CLAIRON METALS CORPORATION

Request for Employment Application

Items marked with a * are required.

State*

Daytime Phone Numbers

Do any of your friends or relatives work here? *

I am applying for the position(s) of

I have the following qualifications.

Have you applied at Clairon before *
Have you worked at Clairon before? *

Please indicate the shift(s) you are interested in and available to work. *

(The times shown below are approximate and may vary slightly by department.)

1st Shift (7:00 am – 3:30 pm)2nd Shift (3:15 pm – 11:45 pm)3rd Shift (11:30 pm – 7:15 am)
Are you able to work these hours on a regular basis? *
Do you have a high school diploma or equivalent? *

IMPORTANT INFORMATION ABOUT COMPLETING THIS SECTION

We verify previous employment, so the information you provide below MUST be accurate and complete.

Please provide your complete work history beginning with your most recent job, including any temporary positions.

You may submit a resume: however, you also must fully complete this section

Have you ever been (1) fired, (2) quit a job to avoid being fired, or (3) quit without giving proper notice? *
Other than minor traffic offenses, have you ever been convicted of a crime? *