CAREERS EMPLOYMENT APPLICATION Step 1 of 5 20% APPLICANT INFORMATIONName(Required) First MI Last Name Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email Address(Required) Circle One(Required) Full-Time Part-Time Position Applying For(Required) Shift Preference (1st or 2nd shift)(Required) Are there any days/times that you are unable to work?(Required) Can you work overtime, including weekends?(Required) Yes No Are you 18 years or older?(Required) Yes No Are you legally eligible to work in the United States?(Required) Yes No How did you hear about this position?(Required) Desired Wage / Salary: $(Required) If a job offer is made, when are you available to start?(Required) Have you ever worked for this company?(Required) Yes No Have you ever been terminated from employment or asked to resign by an employer (circle one)?(Required) Yes No If so, when?(Required) Have you ever been convicted of a felony?(Required) Yes No If yes, please explain (Type/Year)(Required) Are you able to perform the essential functions of the job for which you are applying with or without a reasonable accommodation? Yes No EducationHighschool Years Completed 1 2 3 4 College Did you graduate? Yes No Degree Other Did you graduate? Yes No Degree ReferencesPlease list three Professional ReferencesName(Required) First Last Company(Required) Relationship Phone(Required)Name First Last Company Relationship PhoneName First Last Company Relationship Phone Previous EmploymentCompany(Required) Phone(Required)Address(Required) Supervisor(Required) Starting Salary $(Required) Ending Salary $(Required) Job Title(Required) Responsibilities(Required) Hire Date(Required) MM slash DD slash YYYY Term Date(Required) MM slash DD slash YYYY Reason for Living(Required) May we contact your previous supervisor for reference?(Required) Yes No Are you currently employed here?(Required) Yes No Company PhoneAddress Supervisor Job Title Starting Salary Ending Salary Responsibilities Hire Date MM slash DD slash YYYY Term Date MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for a reference? Yes No Are you currently employed here? Yes No Company PhoneAddress Supervisor Job Title Starting Salary $ Ending Salary $ Responsibilites Hire Date MM slash DD slash YYYY Term Date MM slash DD slash YYYY Reason for Leaving May we contact your previous supervisor for a reference? Yes No Are you currently employed here? Yes No OTHER INFORMATION, CERTIFICATIONS, SPECIALIZED TRAINING, ETC.Skills Certifications DISCLAIMER AND SIGNATURE (PLEASE READ CAREFULLY BEFORE SIGNING)Consent(Required) Nelson Steel Products is an equal opportunity employer. Nelson Steel Products does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, genetic profile, military status or unfavorable discharge from military service. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Nelson Steel Products to hire me. If I am hired, I understand that either Nelson Steel Products or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Nelson Steel Products has the authority to make any assurance to the contrary. I understand that Nelson Steel Products is an alcohol and drug-free environment. To assure compliance with this policy, employees will be required to submit to substance testing as a condition of consideration for employment. This policy is unaffected by the recent passage of the Michigan Regulation and Taxation of Marijuana Act and all prospective and current employees will continue to be subject to the Company’s alcohol and drug-free policy. Nelson Steel Products will employ only United States citizens and those non-United States Citizens who are authorized to work in the United States. We will comply with all aspects of the Immigration Reform and Control Act of 1986. As a condition of employment, each new employee must complete the Employment Eligibility Verification Form I-9 and present documentation establishing identity and substantiating employment eligibility. Former employees who are rehired must also complete the form if they have not completed an I-9 with Nelson Steel Products within the past three years or if their previous I-9 is no longer retained or valid. Nelson Steel Products has elected to utilize the E-Verify system to help ensure compliance with Federal immigration laws. Nelson Steel Products will not discriminate on the basis of national origin or citizenship. If an offer is of employment is made, I agree to follow all company policies and procedures set forth by Nelson Steel company, and wear/use proper personal protective equipment (PPE), if applicable. I also agree to a background check, including employment records, criminal history and a personal reference check. Nelson Steel Products reserves the right to check driving records if a position includes driving responsibilities. I attest with my signature below that I have given to Nelson Steel Products true and complete information on this application. No requested information has been concealed. I authorize Nelson Steel Products to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.Signature Date MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged. Δ
