You are applying at which MPI Location? *Choose an OptionKansas CityTulsa
Today’s Date: *
Full Name: (Last, First, Middle) *
Street Address: *
Home Phone: *
City, State, Zip: *
Cell Phone: *
Date of Birth*: *
Pay Expected: *
*Employment is subject to verification of minimum legal age.
Position Desired: *
Have you ever applied for employment with us before? *Choose an OptionYesNo
If Yes, give month and year:
Apart from religious observance, are you available for full-time work? *Choose an OptionYesNo
If not, what hours can you work?
Are you legally eligible for work in the United States? *Choose an OptionYesNo
Will you work overtime if asked? *Choose an OptionYesNo
When will you be available to begin work? *
Can you work 2nd shift? *Choose an OptionYesNo
Other special training or skills (language, machine operation, etc.)
How did you learn of our organization?
Education Information
Highest Level of Schooling *Choose an OptionCollegeHigh SchoolOther
Name/Location of School *
Course of Study:
Years Completed: *
Did You Graduate? *Choose an OptionYesNo
Degree or Diploma: *
Additional Information about my education (optional)
Employment Experience
Years of experience in the following categories:
Standing Seam:
Pole Barns
Metal Buildings:
Other (Describe)
Please give an accurate and complete full-time and part-time employment record. Start with the most recent employer.
Company Name:
Phone:
Address:
Supervisor:
State job title and describe your work:
Employed from:
Employed to:
Weekly pay started at:
Weekly pay, last:
Reason for leaving:
* * *
Weekly pay started at::
We may contact the employers listed above unless you indicate those you do not want us to contact.
Employer #:Choose an Option1234
Reason:
COMPLETE THIS SECTION IF YOU SERVED IN THE U.S. ARMED FORCES
Branch of Service:Choose an OptionArmyNavyAir ForceMarinesNational Guard
Active Duty from:
Active Duty to:
Rank at discharge:
Date of discharge:
Describe your duties and any special training
Additional Information
Have you ever been bonded? *Choose an OptionYesNo
If yes, with what employers?
Have you been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court? *Choose an OptionYesNo
If yes, describe in full:
If you will be driving a company owned vehicle, have you received any driving violations in the last 3 years or had your license suspended? *Choose an OptionYesNoN/A
If yes, were any of these violations for driving under the influence or intoxication?Choose an OptionYesNo
If this application is accepted by Metal Panels Inc., when could you start work? *
Driver’s License #: *
State: *
Expiration Date: *
I hereby certify and declare under penalty of perjury that the information provided by me in the Application for Employment is true, correct, and complete to the best of my knowledge. I understand that if employed, any misstatement or omission of fact on this application shall be considered cause for dismissal. I authorize you to obtain a report containing information obtained through personal interviews with my neighbors, friends, and acquaintances. The report, if obtained, may include information as to my character, general reputation, personal characteristics, and mode of living. I understand I have the right to make a written request within a reasonable period to receive additional detailed information about any such investigation.
Signature (Type your full name) *
Date: *
0 + 8 = ?Please prove that you are human by solving the equation *
