Personal Information:

Name:

*Last  *First   *M.I.              

Address:

Street    City

 State IL IN MI OH WI                ZIP

*Phone Number - -                 Cell or beeper - -   

Your e-mail address:  

Are you 18 years or older?  Yes     No

Are you legally eligible to work in the United States?    Yes No

Employment Desired: (Do not put "OPEN", or "ANY", or leave it blank - application

                                            will not be accepted)

*Specific Position Applying For:   

                     Date you can start:       

                               Salary Desired:   

Are you employed now?  Yes   No    

If yes, may we inquire of your present employer? Yes No

Ever applied with us before? Yes No If yes, when?

How did you hear about our position?

Education:

High School        Years attended    

Graduate? Yes No Subjects Studied

College               Years attended    

Graduate? Yes No Subjects Studied

Trade School      Years attended    

Graduate? Yes No Subjects Studied

Former Employment: (You may attach a resume to an e-mail or fax one to (574) 299-1187)

Current or Most Recent Employer:

Date from to

Position       

Name and Location     Salary       

Reason for leaving   

Prior Employer 1:

Date from to

Position     

Name and Location     Salary        

Reason for leaving   

Prior Employer 2:

Date from to

Position       

Name and Location     Salary       

Reason for leaving   

Which of the above jobs did you like best?

What did you like the most about this job?

References:

Name    Phone - -    

Business      Years acquainted

Name    Phone - -    

Business      Years acquainted

Name    Phone - -    

Business      Years acquainted

*required field

Print out this page and Fax to (574)  299-1187

Attn: Human Resources

or copy and paste into an e-mail and send to info@mastermetal.net