Florida Metal Services

Personal Information

* First Name:

* Last Name:

Company Name:

* Address Line 1:

Address Line 2:

* City:

* State/Province:

* Zip Code:

* Country:

* Daytime Telephone:

* Email:

Social Security Number*

Referred By

Employment Desired

Position*

Date You can Start

Desired Salary

Are You Currently Employed?

Yes
No

If Yes, may we inquire of your
present employer?

Yes
No

Are you legally authorized to work
in the US?

Yes
No

Have you ever applied to this
company before?

Yes
No

If yes, Where?

If yes, When?

General Information

Subjects of Special Study/Research Work

Special Training

Special Skills

U.S. Military Experience or Naval Service

Rank

Education History

High School

Years Attended

From:
To:

Did you graduate?

Yes
No

Subjects Studied

College

Years Attended

From:
To:

Did you graduate?

Yes
No

Subjects Studied

Trade, Business, or Correspondece School

Years Attended

From:
To:

Did you graduate?

Yes
No

Subjects Studied

Former Employers

(Please list from most to least recent.)

Employer 1

Dates Employed

Salary

Position

Reson for Leaving

Employer 2

Dates Employed

Salary

Position

Reson for Leaving

Employer 3

Dates Employed

Salary

Position

Reson for Leaving

References

Give the names of three persons not related to you who you have known for at least one year

Reference 1

First Name:

Last Name:

Company Name:

Address:

Daytime Telephone:

Years Known:

Reference 2

First Name:

Last Name:

Company Name:

Address:

Daytime Telephone:

Years Known:

Reference 3

First Name:

Last Name:

Company Name:

Address:

Daytime Telephone:

Years Known:

Resume*

Please upload your resume using the form below in Microsoft Word or Adobe PDF Format

"By checking the above box, I hereby certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information."

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative."

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act (ADA) and other relevant federal and state laws."