Branch Metal Warehouse Employment Application
Complete this employment application using the provided template fields. Fields are optional unless clearly required in the original.
Applicant Information
First Name
*
Middle Name
Last Name
*
Social Security Number
Date Available
*
-
Month
-
Day
Year
Date
Desired Hourly Wage
Address
*
City
*
State
*
ZIP
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Eligibility and Schedule
Authorized to work in the U.S.
*
Yes
No
Reliable transportation
*
Yes
No
Preferred schedule
*
Please Select
Mon–Thu (6:00 AM–4:00 PM)
Mon–Fri (6:00 AM–2:30 PM)
Either
Available for overtime
*
Yes
No
Previous Employment 1
Employer
*
Supervisor
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Position
*
Dates Employed
*
Reason for Leaving
May we contact this employer?
Yes
No
Previous Employment 2
Employer
*
Supervisor
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
*
Dates Employed
*
Reason for Leaving
May we contact this employer?
Yes
No
Previous Employment 3
Employer
*
Supervisor
Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Position
*
Dates Employed
*
Reason for Leaving
May we contact this employer?
Yes
No
Education
Highest Education Completed
*
High School
GED
Trade School
College
School Name
*
Degree/Certification
Experience and Skills
Experience Areas
Warehouse
Manufacturing
Shipping & Receiving
Machine Shop
Construction
Fabrication
Assembly
Maintenance
Inventory Control
Quality Control
Packing
Loading/Unloading
Forklift Operation
Equipment Operation
Material Handling
Other
Other Experience
Can safely perform essential job functions with or without reasonable accommodation
Yes
No
Can repeatedly lift 50 lbs
Yes
No
Comfortable working outdoors
Yes
No
Comfortable around heavy equipment
Yes
No
Comfortable in hot/cold weather
Yes
No
Worked around industrial equipment
Yes
No
Received safety training
Yes
No
Ever been terminated for violating a safety policy
Yes
No
If yes, explain
Forklift Experience
Please Select
None
Beginner
Experienced
Skid Steer Experience
Please Select
None
Beginner
Experienced
Cutting Torch Experience
Please Select
None
Beginner
Experienced
Hand Tools Experience
Please Select
None
Beginner
Experienced
Power Tools Experience
Please Select
None
Beginner
Experienced
Welding Equipment Experience
Please Select
None
Beginner
Experienced
PPE Use Experience
Please Select
None
Beginner
Experienced
Preventive Maintenance Experience
Please Select
None
Beginner
Experienced
Quality Inspection Experience
Please Select
None
Beginner
Experienced
References and Signature
Reference 1
Reference 2
Reference 3
Applicant Signature
*
Application Date
*
-
Month
-
Day
Year
Date
Submit Application
Submit Application
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