Employment Application Here is a basic page layout with no sidebar "*" indicates required fields Applicant InformationFull Name* First Last Date DD slash MM slash YYYY Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Date Available: MM slash DD slash YYYY Desired Salary:Position Applied for: List any friends and/or relatives working for Metal-Core Technologies: Can you perform the essential functions of the job? Yes No Do you require any accommodation to perform the essential functions of the job? Yes No Do you have reliable transportation? Yes No Do you have a valid driver’s license in this state? Yes No Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If yes, when?* EducationHigh School: Address: Did you graduate? Yes No Degree College: Address: Did you graduate? Yes No Degree Other: Address: Did you graduate? Yes No Degree List any other education, training, special skills or certificates/licenses that you possess related to the job:List any machines, equipment, or software programs on which you are qualified and experienced in operating or any other information you think would be helpful to us in considering you for employment:Previous EmploymentCompany: PhoneAddress: Supervisor: Job Title: Starting Salary:Ending Salary:Responsibilities:From: DD slash MM slash YYYY To: DD slash MM slash YYYY Reason for Leaving: May we contact your previous supervisor for a reference? Yes No Company: PhoneAddress: Supervisor: Job Title: Starting Salary:Ending Salary:Responsibilities:From: DD slash MM slash YYYY To: DD slash MM slash YYYY Reason for Leaving: May we contact your previous supervisor for a reference? Yes No Company: PhoneAddress: Supervisor: Job Title: Starting Salary:Ending Salary:Responsibilities:From: DD slash MM slash YYYY To: DD slash MM slash YYYY Reason for Leaving: May we contact your previous supervisor for a reference? Yes No Military ServiceBranch: From: DD slash MM slash YYYY To: DD slash MM slash YYYY Rank at Discharge: Type of Discharge: If other than honorable, explain:Disclaimer and SignatureI certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize all persons listed above (and on the accompanying resume, if any) to give Metal-Core Technologies, all information concerning my previous employment and education and any pertinent information they may have, personal or otherwise, and release all parties, Metal-Core Technologies, from liability for any damage that may result from furnishing same to Metal-Core Technologies. I understand and agree that I may be required to take a drug and/or physical screening test. I hereby give my voluntary consent for a urine sample to be collected from me and submitted for testing. I also consent to the release of the test results to Metal-Core Technologies for its use. I understand that any positive drug results may preclude my employment.Signature*Date DD slash MM slash YYYY