Job Application – Clairon Metals Corporation

CLAIRON METALS CORPORATION

Request for Employment Application

Items marked with a * are required.

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Daytime Phone Numbers

Cell Number

Home Number

Email Address*

Do any of your friends or relatives work here?*

I am applying for the position(s) of

Position Requested 1

Position Requested 2

Position Requested 3

Position Requested 4

I have the following qualifications.

Qualification 1

Qualification 2

Qualification 3

Qualification 4

Have you applied at Clairon before*

Have you worked at Clairon before?*

Desired Pay Rate (USD)

Please indicate the shift(s) you are interested in and available to work.

(The times shown below are approximate and may vary slightly by department.)

1st Shift (7:00 am – 3:30 pm)
2nd Shift (3:15 pm – 11:45 pm)
3rd Shift (11:30 pm – 7:15 am)

Are you able to work these hours on a regular basis?*

Do you have a high school diploma or equivalent?*

IMPORTANT INFORMATION ABOUT COMPLETING THIS SECTION

We verify previous employment, so the information you provide below MUST be accurate and complete.Please provide your complete work history beginning with your most recent job, including any temporary positions.You may submit a resume: however, you also must fully complete this section

Current/Previous Employer

Starting Date (mo/yr)

Ending Date (mo/yr)

Current/Final Pay Rate

Job Title and Summary of Primary Responsibilities

Reason For Leaving (Please be specific)

Current/Previous Employer

Starting Date (mo/yr)

Ending Date (mo/yr)

Current/Final Pay Rate

Job Title and Summary of Primary Responsibilities

Reason For Leaving (Please be specific)

Current/Previous Employer

Starting Date (mo/yr)

Ending Date (mo/yr)

Current/Final Pay Rate

Job Title and Summary of Primary Responsibilities

Reason For Leaving (Please be specific)

Current/Previous Employer

Starting Date (mo/yr)

Ending Date (mo/yr)

Current/Final Pay Rate

Job Title and Summary of Primary Responsibilities

Reason For Leaving (Please be specific)

Have you ever been (1) fired, (2) quit a job to avoid being fired, or (3) quit without giving proper notice?*

Other than minor traffic offenses, have you ever been convicted of a crime?*

By submitting this form I am certifying that the information presented by me is correct and accurate to the best of my knowledge. I also understand that this application will be active for up to 30 days.

We will review your application within the next few days. If you are selected for an interview, we will call you to set up an appointment.

Thank you for your interest in Clairon Metals Corporation.

If you wish to upload a hard copy of your resume please be sure the file name of your resume includes your full name so that we can be sure it is associated to the correct electronic resume.

Resume File Name to Upload (.txt, .rtf, .doc or .pdf ONLY)

Max. file size: 50 MB.

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