EHC Sheet Metal | Application

Last Name

Last Name is Required.

First Name

First Name is Required.

Middle

Present Address

First Name is Required.

Permanent Address

Position Desired

Date of Application

Date is Required.

Area Code and Phone Number (Day)

Phone number is Required.

Area Code and Phone Number (Evening or Cell)

E-mail Address

Valid email is Required.

Salary Desired

Please Note: Upon employment you will be required to submit verification of your identity and your legal right to work in the United States.

Education

U.S. Military

Employment Record

Name and Address of Employer

MO / YR

Name, Title and Phone# of Immediate Supervisor

Title of Position and Description of Job Performed

Rate of Pay

Reason(s) for leaving

APPLICANTS STATEMENT AND AGREEMENT

Read the following carefully before signing this application for employment.

I HEREBY CERTIFY THAT ALL THE ANSWERS ON THIS APPLICATION ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT MISREPRESENTATION WILL BE CONSIDERED AS JUST CAUSE FOR REJECTION OF THIS APPLICATION OR DISMISSAL FROM EMPLOYMENT. I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. IF I AM OFFERED EMPLOYMENT, I UNDERSTAND THAT I WILL BE REQUIRED TO COMPLETE A PRE-PLACEMENT MEDICAL EXAM, DRUG SCREEN, AND BACKGROUND CHECK BEFORE BEGINNING WORK, IN WHICH CASE THE COMPANY’S OFFER OF EMPLOYMENT WILL BE CONDITIONED UPON SATISFACTORY COMPLETION OF THESE REQUIREMENTS.

As a Government contractor, EHC is required to maintain specific data on the number, ethnicity, race and gender of applicants. To this end EHC requests that you complete the following applicable information. This information will be removed from the application form and retained by the Human Resources Department for record keeping purposes only. This information is completely voluntary and your response will not adversely affect your employment opportunities with CSI.

Gender

Ethnicity/Race

Male

Female

White*

Black or African American*

Hispanic or Latino

Asian*

American Indian or Alaska Native*

Native Hawaiian or Other Pacific Islander*

Two or More Races*

*not Hispanic or Latino

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Personal

Education

U.S. Military

Employment Record

APPLICANTS STATEMENT AND AGREEMENT