Careers

Applicant information

First Name

Middle Name

Last Name

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone/Mobile

Date Available

Email address

Social Security Number

Desired Salary

Salary Negotiable

Position Applied For:

Are you a citizen of the United States?

Yes

No

If No, are you authorized to work in the United Staes

Yes

No

Have you ever worked for Midammetal?

Yes

No

If Yes, when?

Have you ever been convicted of a felony?

Yes

No

If yes, Explain

Education

High School

Where?

City

State

From:

To:

Did you graduate?

Yes

No

College

Where?

City

State

From:

To:

Did you graduate?

Yes

No

Degree:

Other

Where?

City

State

From:

To:

Did you graduate?

Yes

No

Degree:

References

Please list three professional references.

Reference 1

First Name

Last Name

Relationship

Phone/Mobile

Company

Address

Address Line 1

City

State

Zip Code

Reference 2

First Name

Last Name

Relationship

Phone/Mobile

Company

Address

Address Line 1

City

State

Zip Code

Reference 3

First Name

Last Name

Relationship

Phone/Mobile

Company

Address

Address Line 1

City

State

Zip Code

Previous Employment

Company

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From

To:

Supervisor

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Company 2

Company

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From

To:

Supervisor

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Company 3

Company

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From

To:

Supervisor

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes

No

Military Service

Branch

Rank at Discharge

Type of Discharge

Honorable

Other

From

To

Explain

I 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.

Signed:

Date: 12/21/2024

IP Address: 18.225.92.255

Careers

Available Positions:

Painter

Applicant information

Education

College

Other

References

Reference 1

Reference 2

Reference 3

Previous Employment

Company 2

Company 3

Military Service