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PERSONAL INFORMATION
JOB APPLYING FOR
EMPLOYMENT HISTORY

Please provide complete employment history with most recent employment first

EMPLOYER 1
(mm/yyyy)
(mm/yyyy)
EMPLOYER 2
(mm/yyyy)
(mm/yyyy)
EMPLOYER 3
(mm/yyyy)
(mm/yyyy)
EMPLOYER 4
(mm/yyyy)
(mm/yyyy)
EMPLOYER 5
(mm/yyyy)
(mm/yyyy)
EMPLOYER 6
(mm/yyyy
(mm/yyyy)
UNEMPLOYMENT HISTORY
PERSONAL HISTORY
EDUCATION
References
Give the names and addresses of two people (no relatives) you have worked with and whom we may contact for a reference if necessary.
Reference 1
REFERENCE 2
PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE YOU SUBMIT
Release of Information
City Machine & Welding, Inc., in considering my application for employment, may verify the information in this application and obtain additional background information. I authorize all persons, schools, companies and law enforcement agencies to supply any information concerning my background that they may have personal or otherwise and I release all such parties form liability from any damage which may result from furnishing such information to the company.
DRUG SCREENING POLICY AND STATEMENT
I understand that City Machine & Welding, Inc. requires a drug screening test as a part of its selection and hiring process. I also understand that such drug screening will consist of the taking of urine, or other medically recognized test designed to detect traceable amounts of a controlled substance in my body. If the results do not indicate a satisfactory specimen and negative results, I will be disqualified from further consideration for employment. I give my consent to City Machine & Welding, Inc. to administer any drug screening procedures to me, and to use the results in further determining my employment. I acknowledge and agree that I will be subject to drug screening upon reasonable suspicion as a condition of my employment.
CONDITIONS OF EMPLOYMENT
I understand that if I am employed, any misrepresentation or omission of material facts on this application is sufficient cause for dismissal. I agree to conform to the rules and regulations of City Machine & Welding, Inc. and understand that if hired, I will be a "terminable-at-will" employee, and that my employment and compensation can be terminated with or without cause and with or without notice, at any time at the option of either City Machine & Welding, Inc. or myself.
RESONABLE ACCOMODATION
Any applicant with a disability who needs reasonable accommodation in any step of the hiring process to help him or her to demonstrate his or her qualifications to perform the duties of the job for which the individual is applying, may so request such accommodation at any time during the employment process. I understand that this application is good for sixty (60) days from today's date. If I still desire a position after this application expires, it will be my duty to fill out a new application and file it with City Machine & Welding, Inc.
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