Application for Employment

Personal Information

Employment Desired

Education History

Name & Location of SchoolYears AttendedDid You Graduate?Subjects Studied

Special Training

Former Employers

List last four, starting with last one first

From DateTo DateName & Address of EmployerPhonePositionReason for Leaving


List three persons not related to you, whom you have known for at least one year

NameAddressBusinessPhoneYears Known


I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on the application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you and and all information concering my previous employment and any pertinent information they may have, personal or otherwise, and release Eagle Metals from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of Eagle Metals has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that a consumer credit report or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, Eagle Metals will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United Stated and to complete the required employment eligibility verification document form upon hire.

Verification code: T49C