1 Contact Info2 General Info3 Education4 Refrences5 Employment History6 Authorization7 Drug Free Workplace Do you have a Resume?*NoYesUpload a Resume*First Name*Last Name*MIPhone*Current Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you legally eligible for employment in the US?*Please SelectYesNoAre you of legal age to work?*Please SelectYesNoHave you previously been employed with us?*Please SelectYesNoHave you ever been convicted of or pleaded guilty to a felony?*Please SelectYesNoPosition Applying ForAvailable start date* Date Format: MM slash DD slash YYYY List any skills you have which would be beneficiary for the job which you are applying for School NameTypeMiddle SchoolHigh SchoolCollegeTrade SchoolLocationYears Attended Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Graduated?Please SelectYesNoSchool NameTypeMiddle SchoolHigh SchoolCollegeTrade SchoolLocationYears Attended Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Graduated?Please SelectYesNoSchool NameTypeMiddle SchoolHigh SchoolCollegeTrade SchoolLocationYears Attended Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Graduated?Please SelectYesNo Name*Relationship*Phone*NameRelationshipPhoneNameRelationshipPhoneList any friend or relatives that are currently or have previously been employed with us Employer NameEmployed From Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Employer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneBeginning PayLeaving PayJob TitleDutiesReason for LeavingEmployer NameEmployed From Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Employer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneBeginning PayLeaving PayJob TitleDutiesReason for LeavingEmployer NameEmployed From Date Format: MM slash DD slash YYYY To Date Format: MM slash DD slash YYYY Employer Address Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneBeginning PayLeaving PayJob TitleDutiesReason for Leaving The facts set forth in my application for employment are true and complete, I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to hire me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. No one other than an officer at the company, has any authority to enter into an agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in writing signed by an officer. You are hereby authorized to make any investigation of my personal history, financials and credit record through any investigative or credit agencies or bureaus of your choice. In making this application for employment. I authorize you to make an investigative consumer report whereby information obtained through personal Interviews with my neighbors, friends or others with whom I am acquainted. This Inquiry, if made, may Include Information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the nature of any such Investigative report that is made. * I have read in full and agree to the above statements. I authorize Marengo Fabricated Steel, Ltd. to investigate my background and qualifications. Pre-Employment Drug Testing Policy All job applicants at this company will undergo screening for the presence of illegal drugs as a condition for employment. Applicants will be required to voluntarily submit to a urinalysis test at a laboratory chosen by the company, and by signing a consent agreement, will release the company from liability. (Any applicant with positive test results will be denied employment at that time.) The company will not discriminate against applicants for employment because of past abuse of drugs or alcohol. It is the current abuse of drugs or alcohol, which prevents employees from properly performing their jobs that the company will not tolerate. Pre-Employment Agreement PLEASE READ CAREFULLY I freely and voluntarily agree to submit to a urinalysis (drug screen) as part of my application for employment. I understand that either refusal to submit to a urinalysis screen or failure to qualify according to the minimum standards established by the company for this screen might disqualify me from further consideration for employment. I further understand that upon commencement of employment with the company, I may again be required to submit to a urinalysis screen. I understand that refusal to take a requested urinalysis screen or failure to meet the minimum standards set for the screen may result in immediate suspension or discharge. In the event that employment commences prior to receiving the drug test results, I understand th.at I will be immediately discharged if the result comes back positive. * I have read in full and understand the above statements and conditions of employment. Driver License Number*Driver License State*