Employment Application – Wayne Metals, LLC

Wayne Metals, LLC is an equal opportunity employer. Applicants are considered for employment without regard to race, color, national origin, religion, sex, age, handicap, disability, citizenship status, or any other basis protected by law, unless such basis constitutes a bona-fide occupational qualification. Wayne Metals, LLC will comply with its obligation to provide reasonable accommodation to qualified individuals with disabilities.

Position Sought *

Date *

Name *

First

Middle

Last

Email *

Primary Phone *

Secondary Phone

Present Address *

Address Line 1

Address Line 2

City

State

Zip Code

Prior Address (If you have resided at your current address for less than 3 years, list your prior address)

Address Line 1

Address Line 2

City

State

Zip Code

Have you ever been convicted of a crime? *

Yes
No

Have you ever been charged with a crime with the outcome yet to be determined? *

Yes
No

(Conviction or plea will not necessarily disqualify applicant from employment)

Are available to work: *

Full-Time
Part-Time
Temporary

Shifts available to work: *

First
Second
Third

Are you available to work overtime, if necessary? *

Weekdays
Saturdays
Sundays
Not Available for Overtime

(Check the days you're able to work overtime)

When are you available to start work at Wayne Metals, LLC? *

Are you a US Citizen or an alien legally entitled to work in the position(s) you are applying for? *

Yes
No

Were you referred by a current Wayne Metals, LLC employee? *

Yes
No

Do you have any relatives currently working at Wayne Metals, LLC employee? *

Yes
No

Have you applied to Wayne Metals, LLC before? *

Yes
No

Have you ever been employed at Wayne Metals, LLC before? *

Yes
No

Please Provide Employment History

Starting with your current, or most recent job, list your complete employment history for the past (10) years. You may include job-related military service assignments and volunteer activities that reflect your qualifications for employment. DO NOT OMIT ANY EMPLOYMENT!

Most Recent Employer: *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Begin/End Dates of Employment *

Kind of Work Performed: *

Reason for Leaving: *

2) Employer (if necessary)

Employer 2:

3) Employer (if necessary)

Employer 3:

4) Employer (if necessary)

Employer 4:

5) Employer (if necessary)

Employer 5:

May we contact the employers you listed? *

Yes
No

Have you ever been discharged or asked to resign from any position? *

Yes
No

Are you currently, or do you intend to be engaged in other business, employed by another employer, or work as an independent contractor? *

Yes
No

Are you currently on layoff, inactive status, or leave of absence from any other employment? *

Yes
No

Do you have a high school diploma? *

Yes
No

High School

Name of last High School attended: *

High School Major: *

Average Grade: *

College

College Name & Location

Business School

Business School Name & Location

Graduate School

Graduate School Name & Location

Other

Other Schooling or Relevant Training

Please describe any skills and/or experience that are relevant to the position for which you are applying:

List the name, address and telephone number of references who are NOT RELATED to you and are not previous employers:

1st Reference

Name: *

Address: *

Phone: *

Relationship: *

2nd Reference

Name: *

Address: *

Phone: *

Relationship: *

3rd Reference

Name: *

Address: *

Phone: *

Relationship: *

Please indicate that you have read and that you understand each paragraph of this Applicant's Statement by placing your checking the box next to each paragraph.

I certify that this application was completed by me and that all entries on it and all information in it are TRUE and COMPLETE to the best of my knowledge. In the event of employment, I understand that false, misleading, or omitted information in my application my result in Wayne Metals, LLC termination. *

I Accept

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In making this application for employment, I under- stand that information may be obtained through interviews with the personal references and past employers. This inquiry may include information as to my character, general reputation, and personal characteristics, as well as information about my work performance and workplace conduct. I consent to this review and to the consideration of any statements of references or form employers that are given in response to the inquiry. *

I Accept

I hereby release all parties, including Wayne Metals, LLC, personal references, and current and previous employers, from liability for any injury or damage that may result from their furnishing information concerning me or any action Wayne Metals, LLC takes on the basis of such information. *

I Accept

I understand that, according to the federal law, all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and United States citizen status or, if aliens, their legal authorization to work in the United States. As a consequence, I understand that any offer of employment to me is contingent upon my ability to produce the required documentation within the time period required by law. *

I Accept

I understand that this application is not, and is not intended to be, a contract of employment and that any resulting employment relationship is for no fixed period of time and is terminable at any time and for any reason by Wayne Metals, LLC, or by me. I further understand that statements which may be contained in policies, practices, handbooks, or other company material do not create any guarantee of employment and that Wayne Metals, LLC has the right to modify, amend, or terminate policies, practices, benefit plans, or other programs within the limits and requirements imposed by law. *

I Accept

I have downloaded and read the "Disclosure of Intent" PDF. *

I Accept

I have downloaded and read the "Summary of Rights" PDF. *

I Accept

Applicant's Signature

I understand that by entering my name below that acts as my signature swearing that all of the information in this Application for Employment is accurate to the best of my knowledge! *

I Accept

**THIS APPLICATION WILL NOT BE CONSIDERED ACTIVE AFTER THREE MONTHS**