Black Iron Manufacturing Application

Black Iron Manufacturing
We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
LAST
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Date of application

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Date
Address

Address

Street Address Line 2

CityState

Zip
Telephone
Format: (000) 000-0000.
Birth date

MonthDayYear
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Are you able to perform the essential job functions of the position for which you are applying with or without reasonable YesNo accommodation? Have you been convicted of any felonies other than minor traffic violations during the past seven years? (A criminal record or a conviction will not automatically bar employment, but will be considered only as it reasonably relates to your fitness to perform in the Yes position for which you are applyingNoIf yes, explain:

Circle last grade completed - Grade 123456789101112 College 1234 Masters Name & Address of School Graduated Major Course studied or degree (Yor N)
Masters
Doctorate
Last High School Attended/Address: College or University/Address
List any scholarships academic honors awards or special achievements
College or University/Address Other School (Technical, Vocational, Graduate, etc /Address List any scholarships, academic honors, awards or special achievements:

3. SKILLS Please list any skills you have that are appropriate for the position you are applying for:

Rotating shiftsYES NO Overtime
Position applying for be specific
State fully why you believe you are qualified for this position
INTERESTS ACCOMPLISHMENTS You may wish to list significant experience interests accomplishments gained while working as a volunteer or as a hobbyist that may be useful in the position s you are seeking Names or organizations designating religion race etc need not be mentioned
EMPLOYMENT HISTORY
Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR

employers. If currently employed, may we contact your employer?Yes
PRESENT OR MOST RECENT EMPLOYER
FULL NAME OF COMPANY
AREA CODE
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP
Phone Number
Format: (000) 000-0000.
SALARY EMPLOYED FROM TO BEGIN MO/YR MO/YR END
SALARY BEGIN END
EMPLOYED FROM TO MO/YR0-MO/YR
NAME TITLE OF SUPERVISOR
LIST JOBS HELD DUTIES PERFORMED SKILLS USED PROMOTIONS WHILE EMPLOYED AT THIS COMPANY
REASON FOR LEAVING
FULL NAME OF COMPANY
AREA CODE
SALARY EMPLOYED FROM TO BEGIN MO/YR-MO/YR END
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP
Phone Number
Format: (000) 000-0000.
SALARY BEGIN END
EMPLOYED FROM TO MO/YR-MO/YR
NAME TITLE OF SUPERVISOR
TITLE OF YOUR POSITION
LIST JOBS HELD DUTIES PERFORMED SKILLS USED PROMOTIONS WHILE EMPLOYED AT THIS COMPANY
REASON FOR LEAVING
FULL NAME OF COMPANY
AREA CODE
SALARY EMPLOYED FROM TO BEGIN MO/YR-MO/YR END
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP
ZIP
Format: (000) 000-0000.
SALARY BEGIN END
EMPLOYED FROM TO MO/YR-MO/YR
NAME TITLE OF SUPERVISOR
TITLE OF YOUR POSITION
LIST JOBS HELD DUTIES PERFORMED SKILLS USED PROMOTIONS WHILE EMPLOYED AT THIS COMPANY
REASON FOR LEAVING
FULL NAME OF COMPANY
AREA CODE
SALARY EMPLOYED FROM TO BEGIN
END
Format: (000) 000-0000.
Address

STREET ADDRESS

Street Address Line 2

CITYSTATE

ZIP
SALARY BEGIN END
EMPLOYED FROM TO MO/YR-MO/YR
NAME TITLE OF SUPERVISOR
TITLE OF YOUR POSITION
TITLE OF YOUR POSITION
LIST JOBS HELD DUTIES PERFORMED SKILLS USED PROMOTIONS WHILE EMPLOYED AT THIS COMPANY
REASON FOR LEAVING
READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
Signature
Date

MonthDayYear
Date
Should be Empty:

Black Iron Manufacturing

EMPLOYMENT HISTORY

PRESENT OR MOST RECENT EMPLOYER

SALARY EMPLOYED FROM TO BEGIN MO/YR MO/YR END

SALARY EMPLOYED FROM TO BEGIN MO/YR-MO/YR END

SALARY EMPLOYED FROM TO BEGIN MO/YR-MO/YR END

SALARY EMPLOYED FROM TO BEGIN

TITLE OF YOUR POSITION