Employment Application
Your potential employment will be contingent upon successful completion of physical examination and drug screening. SPECIALTY FABRICATION AND POWDER COATING IS AN EQUAL OPPORTUNITY EMPLOYER.
Date
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Month
-
Day
Year
Position applied for:
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Location Desired:
Type of Employment you desire:
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Full-time
Part-time
Seasonal
Temporary/ Casual
List DAYS and HOURS you are UNABLE to work:
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Salary Expectations:
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Per:
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Please Select
Hour
Week
Month
Year
Were you previously employed by Specialty Fabrication and Powder Coating in the past?
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Yes
No
If yes, list location and position:
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Full Name
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First Name
Middle Name
Last Name
Current Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Permanent Address (if different):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number:
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Please enter a valid phone number.
Cell Phone Number:
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Please enter a valid phone number.
Email Address
example@example.com
Available Start Date:
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Month
-
Day
Year
Date
How were you referred to us?
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EDUCATION
List complete names and addresses.
School Name and Location
Did you graduate?
Degree/ Certificate received
No. Credits
Major
Minor
High School/ GED
Yes
No
College or University
Yes
No
Graduate School
Yes
No
Technical Vocational School
Yes
No
Other
Yes
No
List academic honors, awards, or other recognitions you have received:
List any other training or skills (seminars or activities) that you feel we should consider in evaluating your application:
PROFESSIONAL REGISTRATIONS, LICENSES, OR ACCREDITATIONS
Type
Registration Number
State
Expiration Date
1
2
3
Do you have any education/experience from military service that would be relevant to the job(s) for which you are applying?
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Yes
No
If yes, please explain:
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EMPLOYMENT INFORMATION
Please list employers starting with your current or most recent employer. You may include work performed on a volunteer basis, provided that such work is capable of being verified. Please account for all periods of employment. A resume is welcome, but is not a substitute for completing this section.
Upload Your Resume
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May we contact your current employer?
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Yes
No
Employment History
Company Name (1)
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Phone Number (1)
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Please enter a valid phone number.
Company Address (1)
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Held
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Salary
*
Start Date
*
-
Month
-
Day
Year
End Date
*
-
Month
-
Day
Year
Duties
*
Supervisor's Name
*
Reason for Leaving
*
Company Name (2)
Phone Number (2)
Please enter a valid phone number.
Company Address (2)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Held
Salary
Start Date
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Month
-
Day
Year
End Date
-
Month
-
Day
Year
Duties
Supervisor's Name
Reason for Leaving
Company Name (3)
Phone Number (3)
Please enter a valid phone number.
Company Address (3)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Held
Salary
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Duties
Supervisor's Name
Reason for Leaving
Company Name (4)
Phone Number (4)
Please enter a valid phone number.
Company Address (4)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Held
Salary
Start Date
-
Month
-
Day
Year
End Date
-
Month
-
Day
Year
Duties
Supervisor's Name
Reason for Leaving
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Do you know any current employees at SFPC? If yes, please identify the individuals below and the relationship you have with the person.
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Do you meet the requirements that lawfully allow you to work in the United States? (If offered employment, you will be required to produce documentation verifying your employment statues and identity).
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Yes
No
Please list other names that you may have used in school, employment, or elsewhere.
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Sealed Record Notice
Applicants having sealed conviction records on file with the Commission of Probation may answer "no record" to the following questions.
Within the past 5 years, have you been convicted of a misdemeanor?(Applicants may answer "no" with respect to a first conviction for drunkenness, simple assault, speeding, minor traffic violations, affray or disturbance of the peace.)
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Yes
No
If yes, please explain:
Have you ever been convicted of a felony? (Conviction of a felony does not automatically preclude employment.)
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Yes
No
If yes, please explain:
Signature
*
Date
*
-
Month
-
Day
Year
Date of Signature
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I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation by SPECIALTY FABRICATION AND POWDER COATING to hire me.
Please check to accept:
*
If employed by SPECIALTY FABRICATION AND POWDER COATING, I further understand that any such employment will not constitute a contract of employment for any specific duration. I further understand that either SPECIALTY FABRICATION AND POWDER COATING OR I oan terminate my employment at any time for any reason.
I agree that aside from this employment at will relationship, no one other than the President of SPECIALTY FABRICATION AND POWDER COATING has the authority to enter into any employment contract of any kind between SPECIALTY FABRICATION AND POWDER COATING and me. Any such contract must be in writing and signed by the President and me. No one has the authority to make any verbal statements to me of any kind at any time, which is legally binding on SPECIALTY FABRICATION AND POWDER COATING.
I authorize a thorough investigation of my past employment, education, and acti\lities, agree to cooperate in such investigation and release from all liability or responsibility all persons or entities requesting or supplying such information. I agree that the entire contents of this application form, as well as the report of any such examination, may be used by SPECIALTY FABRICATION MID POWDER COATING in whatever manner it may wish.
I understand that any offer of employment that I may receive is contingent up on my successful completion of the pre-employment physical, to include drug and alcohol testing. I further understand that if hired, I may be required to submit to drug and/ or alcohol testing as a condition of employment. I understand that refusal to submit to such testing during the course of employment may result in the disciplinary action, up to and Including discharge. If testing reveals evidence of the illegal use of drugs, any offer of employment extended to me will be unconditionally revoked regardless of whether I have or have not begun employment.
I understand that if hired, I may be required, as a condition of employment, to execute a restrictive covenant or non-compete agreement and/ or an employee confidentiality agreement, in which event, I agree to be bound by the terms of such agreement(s).
I understand the according to federal law, all individuals who are hired must, as a condition of employment produce certain documentation to verify their identity, and U.S. citizenship, or if aliens, their legal authorization to work in the United States. As a consequence, I understand that any offer of employment would be contingent upon my ability to produce the required documentation within the time period required by law.
If employed by SPECIALTY FABRICATION AND POWDER COATING, I understand that such employment is subject to the security policies of SPECIALTY FABRICATION AND POWDER COATING.
I understand that any false answers or statements made by me or information concealed by me on this application or any supplement thereto, or in connection with the above-mentioned Investigation, will be sufficient grounds for denial of employment or immediate discharge from employment.
I understand that all records pertaining to my employment are to remain the property of SPECIALTY FABRICATION AND POWDER COATING.
Signature
*
Date
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Month
-
Day
Year
SPECIALITY FABRICATION AND POWDER COATING is an Equal Opportunity Employer. It Is our policy not to discriminate on the basis of race, creed, color, religion, sex, sexual orientation, age, national origin, martial status, citizenship, disability, veteran status or any other protected characteristic as established by law.
Note to Applicant: This application is considered active for 90 days. After 90 days, applicants must reapply to be considered for available positions.
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I voluntarily provide the following information to Specialty Fabrication and Powder Coating for further employment consideration. I understand this form will be kept separate from any recruitment paperwork shared with the hiring supervisor.
Employment Reference 1
Person's Name
*
Company
*
Phone Number
*
Please enter a valid phone number.
Working Relationship
*
Employment Reference 2
Person's Name
Company
Phone Number
Please enter a valid phone number.
Working Relationship
Employment Reference 3
Person's Name
Company
Phone Number
Please enter a valid phone number.
Working Relationship
Name
*
First Name
Last Name
Signature
*
Date
*
-
Month
-
Day
Year
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