115 BUCHNER PLACE LA CROSSE, WISCONSIN 54603

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Steel Fabrication
Why Choose Us
Projects
The Steel Store
- Products
Resources
Careers
Contact Us
- Request A Quote
0

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Equal Opportunity Employment Statement:

Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal or local law. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.

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Personal Information
Name*
First Middle Last
Telephone*
Date of Application*
MM slash DD slash YYYY
Present Address*
Street Address Address Line 2 City State ZIP Code
Position(s) Applied For*
Salary Expected
Have you applied for a position with us before?*
- Yes
- No
Specify Date
MM slash DD slash YYYY
Have you ever been employed with us before?*
- Yes
- No
Specify Date
MM slash DD slash YYYY
Are you currently employed?*
- Yes
- No
Ae you currently on "lay-off" status and subject to recall?*
- Yes
- No
On what date would you be available to work?*
MM slash DD slash YYYY
Are you available to work:*
(please check all that apply)
- Full-time
- Part-time
- Days
- Nights
- Weekends
Can you travel for work if necessary?*
- Yes
- No
Are you legally permitted to work in the United States?*
(Note: proof of eligibility will be required within three days of employment.)
- Yes
- No
Are you 18 years of age or older?*
- Yes
- No
Are you willing to take drug tests at the Company's request?*
- Yes
- No
Have you ever gone by a name other than the one listed above?*
- Yes
- No
Other Name
Can you perform all necessary job functions with or without reasonable accommodation?*
- Yes
- No

References
Provide three references below who are not relatives or employers.
Name
Phone
Years Known
Name
Phone
Years Known
Name
Phone
Years Known

Education
List the last two schools attended.
School Name
Location
Degree/Major
Diploma Obtained?
- Yes
- No
School Name
Location
Degree/Major
Diploma Obtained?
- Yes
- No

Military Service
Have you ever served in the U.S. Military?
- Yes
- No
What was the length of your military service?
What was your rank at time of discharge?
What type of training and work experience did you receive while in the military?

Additional Information
Omit any organization which would reveal sex, race, religion, national origin, age, color, disability, sexual orientation or other protected status.
Professional or Civic Activities
Licenses or Certifications

Employment History
List the last three places of employment starting with most recent.
Employer
City, State
Supervisor
Phone
Position Title
Starting Date
MM slash DD slash YYYY
End Date
Leave blank if currently employed at this position.
MM slash DD slash YYYY
Salary
Duties
Why did you leave this job?
May we contact this employer?
- Yes
- No
- Later
Employer
City, State
Supervisor
Phone
Starting Date
MM slash DD slash YYYY
End Date
Leave blank if currently employed at this position.
MM slash DD slash YYYY
Salary
Duties
Why did you leave this job?
May we contact this employer?
- Yes
- No
- Later
Employer
City, State
Supervisor
Phone
Position Title
Starting Date
MM slash DD slash YYYY
End Date
Leave blank if currently employed at this position.
MM slash DD slash YYYY
Salary
Duties
Why did you leave this job?
May we contact this employer?
- Yes
- No
- Later
Applicant's Statement
I certify that the information provided in this application is true, to the best of my knowledge.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.

If I become employed by the Company, I understand that the employment relationship will be "at will," and that the "at will" status may not change at any time unless specifically approved, in writing, by the CEO of the Company.

I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.
Full Name of Applicant*
Email*
Name
This field is for validation purposes and should be left unchanged.

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Mid-City Steel

When you need specialists in fabricating structural members, plate-work, architectural, and miscellaneous products such as stairs and handrails you are in our sweet spot. Early adoption of the B.I.M. 3D modeling technology drives our advanced steel fabrication technology. The Tough Job Team will deliver with precision and attention to detail that ensures defect-free parts and fit in the field.

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115 BUCHNER PLACE
LA CROSSE, WISCONSIN 54603

Mon - Thurs 06:00 am - 03:30 pm
Fri 06:00 am - 12:00 pm

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