Employment Opportunities

Personal Information
(Incomplete information could disqualify you from further consideration)
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Phone*
Alternate Phone
Are you eligible to work in the U.S.?*
- Yes
- No
Are you at least 18 years or older?*
- Yes
- No
Do you have a shift preference?*
Choose one or multiple.
- 1st
- 2nd
- 3rd
Can you perform the essential functions of the job for which you are applying, with or without reasonable accommodation?*
- Yes
- No
Have you ever been employed by Metallics Inc.?*
- Yes
- No

High School Education
Please fill out the information below.
Name & Location of School
No. of Years Attended
Did you graduate?
- Yes
- No
Subjects Studied
College/University Education
Please fill out the information below.
Name & Location of School
No. of Years Attended
Did you graduate?
- Yes
- No
Subjects Studied
Trade, Business, or Correspondence School Education
Please fill out the information below.
Name & Location of School
No. of Years Studied
Did you graduate?
- Yes
- No
Subjects Studied

Employment History
(Include your last seven years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.)
Present/Last Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Starting Date
Ending Date
Job Title
Starting Salary
Final Salary
May we contact your supervisor?
- Yes
- No
Name of Supervisor
Title
Phone
Description of Work
Reason for Leaving

Employment History continued
Please fill out the information below.
Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Starting Date
Ending Date
Job Title
Starting Salary
Final Salary
May we contact your supervisor?
- Yes
- No
Name of Supervisor
Title
Phone
Description of Work
Reason for Leaving

Previous Employer continued (2)
Please fill out the information below.
Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Starting Date
Ending Date
Job Title
Starting Salary
Ending Salary
May we contact your supervisor?
- Yes
- No
Name of Supervisor
Title
Phone
Description of Work
Reason for Leaving

Special Skills
Please fill out the information below.
Description
Do you have any special skills, experience, or training that would enhance your ability to perform the position? If yes, explain. (Optional)

References (Optional)
Please fill out the information below.
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Company
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Company
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Company
Years Acquainted

Please Read Before Signing
Metallics Inc. is an equal opportunity employer. Metallics Inc. does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service. I understand that the completion of this application nor any other part of my consideration for employment establishes any obligation for Metallilcs Inc. to hire me. If I am hired, I understand that either Metallics Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Metallics Inc. has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Metallics Inc true and complete information on this application. No requested information has been concealed. I authorize Metallics Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Date*
Signature*
First Last

Metallics