MTS Sheet Metal & Fabrication
Employment Applicationchemas-microsoft-com:office:office" />
An Equal Opportunity Employer
Please Print
__________ _____________________ _________________ ________
Date Last Name First Name M.I
______________________________ _______________ ____ _________
Address & Street City State Zip
(___) ___-____ (___) ___-____
Home Phone Cell Phone
Employment Desired
Position applying for: ______________________________________________
Why are you applying for work at MTS Sheet Metal & Fabrication, Inc?
____________________________________________________________
If hired, would you have a reliable means of transportation to and from work? .......................... Yes No
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of
minimum legal age.) ..................................................................................................................... Yes No
If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live
and work in this country? ............................................................................................................. Yes No
Are you able to perform the essential functions of the job for which you are applying, either
with or without reasonable accommodation? .............................................................................. Yes No
If no, describe the functions that cannot be performed.
____________________________________________________________
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to
perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)
Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (Misdemeanor convictions for
marijuana-related offenses that are more than two years old need not be listed.) ......................... Yes No
If yes, state nature of the crime(s), when and where convicted, and disposition of the case.
____________________________________________________________
(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The nature of the offense, the date of the offense, the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Education, Training, and Experience
High ______________________________Diploma…….. Yes No
School Name
College/ ______________________________How long? ___ Graduate……. Yes No
University Name
Employment History
List below all present and past employment starting with your most recent employer (last five years is sufficient).
Account for all periods of unemployment. You must complete this section even if attaching a resume.
______________________________ (___) ___-____
Name of Employer Telephone No.
______________________________ ______________________________
Type of Business Your Supervisor's Name
______________________________ _______________ ___ _____
Address & Street City State Zip
Dates of Employment: __________ __________ Hourly/Weekly Pay: _______
Starting Ending
____________________________________________________________
Your Position and Duties
____________________________________________________________
Reason for Leaving
May we contact this employer for a reference? ................................................................. Yes No
______________________________ (___) ___-____
Name of Employer Telephone No.
______________________________ ______________________________
Type of Business Your Supervisor's Name
______________________________ _______________ ___ _____
Address & Street City State Zip
Dates of Employment: __________ __________ Hourly/Weekly Pay: _______
Starting Ending
____________________________________________________________
Your Position and Duties
____________________________________________________________
Reason for Leaving
May we contact this employer for a reference? ................................................................. Yes No
Note: Attach additional page(s) if necessary.
References
List below two persons not related to you who have knowledge of your work performance within the last three years.
___________________ ___________________ (___) ___-____
First Name Last Name Telephone No.
______________________________ _______________ ___ _____
Address & Street City State Zip
______________________________ _____
Occupation No. of Years Acquainted
___________________ ___________________ (___) ___-____
First Name Last Name Telephone No.
______________________________ _______________ ___ _____
Address & Street City State Zip
______________________________ _____
Occupation No. of Years Acquainted
Please Read Carefully, Initial Each Paragraph and Sign Below
______ I hereby certify that I have not knowingly withheld any information that might adversely affect my
Initials chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
______ I understand that nothing contained in the application, or conveyed during any interview which may
Initials be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.
__________ ____________________________________________________________________
Date Applicant’s Signature
