Employment – Agcor Steel

Disclaimer: Submission of an application is no guarantee for an interview. If selected for an interview you will be contacted shortly after your application has been reviewed.

Personal Information

First Name

Middle Name

Last Name

Date

Phone Number

Email address

Date of Birth

Are you filling out this application for someone else?

If yes what is your name and relationship to the applicant?

Did someone refer you to this position?

Yes

If so who referred you?

Are you available to Video Conference via Facebook or Facetime?

Are you a U.S. citizen?

If no, are you authorized to work in the U.S.?

Have you ever worked for Agcor Steel?

If yes, when and why did you leave?

If selected for employment are you willing to submit to pre-employment and continued random drug screening tests?

What do you know about our company/industry?

What about Agcor makes you want to work here?

Where would you like to be in your career in the next 5 years?

Why should we hire you?

Position

Position You Are Applying For

Available Start Date

Desired Pay

Type of Employment

Education

Please Provide Schools Attended, location, year attended, and whether or not you graduated

Repeater Field

Schools Attended	Years Attended	Graduated?

Residency

Please provide previous seven years residency with the street, city, state, zip, and dates lived in

Repeater Field

Street	City/State	Zip Code	Dates Lived In

Employment History

Please provide information on your past three employers including the employer, your title, supervisors name, dates employed, and reason for leaving.

Repeater Field

Employer	Title	Supervisor	Dates Employed	Reason for Leaving

Other Qualifications

Please list any other qualifications that you have and which you believe should be considered:

Military Service

Branch

Time in Service

Rank at Discharge

Type of Discharge

If other than honorable, please explain: