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Name(Required)

First Middle Initial Last

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Position Applying For(Required)

Date Available to Start(Required)

Years Of Relevant Experience(Required)

Desired Annual Salary(Required)

Are You a Citizen of the United States?(Required)

Yes

Are You Authorized to Work in the U.S.?(Required)

Yes

STOP! DO NOT COMPLETE THIS EMPLOYMENT APPLICATION IF YOU ARE NOT AUTHORIZED TO WORK IN THE UNITED STATES.

Have You Ever Worked for Steingass Mechanical Contracting?(Required)

Yes

When Did You Work for Us Previously?(Required)

Have You Ever Been Convicted of a Misdemeanor or Felony?(Required)

Yes

Conviction Date(Required)

Explain(Required)

MILITARY SERVICE

Have You Served in the Military?(Required)

Yes

Branch(Required)

From(Required)

To(Required)

Rank at Discharge(Required)

Type of Discharge(Required)

If Other than Honorable, Explain(Required)

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to my employment, I understand that false or misleading information in my application or interview may result in my release.

Signature(Required)

Type Your Full Name to Serve as Your Electronic Signature

Date(Required)

PRE-HIRE / POST-HIRE SCREENING DISCLOSURE & RELEASE

As part of my application for employment (including contract services) with you, I hereby grant Steingass Mechanical Contracting unconditional authorization to obtain various types of information as part of its pre-hire / post-hire screening program, which may include:

• Names and dates of previous employers
• Reasons for termination of employment
• Work experience
• Accident records
• Worker's compensation claims
• Criminal records from relevant state and other agencies
• Driving record checks
• Any additional information deemed pertinent by Steingass Mechanical Contracting for the job consideration

Additionally, I consent to undergo a drug panel urine analysis screening as scheduled and covered by Steingass Mechanical Contracting. Steingass Mechanical Contracting will specify the facility, appointment details, and any necessary information to facilitate the screening process. In the event of my employment (or contract), this authorization will be retained on record and will continue to serve as ongoing permission for Steingass Mechanical Contracting to conduct relevant checks at any point during my employment (or contract) tenure.

Signature(Required)

Type Your Full Name to Serve as Your Electronic Signature

Date(Required)

Date Of Birth(Required)

Driver's License Number(Required)

License State(Required)

Social Security Number(Required)

Upload a Scan or Photo of Your Driver's License(Required)

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Attach Resume(Required)

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OPTIONAL - Upload Cover Letter

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Employment Application

STOP! DO NOT COMPLETE THIS EMPLOYMENT APPLICATION IF YOU ARE NOT AUTHORIZED TO WORK IN THE UNITED STATES.

EDUCATION

REFERENCES

PREVIOUS EMPLOYMENT

Previous Employer

Previous Employer

MILITARY SERVICE

DISCLAIMER AND SIGNATURE

PRE-HIRE / POST-HIRE SCREENING DISCLOSURE & RELEASE

EXPERIENCED, PROFESSIONAL AND RELIABLE