Stambaugh Metal Inc.,


	FERROUS & NON-FERROUS METALS
	Stambaugh Metal, Inc. . Ph: 717.632.5957 . Fax: 717.632.9502

	EMPLOYMENT
	EMPLOYMENT	back


	Positions Available
	Would you like to learn a new trade? If you are serious about working for us, we will train you. Serious applicants want to work 40 hours per week and have previous, verifiable work experience. References are required. Stambaugh Metal, Inc., 802 High Street, Hanover, PA 17331. Phone: 717-632-5957

Online Employment Application

Below is our online employment application. When you are finished, be sure to scroll to the bottom of the page and click "submit application." We will be sure to review your application.

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accomodation to the application and/or interview process should notify a representative of the Human Resources Department.

Employment
Application Form

Part I - General Information

Position applied for:

Name:		Social Security #:

Address

City:		State:		Zip:

Phone:		Cell/Beeper/Other:

E-Mail Address:

If you are under 18, and it is required,
can you furnisha work permit?

If no, please explain:

Have you ever been employed here before?

If yes, give dates and positions:

Are you legally eligible for employment in this country?

Date available for work? (mm/dd/yyyy)

What is your desired salary range?

Type of employment desired?

Have you ever pled "guilty" or "no contest" to, or been
convicted of a crime?

If yes, please provide date(s) and details:

Answering "yes" to these questions does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Driver's license number if driving is an essential job function:		State:

Part II - Employment History

Provide the following information of your past three (3) employers, assignments or volunteer activities, starting with the most recent:

EMPLOYER 1

Employer 1 name:		Phone:

Address:

From : (mm/yyyy)		To: (mm/yyyy)

Summarize the nature of work performed and job responsibilities:

Starting job title:		Final job title:

Immediate supervisor and title:

May we contact for reference:

Reason for leaving:

Starting rate/salary:		Per

Final rate/salary:		Per

EMPLOYER 2

Employer 2 name:		Phone:

Address:

From : (mm/yyyy)		To: (mm/yyyy)

Summarize the nature of work performed and job responsibilities:

Starting job title:		Final job title:

Immediate supervisor and title:

May we contact for reference:

Reason for leaving:

Starting rate/salary:		Per

Final rate/salary:		Per

EMPLOYER 3

Employer 3 name:		Phone:

Address:

From : (mm/yyyy)		To: (mm/yyyy)

Summarize the nature of work performed and job responsibilities:

Starting job title:		Final job title:

Immediate supervisor and title:

May we contact for reference:

Reason for leaving:

Starting rate/salary:		per

Final rate/salary:		per

Part III - Skills and Qualifications

Summarize any training, skills, licenses and/or certificates that may qualify
you as being ableto perform job-related functions in the position for
which you are applying:

Part IV - Educational Background

	School Name	Date(s) attended	Completed? List major/ degree if applicable	Course of study
High School:
College:
Other:

Part V - References

Name of Reference	Phone Number	No. years known


	Part VI - Applicant Statement
	I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration from employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.
	DO NOT SUBMIT THIS FORM UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT

I have read, fully understand and accept all terms of the foregoing applicant statement.


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