Greer Steel, Lakewood – Application Form Part 1 - About You Full Name Address City State / Province / Region Phone Number Email Date Available Position Applying For WelderLaborerPainterDriverAny Position*Hold down command to select multiple options. Location Applying ForLakewood, WA Are you a citizen of the United States?YesNo Have you been convicted of a felony? If yes, please explain below. YesNo If yes, explain here. Part 2: Education High School From To Did you graduate? YesNo Diploma / Certificate Trade School Address From To Did you graduate? YesNo Qualification Part 3: References Please provide 3 references Reference #1 First & Last Name Relationship Company Phone Number Address Reference #2 First & Last Name Relationship Company Phone Number Address Reference #3 First & Last Name Relationship Company Phone Number Address Part 4: Previous Employment Company #1 Name of Company Supervisor Address Phone Job Title Responsibilities Employment Start Employment End Starting Salary Ending Salary Reason for Leaving May we contact your supervisor for a reference?YesNo Company #2 Name of Company Supervisor Address Phone Job Title Responsibilities Employment Start Employment End Starting Salary Ending Salary Reason for Leaving May we contact your supervisor for a reference?YesNo Company #3 Name of Company Supervisor Address Phone Job Title Responsibilities Employment Start Employment End Starting Salary Ending Salary Reason for Leaving May we contact your supervisor for a reference?YesNo Any additional work history you might want us to know about please include here: Upload Resume: Part 5: Military Service Branch From To Rank At Discharge Type of Discharge If other than honorable, explain. Part 6: Signature By signing my name below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Digital Signature*
