Application

Personal Information :
Name (Last, First, Middle Initial)*
Address (Street, City, State, Zip Code)*
Home Phone #
Cell Phone #
Work Phone #
E-mail Address
Present Address:
Address :

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Date
Position Applied For :
Position Title
Minimum Salary Accepted
Date Available to Work
Have you ever been employed by this company or its subsidiaries?
If so…
Company Name
Location
Position
Supervisor
Reason for Leaving
Education:
Name of High School
Graduated
Name of College
Graduated
Other or Technical School
Graduated
Reference :
Name
Type of Reference
Occupation & Company
Address (Street, City, State, Zip)
Telephone and E-Mail Address
We are an equal opportunity employer. All applicants shall be considered for employment without regard to their race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable Federal, state, or local law.
We will, among other things, endeavor to make a reasonable accommodation to the known physical or mental limitations of an otherwise qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance, please contact the Human Resource Department.
PRE EMPLOYEE STATEMENT:
I affirm that the information contained in this application and any resume or other document submitted is true and complete to the best of my knowledge.
I understand that knowingly providing false or misleading information or making material omissions on this application will disqualify me from further consideration for employment, and will be grounds for my dismissal if discovered at a later date.
I authorize the companies, schools, or persons named above to provide Phoenix Metals any information relevant to my employment qulifications.
I understand that any offer of employment is contingent upon my successful completion of all of the Phoenix Metals lawful pre-employment checks, which may include a background check. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.
I release such companies, schools, or persons from any and all liability or damages that may result from furnishing this information.
If hired, I agree to conform to the lawful rules, regulations and policies of the Company.
I understand and agree that if I am hired, my employment will be at-will, and may ber terminated, with or without cause, and with or without notice, at any time at the option of the Company or myself. I understand that no supervisor or representative of the Company other that the president or vice president of the Company has any authority to enter into any arrangement for employment for any specified period of time, or to make any agreement contrary to the foregoing.
BY SIGNING THIS APPLICATION FOR EMPLOYMENT I CERTIFY THAT I HAVE READ AND UNDERSTAND ALL PARTS OF IT AND CERTIFY THAT I HAVE FULLY AND COMPLETELY ANSWERED ALL QUESTIONS. I UNDERSTAND THAT ANY MATERIAL MISREPRESENTATION OR OMISSION OF A MATERIAL FACT IN THE APPLICATION MAY BE JUSTIFICATION FOR REFUSAL OF, OR IF EMPLOYED, TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN SUCH FALISIFICATION IS DISCOVERED.
Applicant’s Signature
Date
Employment History :
Dates Employed (month/year)
From

MM slash DD slash YYYY
To

MM slash DD slash YYYY
Organization Name/Address
May we contact for references
Supervisor's Name/Title/Phone:
Reason For Leaving:
Duties
Dates Employed (month/year)
From
To
Organization Name/Address
May we contact for references
Supervisor's Name/Title/Phone:
Reason For Leaving:
Duties
Dates Employed (month/year)
From
To
Organization Name/Address
May we contact for references
Supervisor's Name/Title/Phone:
Reason For Leaving:
Duties
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Personal Information :

Present Address:

Position Applied For :

Education:

Reference :

Employment History :