Porter Steel, Inc.

114 Arcado Rd.

Lilburn Ga , 30047

USA

Phone: 770-564-0837

Fax: 770-925-4058

Email: sales@portersteel.com

On-Line Employment Application

Applicant Information

Note: All fields marked blue are required!

Full Name & Date: Last:

First:

M.I.:

Address: Street Address:

City:

State:

Zip Code:

Phone Number:

E-mail Address:

Date Avaliable:

Desired Salary: $

Position Applied for:

Are you a citizen of the United States? * Required *

Are you authorized to work in the U.S.? * Required *

Have you ever worked for this company? * Required *

If yes, when?

Have you ever been convicted of a felony? * Required *

If yes, explain?

Have you ever had any traffic violations within the past 3 years? * Required *

If yes, give violations and dates?

This information will be verified with our insurance company.

Education High School:

Address:

From:

To:

Did you graduate? * Required *

Degree:

College:
Address:
From:
To:

Did you graduate?

Degree:

Other:
Address:
From:
To:

Did you graduate?

Degree:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone Number:

Address:

Full Name:
Relationship:
Company:
Phone Number:
Address:

Previous Employment Company Name:

Phone Number:

Address:

Starting Date:

Ending Date:

Supervisors Name:

Job Title:

Responsibilities:

Starting Salary: $

Ending Salary: $

Reason for Leaving:

May we contact your previous supervisor for a reference? * Required *

Company Name:
Phone Number:
Address:
Starting Date:

Ending Date:

Supervisors Name:
Job Title:
Responsibilities:
Starting Salary: $
Ending Salary: $
Reason for Leaving:
May we contact your previous supervisor for a reference?

Military Service Branch:
Starting Date:

Ending Date:

Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Languages

Indicate any foreign languages you can speak, read, and/or write

Speak:

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Read:

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Write:

Fluent
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Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 6 months. An applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at a time and the Employer may discharge an employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by an written document or by conduct unless such charge is specifically acknowledged in writing by an authorized executive of this organization.

If this application leads to employment, I understand that false or misleading information in my application or interview(s) may result in my release. I understand, also, that I am required to abide by all rules and regulations of the employer.

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