A&B Employment Application

A&B Employment Application

A&B Precision Metals, Inc. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, religion, sex, age, national origin, sexual orientation, gender identity or expression, marital status, veteran or military status, disability, genetic information, or any other characteristic protected under state or federal law. Form Version HR009 Rev.H
Full Name

First NameMiddle NameLast Name
Email
example@example.com
Today's Date

MonthDayYear
Date of Submission
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number (Home)
Phone Number (Cell)
Date Available

MonthDayYear
Desired Wage
$/Hr/Yr
Position Applying For
Are you able to perform the essential functions of this position, with or without reasonable accommodation?
Are you able to work any shift, including weekends?
Are you able to work overtime?
Are you at least 18 years of age or older?
Are you legally authorized to work in the United States?
Have you ever worked for A&B Precision Metals before?
If you have worked at A&B before, when?

MonthDayYear

Employment History (1/3)
Company
Phone Number
Street/City/State
Dates Employed (From / To)
Job Duties
Reported To
May we contact this previous employer for a reference?

Employment History (2/3)
Company
Phone Number
Street/City/State
Dates Employed (From / To)
Job Duties
Reported To
May we contact this previous employer for a reference?

Employment History (3/3)
Company
Phone Number
Street/City/State
Dates Employed (From / To)
Job Duties
Reported To
May we contact this previous employer for a reference?

General Employment Information
Were you referred to A&B Precision Metals, Inc.? If so, by whom?
If you have worked under any other names, please list them
Have you ever been discharged or asked to resign from a job? If yes, please explain:

Education

	Name of School / Location	Graduated (Yes/No)	Major / Courses Taken	Degree (Yes/No)
High School
College
Graduate School
Trade or Business

Special Skills - Please give a summary your skills in relation to the job you are applying for
Tell us about your skills

Professional References

Enter your references

	Full Name	Relationship	Address	Email	Phone
Reference 1:
Reference 2:
Reference 3:

Emergency Contact Information

Enter your emergency contact

	Name	Relationship	Phone
Contact

Policy Notification & Self-Identification
DRUG & ALCOHOL POLICY NOTIFICATION – NOTICE TO APPLICANTS REGARDING DRUG & ALCOHOL TESTING REQUIEMENTS

A&B Precision Metals, Inc. has a vital interest in maintaining safe, healthful and efficient working conditions for its customers and employees. Using or being under the influence of drugs and/or alcohol on the job may pose serious safety and health risks not only for the use, but to the public and all those who work with the user. The possession, use, or sale of a prohibited drug or controlled substance may also pose unacceptable risks to safe, healthful, and efficient operations.

To meet this compelling interest, individuals who wish to be considered for employment must agree to PREPLACEMENT DRUG & ALCOHOL TESTING and DRUG & ALCOHOL TESTING DURING EMPLOYMENT.

By completing and signing this Notice and the Employment Application, the applicant understands and agrees to submit to drug and alcohol testing as a condition of any employment offer, as well as to drug and alcohol testing during the course of employment as provided for in A&B Precision Metals, Inc.’s Drug and Alcohol Policy.

The applicant further understands and agrees to release A&B Precision Metals, Inc., and its directors, officers, agents, employees, parent companies, subsidiaries, and/or affiliated concerns from any and all liability, claims, demands, damages, and causes of action of every kind and nature arising out of or resulting from or in connection with submitting to drug and alcohol testing and any decision concerning employment made by A&B Precision Metals, Inc. in whole or in part, based upon the results of drug and alcohol testing.

Submission of an altered or alternated specimen or the substitution of a specimen by the applicant will result in a withdrawal of the employment offer.

Any applicant who is unwilling to agree to these conditions should not apply for employment with A&B Precision Metals, Inc.
VOLUNTARY SELF-IDENTIFICATION

A&B Precision Metals, Inc. is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, this employer invites you to voluntarily self-identify your race or ethnicity. Submission of this information is voluntary and declining to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.

Thank you for your participation.
Gender Information - What is your Gender Identification?
Gender Selection
Are you Hispanic or Latino?
A Person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race
What is your Race?

Applicant Certification & Agreement
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize A&B Precision Metals, Inc. to verify its accuracy and to obtain reference information on my work performance. I hereby release A&B Precision Metals, Inc., all stated Prior Employers, and all References listed from any and all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision made on such information. I understand that, if employed, falsified statement of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, procedures, rules, and regulations of employment of [Company]. However, I further understand that neither the policies, procedures, rules, and regulations of employment or anything during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or [Company] may terminate my employment at any time, with or without notice or cause.*

I Agree to the terms
Name*

First NameLast Name
Date

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