8300 S 206th Street * Kent, WA 98032

Fax: 253-398-1663

Email:

EMPLOYMENT APPLICATION

An Equal Opportunity Employer

Position Applied For: ______Referral Source:

Name: ______E-Mail Address: ______

Last First M.I.

Address: ______Phone: (_____)

Street City State Zip

Are you at least 18 years of age? r Yes r No
Are you a U.S. Citizen or legally r Yes r No
authorized to work in the U.S.?
Date you are able to start work: ______
May we contact your current employer? r Yes r No
Are you on layoff status or subject
to recall elsewhere? r Yes r No
Pay Expected: $______per ______
If hired, how long do you plan to continue
working for the company? ______
Are you willing and available to work?
r Day Shift r Swing Shift r Graveyard Shift
r Overtime r Weekends r Holidays
If applying for a job that requires one,
do you have a valid driver’s license? r Yes r No / Have you previously applied with us? r Yes r No
When ______
Have you previously worked with us? r Yes r No
When ______
Do you have any relatives working for us? r Yes r No
If so, who? ______
Have you had any punctuality or absenteeism issues at previous places of employment? r Yes r No
If yes, please explain ______
______
Has your employment with any employer ever been involuntarily terminated? r Yes r No
If yes, please explain ______
______
EDUCATION/
TRAINING / Name, City, State of School / Did You Graduate? / Field of Study
High School
College
Other Training
Licenses Certification

SKILLS / ABILITIES:

List any machines or equipment you are skilled in using:

List any knowledge, skills or abilities you have regarding metal products or metal manufacturing:

Will you be able to perform the essential functions of the job, with or without reasonable accommodation? r Yes r No

PLEASE LIST WORK EXPERIENCE, INCLUDING MILITARY AND VOLUNTEER EXPERIENCE
Present or Last Employer: Permission to Contact? Yes No
Address, City, State: Phone: ( )
Start Date: End Date: Supervisor: Rate of Pay $
Job Title & Duties:
Why Did You Leave?
Previous Employer: Permission to Contact? Yes No
Address: Phone: ( )
Start Date: End Date: Supervisor: Rate of Pay $
Job Title & Duties:
Why Did You Leave?
Previous Employer: Permission to Contact? Yes No
Address: Phone: ( )
Start Date: End Date: Supervisor: Rate of Pay $
Job Title:
Why Did You Leave?
PERSONAL REFERENCE
Name: Phone: ( )
Address:
Occupation: How Long Known:
PLEASE READ EACH OF THE FOLLOWING ITEMS BEFORE SIGNING THIS APPLICATION

1.  I UNDERSTAND that as a final step in the hiring process I will be subject to a drug and alcohol test, and if my results are positive I will not be considered for employment.

2.  I UNDERSTAND that as a final step in the hiring process I will be subject to background check (criminal record, employment verification, education verification), and based on those results, I may not be considered for employment.

3.  I AUTHORIZE the company to deduct all costs associated with pre-hiring drug and alcohol testing and background check if I terminate my employment within 90 days from my start date.

4.  I CERTIFY that the facts contained in this application are true and complete.

5.  I UNDERSTAND that any false, misleading or incomplete statements on this application shall be grounds for non-consideration of employment or immediate dismissal from employment.

6.  I AUTHORIZE the company to verify any information contained in this application or discussed in an interview, including my criminal record, employment, and education.

7.  I RELEASE all parties from all liability for any damage that may result from furnishing or receiving such information during the verification process.

8.  I UNDERSTAND and agree that my employment and compensation may be terminated at any time without prior notice, with or without reason, at the option of the company or myself, and understand that no representative of the company, other than the President, has authority to enter into any agreement contrary to the foregoing.

9.  I UNDERSTAND that all company property must be returned and any indebtedness to the company must be paid on or before my last day of work. I authorize the company to deduct from my final paycheck an amount necessary to satisfy any unpaid obligation.

Date ______Signature of Applicant______