First Name*

Last Name*

Address*

City*

Apt/Unit*

State*

Postal Code*

Home Phone#*

Mobile Phone#*

Email Address*

Are you eligible to work in the U.S.?*

Yes
Yes

No
No

Are you at least 18 years or older? (If no, you may be required to provide authorization to work.)*

Yes
Yes

No
No

Have you ever been terminated from employment or asked to resign by an employer?*

Yes
Yes

No
No

Can you work any shift?*

Yes
Yes

No
No

Can you read and write English?*

Yes
Yes

No
No

Can you work overtime, including weekends?*

Yes
Yes

No
No

Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*

Yes
Yes

No
No

Employment Desired

Date you can start:*

Desired Position*SelectProject EngineerProject ManagerSenior AccountantDetailerEstimatorOffice Administrator/ReceptionistOther

Are you currently employed?*

Yes
Yes

No
No

Referral Source

Have you ever worked for this company before?*

Yes
Yes

No
No

Do you know anyone who works for our company?*

Yes
Yes

No
No

Education

Education (Select the highest level completed):*

High School
high-school

College or University
College-or-University

Trade, Business or Correspondence School
Trade-Business-or-Correspondence-School

Employment History

Include your last seven (7) 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.

From*

To*

Employer Name*

Telephone*

Job Title*

Address*

Immediate Supervisor and Title*

Summarize the nature of work performed and job responsibilities*

Reason for leaving*

Do you have any special skills, experience and/or training that would enhance your ability to perform the position applied for?*

Yes
Yes

No
No

Computer Skills (please describe):*

References

Give the name of person not related to you, whom you have known at least three (3) years.

Name*

Address, Phone, Email*

Company*

Years Acquainted*

Please read carefully before signing.

Employers with equal opportunities include CSF Metal. For the purposes of any applicable state, or based on sexual orientation, gender identity, or gender expression, CSF Metal does not discriminate in the workplace on the grounds of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status, or unfavorable discharge from military service.

Date*

Consent*I hereby certify that the above statements are true and correct to the best of my knowledge. I understand that a false statement may disqualify me for employment.