Weisgram Metal Fab, Inc | Services

Online Application

* required fields

**Personal Information**
* Last Name: * First Name: Middle Name:
Social Security Number:
Address:
City: State: Zip Code:
* Home Phone: Mobile Phone: Business Phone:
Email Address:
* Are you 18 years of age or older? Yes No
May We Contact You At Work? Yes No
Position Applying For: If "Other" Please Specify:
* Do You Prefer to Work: Days Nights Weekends	* Type of Shift Preferred: Full Time Part Time Seasonal
Date Available: Wage Desired:
*Where did you hear about the position?
If you were referred by someone, please list their name.

**Education**
High School
Name & Location of School:
Number of Years Attended:
Subject Studied:
Did You Graduate? Yes No
College
Name & Location of School:
Number of Years Attended:
Subject Studied:
Did You Graduate? Yes No
Trade School
Name & Location of School:
Number of Years Attended:
Subject Studied:
Did You Graduate? Yes No

**US Military Service**
Branch of Service:
Technical Specification:
Rank Attained:

**Special Skills**

**Legal**
* Are you a citizen or do you have a legal right and necessary documents to work in the US? Yes No
*Were you ever discharged by any company? Yes No If yes, give name of company (ies) and reason.
* Have you been convicted of a felony? Yes No If yes, please explain the offense and final disposition: (The existence of a criminal record will not automatically disqualify you from the job for which you are applying.)

**Business References**
Name:	Address:
Phone:	Title:
Years Known:


Name:	Address:
Phone:	Title:
Years Known:


Name:	Address:
Phone:	Title:
Years Known:

**Employment History**
List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities. May we contact your present employer? Yes No
Most Recent:
Dates (Mo/Yr): From To:
Name and Address of Employer:
Position:
Major Duties:
Reason For Leaving:
Salary:
Second Most Recent:
Dates (Mo/Yr): From To:
Name and Address of Employer:
Position:
Major Duties:
Reason For Leaving:
Salary:
Third Most Recent:
Dates (Mo/Yr): From To:
Name and Address of Employer:
Position:
Major Duties:
Reason For Leaving:
Salary:
Fourth Most Recent:
Dates (Mo/Yr): From To:
Name and Address of Employer:
Position:
Major Duties:
Reason For Leaving:
Salary:
Other:
Have you previously worked for Weisgram Metal Fab, Inc? Yes No If yes, give dates and reason for leaving.

Resume (You may copy and paste your resume in this area.) (optional)

Additional Comments (optional)

Please read carefully.
In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record, and/or criminal history. I authorize anyone possessing this information to furnish it to Weisgram Metal Fab, Inc. upon request and I release anyone so authorized from all liability and damages whatsoever in furnishing, obtaining, or using said information.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand, also, that I am required to abide by all rules and regulations of Weisgram Metal Fab, Inc.

I understand and agree that if employed, the employment will be "at will". That is, either I or Weisgram Metal Fab, Inc. may end the employment relationship at any time, for any reason, or for no reason. I understand that receipt of this application by Weisgram Metal Fab, Inc. does not imply employment and that this application and/or any other Weisgram Metal Fab, Inc. documents are not contracts of employment.

* I have read and accept the above statement. Yes No

VARIOUS FEDERAL, STATE AND LOCAL LAWS PROHIBIT DISCRIMINATION BASED ON RACE, COLOR, SEX, RELIGION, NATIONAL ORIGIN, ANCESTRY, AGE, DISABILITY OR MARITAL STATUS. WEISGRAM METAL FAB, INC. IS AN EQUAL OPPORTUNITY EMPLOYER AND YOUR RESPONSE TO ANY QUESTION WILL NOT BE USED AS A BASIS FOR DISCRIMINATION, BUT WILL BE JUDGED ON ITS RELEVANCE TO THE POSITION YOU ARE SEEKING.

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