Customized Structures Inc. Emplyment Application

www.CustomizedStructure.com

( Step 1 of 8 )
Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-related medical condition or handicap.
Name:
Address:
Phone:
City:	State: Zip:
EMAIL:
Social Security Number:
Are you over the age of 18 years? Yes No
Are you legally qualified to work in the United States? Yes No
(Proof of age and citizenship or immigration status will be required upon employment.)

( Step 2 of 8 )

Position Desired: >Salary/WageDesired: >Date Available:

Full time Part time Temporary Other

Have you been employed here before? Yes No When? Position held?

Have you applied here before? Yes No When? Position applied for?

( Step 3 of 8 ) Employment Experience: Start with most recent position. (You may exclude memberships which may reveal sex, race, religion, national origin, age, or disability or other protected status.)
Employer	Company: Address: City: State: Zip: Supervisors’ Name: Phone: Position held: Reason for leaving: Dates of Employment: From: To: Final Salary or Hourly Rate:
Employer	Company: Address: City: State: Zip: Supervisors’ Name: Phone: Position held: Reason for leaving: Dates of Employment: From: To: Final Salary or Hourly Rate:
Employer	Company: Address: City: State: Zip: Supervisors’ Name: Phone: Position held: Reason for leaving: Dates of Employment: From: To: Final Salary or Hourly Rate:

( Step 4 of 8 )
Please complete ALL areas of the application to the greatest extent possible – detailed information about your background will make it easier to match your qualifications with our open positions.
EDUCATION	Schools/Colleges Attended	Years Completed	Year Grad.	Degree
	High School
	Technical/Trade School
	College
	Other

( Step 5 of 8 )

Describe any special qualifications or skills you feel you have for this position.

( Step 6 of 8 )

Have you ever been in the Armed Forces? Yes No Date entered: Date discharged:
List specialties:

( Step 7 of 8 )

Do you currently have a valid driver’s license? Yes No
Drivers license number (Driving Jobs only): State: Exp. date:
Class of license: Operators CDL “A” CDL “B” CDL “C”
List any endorsements (example: HAZ MAT)

( Step 8 of 8 )

I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I also authorize CSI to contact my previous employers or supervisors to verify employment and to obtain references. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written documentation or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

How did you learn about this position?
Referred by current employee. Employee's Name
Newspaper Advertisement. Name of paper
Website Other