Job Application

PERSONAL DATA
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Home Phone
Mobile Phone
Email*
Are you 18 years of age or older?
- Yes
- No
If hired, can you provide proof of eligibility to work in the U.S. ?
- Yes
- No
Pursuant to the Immigration Reform and Control Act of 1986, applicants who have accepted an offer of employment must produce documents establishing their identity and authorization for employment in the United States. These documents must be produced within (3) business days of their date of hire. All new hires will be required to complete and sign USCIS Form I-9 under penalty or perjury.

EMPLOYMENT HISTORY
Are you currently employed?
- Yes
- No
May we contact your present employer?
- Yes
- No
Current or Previous Employer
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Date Start
Date End
Job Title / Position
Supervisor
Reason for Separation (e.g. Quit, Layoff, Discharge)
Previous Employer #2
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Date Start
Date End
Job Title / Position
Supervisor
Reason for Separation (e.g. Quit, Layoff, Discharge)
Previous Employer #3
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Date Start
Date End
Job Title / Position
Supervisor
Reason for Separation (e.g. Quit, Layoff, Discharge)

AUTHORIZATION - IMPORTANT: Please read carefully and check each box to accept the application
Affirmation #1*
- "I affirm that the information contained in this application and any resume or other document submitted is true and complete to the best of my knowledge."
Affirmation #2*
- "I understand that knowingly providing false or misleading information or making material ommissions on this application will disqualify me from further consideration for employment, and will be grounds for my dismissal if discovered at a later date."
Affirmation #3*
- “I authorize the companies, schools, or persons named above to provide Infra-Metals Co. any information relevant to my employment qualifications.”
Affirmation #4*
- “I understand that any offer of employment is contingent upon my successful completion of all the Infra-Metals Co. lawful pre-employment checks, which may include a background check. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.”
Affirmation #5*
- “I release such companies, schools, or persons from any and all liability or damages that may result from furnishing this information.”
Affirmation #6*
- “If hired, I agree to confirm to the lawful rules, regulations and policies of the Company.”
Affirmation #7*
- “I understand and agree that if I’m hired, my employment will be at-will, and may be terminated, with or without cause, and with or without notice, at any time at the option of the Company or myself. I understand that no supervisor or representative of the Company other that the President or Vice President of the Company has any authority to enter into any arrangement for employment for any specified period of time, or to make any agreement contrary to the foregoing.”
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Application

Step 1 of 7

PERSONAL DATA

List Any Relatives/Friends working for Infra-Metals Co.

EMPLOYMENT DESIRED

EDUCATION

SKILLS/TRAINING/CERTIFICATIONS

EMPLOYMENT HISTORY

AUTHORIZATION - IMPORTANT: Please read carefully and check each box to accept the application