APPLY Employment Application 1 Personal Information2 Education3 Previous Employment & Skills4 References5 Submit Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Are you 18 years or older?* Yes No Birthdate Position applied for*Desired salaryWhen would you be able to start employment?Are you able to work 2nd shift? Yes No Unsure Are you a citizen of the U.S.? Yes No If not, do you have work papers? Yes No Do you voluntarily identify yourself as a veteran for reporting purposes? Yes No If yes, what branch of service? EducationHigh SchoolDid you graduate high school? Yes No Business/Trade SchoolDid you graduate business/trade school? Yes No If yes, list degree.College/UniversityDid you graduate college/university? Yes No If yes, list degree.Graduate/Professional SchoolDid you graduate from Graduate/Professional school? Yes No If yes, list degree. Previous EmploymentBegin with most recent position. You may add up to three employers.Previous Employers Employer Phone Address Edit Delete There are no Employers. Add Employer SkillsSummarize your skills or qualificationsAre you capable of heavy lifting? Yes No ReferencesReferences Name Phone Address Edit Delete There are no References. Add Reference Section BreakResume or Cover Letter (optional) Drop files here or Accepted file types: jpg, png, pdf, . How did you hear about Melrose Metalworks?By signing, I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge. This iframe contains the logic required to handle Ajax powered Gravity Forms. EmployerPhoneAddress Street Address City State / Province / Region ZIP / Postal Code SupervisorNature of BusinessDates of EmploymentEnding SalaryPosition(s) HeldReason for leavingMay we contact this employer? Yes No If no, why not? This iframe contains the logic required to handle Ajax powered Gravity Forms. Name First Last PhoneAddress Street Address City State / Province / Region ZIP / Postal Code This iframe contains the logic required to handle Ajax powered Gravity Forms.
