Referral

PLEASE READ

All qualified applicants will receive consideration without discrimination because of race, creed, color, sex, age, national origin, presence of disabilities or veteran status. A felony conviction will not necessarily disqualify an applicant from employment. Testing of job related skills and for the presence of drugs in your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you are required to submit to a medical review. Depending on company policy, work and safety rules and job requirements, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company. This application documents is intended for use in evalu- ating your qualifications for employment. Please answer all appropriate questions completely and accurately.

Education

School

References

Include only individuals who are not related to you and are not previous employers

Employment Experience

Your application for employment will not be considered unless every question is answered. It is necessary for us to contact all previous employers. Correct telephone numbers are critical

Weekly Pay

Dates of Employment (Month/Year)

Weekly Pay

Dates of Employment (Month/Year)

Weekly Pay

Dates of Employment (Month/Year)

Weekly Pay

Dates of Employment (Month/Year)

Applicant's Statement

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being ac- cepted at that time.I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any false or misleading statements during the interview and on this document are grounds for terminating the application process or if discovered after employment will terminate employment.I hereby give Rose Metal Products, Inc. the right to make a thorough investigation of my past employment, edu- cation and activities, and I release from liability all persons, companies and corporations supplying information. I hereby con- sent to Rose Metal Products, Inc. making full inquiries as to my personal history and release and indemnify it against any claimed liability as a result of such investigation.I understand that the employment for which I am applying would be "at wil" and could be terminated by either myself or the company at any time, with or without cause. As an applicant for employment with Rose Metal Products, Inc., I agree that I will utilize the grievance and arbitration procedure of the company as the exclu- sive procedure to raise any legal questions that I may desire to raise or assert against said company, in connection with my rights under federal or state laws, both in connection with the application process and afterwards as an employee, should my application be accepted.BY SIGNING THIS APPLICATION FORM, I HAVE ENTERED INTO A CONTRACT TO UTILIZE THE GRIEVANCE AND ARBITRATION PROCEDURES OF THIS COMPANY, AND I UNDERSTAND THAT: THIS CONTRACT CONTAINS A BINDING ARBITRATION PROVISION WHICH MAY BE ENFORCED BY THE PARTIES.