Name:
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Email:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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Date Available:
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Social Security No.:
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Desired Salary
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Position Applied for:
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Estimator
Erector
Fabricator &Fitter
Welder
Shop Helper
Shop Supervisor & Foreman
Erection Supervisor
Are you a citizen o the United States?
Required
Yes
No
If no, are you authorized to work in the U.S.?
Required
Yes
No
Have you ever worked for Maricopa Steel?
Required
Yes
No
If yes, when?
Enter Date
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Have you ever been convicted of a felony?
Required
Yes
No
If yes, explain:
Enter Text
Required
Education
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Address
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Date From
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Date To
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Did You Graduate?
Required
Yes
No
College:
College
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Address:
Address
Required
Date From:
Date From
Required
Date To:
Date To
Required
Did you Graduate?
Required
Yes
No
Degree:
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Required
Other Education
Enter other education including dates and type of degree
Required
References
Full Name:
Reference #1 Name
Relationship:
Reference #1 Relationship
Company:
Reference #1 Company's Name
Phone
Reference #1 Phone Number
Address:
Reference #1 Address
Full Name:
Reference #2 Name
Relationship:
Reference #2 Relationship
Company:
Reference #2 Company's Name
Phone:
Reference #2 Phone Number
Address:
Reference #2 Address
Full Name:
Reference #3 Name
Relationship:
Reference #3 Relationship
Company:
Reference #3 Company's Name
Phone:
Reference #3 Phone Number
Address:
Reference #3 Address
Previous Employment
Company:
Enter Text
Phone:
Enter Text
Address:
Enter Text
Supervisor:
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Job Title:
Enter Text
Starting Salary:
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Ending Salary:
Enter Text
Responsibilities:
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From - To:
Enter Date From - To
Reason for Leaving:
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May we contact your previous supervisor for a reference?
Required
Yes
No
Company:
Enter Text
Phone:
Enter Text
Address:
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Supervisor:
Enter Text
Job Tittle:
Enter Text
Starting Salary:
Enter Text
Ending Salary:
Enter Text
Responsibilities:
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From - To:
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Reason for Leaving:
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May we contact your previous supervisor for a reference?
Required
Yes
No
Company:
Enter Text
Phone:
Enter Text
Address:
Enter Text
Supervisor:
Enter Text
Job Tittle:
Enter Text
Starting Salary:
Enter Text
Ending Salary:
Enter Text
Responsibilities:
Enter Text
From - To:
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Reason for Leaving:
Enter Text
May we contact your previous supervisor for a reference?
Required
Yes
No
Military Service
Branch:
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From - To:
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Rank at Discharge:
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Type of Discharge:
Enter Text
If other than honorable, explain:
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Initials
