Custom Steel Processing Employment Application

Applicant Information
Security Code (What's this?):
Enter Code*:
First Name:
Middle Name or Initial:
Last Name:
Street Address:
Apartment/Unit #:
City:
State:
Zip:
Phone:
Email:
Date Available:
Desired Salary:
Position Applied For:
Are you a legal US citizen? Yes:   No: 
If no, do you have a valid US work visa? Yes:   No: 
Are you at least 18 years old? Yes:   No: 
Have you ever worked for Custom Steel? Yes:   No: 
If so, when?
Are you related to anyone currently employed by Custom Steel? Yes:   No: 
If yes, who?
Have you ever been convicted of a felony? Yes:   No: 
If yes, explain:
Education
High School:
Address:
From:
To:
Did you graduate? Yes:   No: 
Extracurricular:

College:
Address:
From:
To:
Did you graduate? Yes:   No: 
Degree:
Other School:
Address:
From:
To:
Did you graduate? Yes:   No: 
Degree:

Other School:
Address:
From:
To:
Did you graduate? Yes:   No: 
Degree:
Professional References
Full Name:
Relationship:
Company:
Address:
Phone:

Full Name:
Relationship:
Company:
Address:
Phone:
Full Name:
Relationship:
Company:
Address:
Phone:

Full Name:
Relationship:
Company:
Address:
Phone:
Previous Employment
Company:
Relationship:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for leaving:
May we contact this supervisor for a reference? Yes:   No: 

Company:
Relationship:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for leaving:
May we contact this supervisor for a reference? Yes:   No: 
Company:
Relationship:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for leaving:
May we contact this supervisor for a reference? Yes:   No: 

Company:
Relationship:
Address:
Supervisor:
Job Title:
Starting Salary:
Ending Salary:
Responsibilities:
From:
To:
Reason for leaving:
May we contact this supervisor for a reference? Yes:   No: 
US Military Service
Branch:
From:
To:
Rank:
Type of discharge:
If other than honorable, explain:
Acknowledgement & Disclaimer
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I have thoroughly reviewed this application and it is ready to be submitted for consideration.