Job Application

Bufford's Metal Fabrication & Assembly, Inc.

200 Pike Industrial Way Milner, GA 30257

Bufford's Metal Fabrication & Assembly, Inc is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all information on this application below:

Applicant Information:

First name

Last name

Phone

Address

Employment Position:

Position applying for

What days are you available to work?

What hours, days, & shift are you available to work?

If needed, are you available to work overtime?

What date can you start working if you are hired?

Do you have reliable transportation?

Salary desired

Personal Information:

Are you 18 years or older?

Yes

Are you a U.S citizen or approved to wrok in the Uited States?

Yes

What document can you provide as proof of citizenship or legal status?

Will you consent to a mandatory controlled substance test?

Yes

Do you have any condition which would require job accommodations? If yes, please describe below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)? If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

Job Skills/ Qualifications:

Please list below the skills and qualifications for the position for which you are applying:

Note: Bufford's Metal Fabrication complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.

Education and Training:

High School Name

Year Graduated

Degree Earned

College/University Name

Year Graduated

Degree Earned

Previous Employment:

Previous Employer

Job Title

Supervisor Name

Employer Address

Employer Telephone

Dates Employed

Reason for Leaving

Previous Employment:

Previous Employer

Job Title

Supervisor Name

Employer Address

Employer Telephone

Dates Employed

Reason for Leaving

References:

Please provide 3 personal references with accurate contact information.

Reference 1: Name and telephone number

Reference 2: Name and telephone number

Reference 3: Name and telephone number

AT-WILL EMPLOYMENT:

The relationship between you and Bufford's Metal Fabrication and Assembly, Inc. is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Bufford's Metal Fabrication. No representative of Bufford's Metal Fabrication has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and our Chief Executive Officer.

Please acknowledge this statement by typing your full name and date below:

Resume

ISO 9001:2015

Certificate # 52021060

Monday - Friday

7:30 am - 4:30 pm

Contact

Phone: (470) 890-0511

200 Pike Industrial Way

Milner, GA 30257