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HR USE Medical Exam ______________ Drug Screen _______________ Background Screen _________ I9 Verification _____________ EVerify ___________________212725015875Employment Application020000Employment Application879475228600OF SOUTH CAROLINA, INC.00OF SOUTH CAROLINA, INC.434721029845AN EQUAL OPPORTUNITY EMPLOYER4000020000AN EQUAL OPPORTUNITY EMPLOYER-552458890PERSONAL00PERSONAL(PRINT) LAST NAME FIRST NAME MIDDLEDate of ApplicationPresent Address (Include Street, City, State, Zip Code and County)Preferred Phone Number (Day)Permanent Address (Include Street, City, State, Zip Code and County)E-Mail AddressPosition Desired1st 2ndGeographical PreferenceWilling to Travel? Yes NoWilling to Relocate? Yes NoSalary DesiredAre you legally authorized to work in the U.S.? Yes No Are you at least 18 years of age? Yes No If under 18 years of age, please give date of birth?Please Note: Upon employment you will be required to submit verification of your identity and your legal right to work in the United States.Have you been convicted of a felony within the past seven years? Yes No (Conviction of a crime will not automatically disqualify you for consideration for employment)If Yes, which state Please explain fully:Type of work desired? Full-Time Part-Time Temporary Intern or Co-Op Will you accept shift work? Yes NoHave you ever been employed by Century Aluminum Yes No If yes: Provide Location, Dates and Reasons for leaving:-6540559690EDUCATION00EDUCATIONName of SchoolReason for Leaving?Diploma or Degree CompletedDegree (BA, BS, MA, etc.)Course or College MajorGPAHigh SchoolTechnical Vocational SchoolUnder GraduateGraduate SchoolOtherSkills Training and Skills _______________________________________________________________________________________________ Computer Software ________________________________________________________________________________________________-6540536830U.S.00U.S.Branch of Armed ServicesRank-5334095885008305809779000Active Duty Yes NoGuard/Reserve Yes NoMajor DutiesYears of ServiceYears of ServiceName and Address of EmployerMOYRName, title(s) and phone number of immediate supervisorTitle of position and description of job performedRate of PayReasons(s) for LeavingName (Present or last employer)FromStartAddressToLeaveName (Present or last employer)FromStartAddressToLeaveName (Present or last employer)FromStartAddressToLeaveRetention: By Personnel Department for 6 years after termination of service. Retain 2 years if applicant is not hired.CAMH-2015APPLICANTS STATEMENT AND AGREEMENTRead the following carefully before signing this application for employment.I HERBY CERTIFY THAT ALL THE ANSWERS ON THIS APPLICATION ARE CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I UNDERSTAND THAT MISREPREENTATION WILL BE CONSIDERED AS JUST CAUSE FOR REJECTION OF THIS APPLICATION OR DISMISSAL FROM EMPLOYMENT. I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATIVE IS INTENDED TO CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMIS OF EMPLOYMENT. IF I AM OFFERED EMPLOYMENT, I UNDERSTAND THAT I WILL BE REQUIRED TO COMPLETE A PRE-PLACEMENT MEDICAL EXAM, DRUG SCREEN AND BACKGROUND CHECK BEFORE BEGINNING WORK, IN WHICH CASE THE COMPANY’S OFFER OF EMPLOYMENT WILL BE CONDITIONED UPON SATISFACTORY COMPLETION OF THESE REQUIREMENTS.Signature: ____________________________________________________ Date: ________________________________ ................
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