, what state and license number?
If yes, please explain:
Highschool
Date Graduated
College or University
Major/Subjects Studied
Specialized Training or Trade School
Major/Subjects Studied
Other Education
Major/Subjects Studied
Dates Employed
Company Name
Location
Role/Title
Please provide a brief description of the tasks performed and a reason for leaving
Dates Employed
Company Name
Location
Role/Title
Please provide a brief description of the tasks performed and a reason for leaving
Dates Employed
Company Name
Location
Role/Title
Please provide a brief description of the tasks performed and a reason for leaving
List any skills, knowledge, certifications, or achievements you have obtained:
Metalcrafters of Wayne County, LLC is an equal opportunity employer. It is the policy of our company not to discriminate on the basis of race, color, sex. nationality, age, creed, disability, religion, political affiliation, marital status, or any other federally protected status.
Metalcrafters of Wayne County, LLC is a drug free workplace. All applicants selected for employment
must satisfactorily pass a pre-employment drug screening provided at no cost to the employee. By signing this application, I am agreeing to submit to a pre-employment drug test.
I hearby certify that the above answers and statements are both true and accurate to the best of my knowledge. I also understand that any false information, omission of information, or misrepresentation
of facts will result in the termination ofmy employment. I further understand, ifl receive a conditional
job offer, additional information will be required of me. I authorize Metalcrafters of Wayne County, LLC
to investigate my personal history and work records through any method deemed necessary.
Type Name
Date Signed
By signing above I hereby affirm that by typing my name in this field, I am electronically signing this application and confirming that all the information provided is correct and complete to the best of my knowledge. I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
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