Application for employment

 

 

Complete all questions

GENERAL INFORMATION

 
 
Type of Employment Desired




Are you legally eligible for employment in this country?



Proof of U.S. citizenship or immigration status will be required upon employment.

 

 

EDUCATION

High School

 

 

Business, Trade or Technical*

 
Attendance Dates
 
 
 

 

College*

 
Attendance Dates
 
 
 

 

Graduate School*

 
Attendance Dates
 
 
 

 

Other*

 
Attendance Dates
 
 
 

 

 

*If degree was received under a name other than that listed on this application, please provide your full name at the time the degree was awarded:
 

 

Scholastic Achievements:

 

 

SKILLS AND QUALIFICATIONS

Summarize specific skills and qualifications acquired from employment or other experiences that are related to the position for which you are applying (e.g., computer skills, software applications, and foreign languages):

 

 

EMPLOYMENT HISTORY

Please provide a COMPLETE employment history, even if a resume is submitted with this application. List ALL employers, assignments, or volunteer activities that are relevant to the job for which you are applying, starting with the most recent, including military employment. Explain any gaps in employment in the “Comments” section below. Please use the “Employment History Continuation Sheet” if additional space is needed.

(1) Present/Most Recent Employer

 

 

Dates Employed
 

 

Hourly Rate/Salary
 
 

 

Type of Employment
 
 
 

 

If currently employed, may we contact for reference?



 

(2) Next Previous Employer

 

 

Dates Employed
 

 

Hourly Rate/Salary
 
 

 

Type of Employment
 
 
 

 

If currently employed, may we contact for reference?



 

(3) Next Previous Employer

 

 

Dates Employed
 

 

Hourly Rate/Salary
 
 

 

Type of Employment
 
 
 

 

If currently employed, may we contact for reference?



 

(4) Next Previous Employer

 

 

Dates Employed
 

 

Hourly Rate/Salary
 
 

 

Type of Employment
 
 
 

 

If currently employed, may we contact for reference?



 

 

COMMENTS (including explanation of any gaps in employment):

 

 

REFERENCES

List three business/work references NOT related to you and are NOT previous supervisors. If not applicable, list three school or personal references not related to you.

(1) Reference

 
 

(2) Reference

 

 

 

PROFESSIONAL LICENSES

List any professional license(s) that are related to the position for which you are applying and list state(s) in which licensed:

 

 

MEMBERSHIPS

List professional, trade, business, or civic associations that you consider relevant to the position for which you are applying (exclude memberships which would reveal sex, race, religion, national origin, age, color, or disability).
 
 
 

 

 

SPECIAL ACCOMPLISHMENTS, PUBLICATIONS AND AWARDS

Exclude information that would reveal sex, race, religion, national origin, age, color, or disability.

 

 

OTHER INFORMATION

Have you ever been convicted of, or are you now under charges for, any felony offense in the past 7 years?



If checked yes, please explain below.
If you have ever been granted a security clearance by any government agency, indicate the level of clearance, when granted, and by whom? Have you ever had a security clearance suspended, denied, or revoked?



Are you bound by any non-solicitation/non-compete agreement?



Have you ever interviewed for a job with Steel Dust Recycling, LLC?



If yes,
 
Have you ever been employed by Steel Dust Recycling, LLC?



If yes,
 
Are any relatives currently employed at Steel Dust Recycling, LLC?



 
What prompted your application to Steel Dust Recycling, LLC?





 

 

PLEASE REVIEW APPLICATION CAREFULLY. WE WILL NOT CONSIDER THIS APPLICATION IF NOT COMPLETED IN FULL.

PLEASE READ THE FOLLOWING AND SIGN THE APPLICATION IN THE SPACES PROVIDED BELOW. IF YOU HAVE ANY QUESTIONS, PLEASE SPEAK WITH THE HUMAN RESOURCES REPRESENTATIVE BEFORE SIGNING.

I understand that employment by Steel Dust Recycling, LLC (“SDR”) is “at will.” This means that the employment relationship can be ended by me or by SDR at any time for any reason with or without advanced notice and with or without cause. It also means that SDR may revise and make exceptions to its policies, practices, handbooks, manuals, rules, procedures, and regulations, in whole or in part, at any time. I further understand that acceptance of an offer of employment does not create a contractual obligation upon SDR to continue to employ me in the future or for any specific term. Notwithstanding the above, I understand that no representative of SDR, except an officer of the company, has any authority to enter into any agreement of employment for a definite term. Any such agreement must be in writing and signed by an officer of the company.

If employed by SDR, I agree to comply with all safety and health rules, company policies and procedures, and local, state, and federal laws pertaining to my employment. Although management makes every effort to accommodate individual preferences, organizational needs may make the following conditions mandatory: overtime, rotating work schedule, or a work schedule other than Monday through Friday or normal business hours. I understand and accept these as conditions of my employment should I be hired. I have reviewed this application carefully and I hereby affirm that my statements and answers to all questions on this application are true and correct and that I have not knowingly withheld any fact or circumstance that, if disclosed, would affect my application unfavorably. I understand that any misstatement or omission of fact on this application may result in my application not being considered, and, if employed, may result in my immediate dismissal.

I further understand that a drug screen and physical will be required prior to employment with SDR. This drug screen and physical may include a pulmonary function test for the purpose of testing for respirator wear. The costs of the drug screen, physical and pulmonary function test will be a cost incurred by SDR, not by me. If any part of the drug screen, physical, or pulmonary function tests are failed, SDR reserves the right to withdraw an offer of employment.

I HAVE READ AND AGREE TO THE ABOVE TERMS AND CONDITIONS

 

 

INVESTIGATION AUTHORIZATION

By signing below, I hereby authorize SDR to conduct an investigative report and/or reference check concerning all statements contained in my application for employment; to interview all employers, references, and other individuals and institutions to obtain information and opinions about me; and to conduct any other investigation that it deems appropriate. Such investigation may include but is not limited to my education, employment history (except my current employer if I have so indicated above), character, general reputation, driving record, credit history, and criminal record. The information obtained in this investigation will be held in strict confidentiality, and will be used for employment purposes only. In the event that I am employed by SDR, I hereby authorize SDR to answer any inquires regarding my employment, conduct, qualifications, and reasons for leaving.

I understand that I have the right to request SDR to disclose to me, completely and accurately, the nature and scope of the investigation. (Such a request must be made in writing to the human resources department within a reasonable time after you have completed and signed this authorization.)

In exchange for being considered for employment, I hereby release SDR, its employees, and agents, as well as any law enforcement agency, current or former employer, educational institution, credit agency, or any other individual providing information about me to SDR, from any liability arising from disclosure of such information that is obtained during said investigation.

ACCEPT THE AGREEMENT TO INVESTIGATE ME

 

 

 

You must read the terms and conditions and accept the investigation to continue