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PERSONAL INFORMATION

APPLICATION DATE: 12/18/2014   POSITION: General Employment

Social Security Number:
First Name: Last Name:
Present Address: City: State: Zip:
Previous Address: City: State: Zip:
Phone: Email:

U.S. Citizen? YES  NO
If hired, can you furnish proof that you are legally permitted to work in the U.S.? YES  NO
Are you under 18 years of age? YES  NO

Have you been convicted of a felony in the last seven (7) years?
(Such a conviction may be relevant if job related but does not bar you from employment) YES  NO
If yes, when?
What was the specific charge?
Verification Code:

Type the above code here:



NOTICE TO ALL APPLICANTS

Candidates for positions with Shelby American Inc. must be legally authorized to work in the United States. Verification of employment eligibility and a drug test will be required at the time of hire. We reserve the right to conduct a background check and drug screening as a contingency upon employment with Shelby American Inc. NOTE: Shelby American is an at-will employer.

We do not discriminate against qualified applicants based upon any protected group status, including but not limited to race, color, creed, religion, sex (except where it is a bona fide occupational qualification), national origin, ancestry, age, marital status, military or veteran status, sexual orientation, physical or mental disability or medical condition as defined by applicable equal opportunity laws.