Heavy Metal Fabrication
Experts in Material Handling
Engineering Expertise for any Industry
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High School or Equivalent Name
Date Served From:
Date Served To:
List any special skills or training:
City, State, Zip
Date Employed From
Date Employed To
Supervisor`s Name & Title
May we contact this person?
Specific Reason for Leaving
How many jobs have you had in the last five years not listed above?
Why are you seeking a new position at this time?
List any business-related outside interests and organizations you’re active in
I certify that the information contained in this application is true and correct to the best of my knowledge and understand that false or misleading information in this application
or interview(s) will result in discharge. I further understand that the company requires a pre-employment physical examination and drug screen by a Company designated
source and employment is contingent upon receipt of a satisfactory medical evaluation and negative drug screen results. I further understand that a designee of Superior
Fabrication Company LLC will receive the medical evaluation detail and drug screen results.
I understand that this application is not an offer or a contract of employment. I also understand and agree that if Superior Fabrication Company LLC employs me, such
employment will not result in a contract for employment. In consideration of my employment, I agree to conform to the rules and regulations of the company and understand
that me employment and compensation can be terminated, with or without cause and with or without notices, at any time at the option of either the Company or myself.
I further understand that nothing contained in any documents published by the Company shall in any way modify the foregoing, and that it cannot be modified in any way by any
oral or written representations made by anyone employment by the Company except by a written document signed by the President of the Company.
I hereby authorize law enforcement organizations, educational institutions, and references to furnish any and all information concerning my personal character, habits and
employment records and release all such persons from liability and damages as a result of such inquiries.
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