Employment Application

Applicant Information

MM slash DD slash YYYY
MM slash DD slash YYYY
Are you a citizen of the United States?(Required)
If not, are you authorized to work in the U.S.?
Have you ever worked for this company?(Required)
Have you ever been convicted of a felony?(Required)
Within the last 5 years have you been convicted of or released from incarceration for a misdemeanor which was not a first offense for, drunkenness, simple assault, speeding, a minor traffic violation, or disturbing the peace?


Did you graduate?
Did you graduate?
Did you graduate?


Work Experience (Beginning with the current or most recent)

May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?
May we contact your previous supervisor for a reference?

Military Experience

Emergency Contact

Disclaimer and Signature

I certify that all answers and statements given by me are true and correct without reservations of any kind and that no attempt has been made by me to conceal pertinent information. I hereby consent to allow Lakeside Metal Specialties, Inc./Lakeside Construction Fasteners, Inc. to perform a background check. If employed, I will comply with all company regulations. I authorize my former employers, schools, and references to give any job-related information they may have regarding me. I hereby release them and their companies from all liability for issuing such information. If upon investigation anything on this application is found to be false, misleading, or detrimental to the company’s operations in any way, I understand that I will be subject to dismissal from employment at any time during my period of employment. Lakeside Metal Specialties, Inc./Lakeside Construction Fasteners, Inc. participates in E-Verify to make employment eligibility determinations in accordance with federal agencies. I fully understand that any offer of employment will be subject to the company’s regulations regarding physical examinations, security investigations, and any other qualifying tests required. If such an investigation and report is made, I understand that I have the right to make a request for a complete and accurate disclosure of additional information concerning the nature and scope of the investigation.


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Lakeside Metal Specialties

6476 AR-135
Paragould, AR 72450

Phone: (870) 586-0147

Fax: (870) 586-0643

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Our Capabilities

Lakeside Metal Specialties supports your manufacturing supply chain, providing cost effective full support solutions.

  • 35+ years of global sourcing experience
  • Inhouse engineering
  • Quality Assurance & Inspection
  • Warehousing in the Central US to support JIT deliveries
  • No hidden costs. Quoted prices include all import / export duties, transportation and administration costs

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