SMC Employment Application

All of your data will be kept confidential. Information is never released to employers without your permission.

* Required fields are marked with an asterisk

Personal

* Last Name	* First	Middle
* Date
Address	Home Phone
City, State, ZIP	Business Phone
* Email
Have you ever applied for employment with us? Yes No If yes, Month & Year:
Do you desire Full-Time or Part-Time work? Full-Time Part-Time If Part-Time, what hours can you work?
Are you legally eligible for employment in the U.S.? Yes No
When will you be available to work?
Are you above the minimum working age of 18? Yes No
Have you ever been convicted of a felony? Yes No
If yes, please explain:	A positive response is not an automatic bar to employment with the company. The offense for which the person was convicted in relation to the position to which they have applied will be considered.
Are there other names under which you have worked or attended school? Yes No If yes, please list for reference checking purposes:

Position Desired

Will you work overtime if asked?
Yes No

Salary Expected
$

Which shift do you prefer to work?
1^st (7am-3pm) 2^nd (3pm-11pm) 3^rd (11pm-7am)

Which shift would you least prefer to work?
1^st (7am-3pm) 2^nd (3pm-11pm) 3^rd (11pm-7am)

Other special training or skills (computer programs, etc.)

How did you hear about our opening?

Education

Name & Location of School	Course of Study	No. of Years Completed	Did You Graduate?	Degree or Diploma
College			Yes No
High			Yes No
Military
Membership in Professional or Civic Organizations

If required to drive a motor vehicle for the job applying for, state your:
Driver's License Number State Issued

Are you licensed with any group, association or society relating to the job for which you are applying? Yes No

Registration or License Number
State Issued
Expiration Date

Employment	Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

Employment References	List individuals familiar with your job qualifications (no relatives or personal friends)

Name	Day Telephone
Address	Evening Telephone
Relationship	How Long Known?

Name	Day Telephone
Address	Evening Telephone
Relationship	How Long Known?

Name	Day Telephone
Address	Evening Telephone
Relationship	How Long Known?

This application is not to be construed as a contract of employment. It is not intended as a guarantee to employment for any particular term and just as our employees are free to terminate their employment relationship with us at any time, the Company reserves the right to discharge employees, with or without cause, at will. The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decided to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.
* Signature	Date
SMC Metal Fabricators is a drug free workplace and new candidates will be tested for drugs as a qualification for hire. Occasional random drug tests will also be done through the course of employment with this company. All testing will be done at SMC Metal Fabricator's expense. I have read and understand SMC Metal Fabricator's policy on drug testing and will comply with this policy.
* Signature	Date