Candidates selected for probably employment who are age 18 or older may be required to consent to a
background check as a condition of employment.
Please give the names of three persons, not related to you, and preferably who you have worked
with/for and whom you have known at least 3 years.
List the name, phone number, email, and years known for each reference.
Please Read Before Submitting
Rochester Iron & Metal, Inc. is an equal opportunity employer. Rochester Iron & Metal, Inc. does not discriminate in
employment on account of race, color, religion, sex, national origin, age, disability, sexual orientation, gender
identity, genetic information, military service, veteran status, or any other protected class as defined by Federal,
State, and Local laws. Rochester Iron & Metal, Inc. will comply with its obligation to provide reasonable
accommodation to qualified individuals with disabilities.
I understand that neither the completion of this application nor any other part of my consideration for employment
establishes an obligation for Rochester Iron & Metal, Inc. to hire me. If I am hired, I understand that either
Rochester Iron & Metal, Inc. or I may terminate employment at any time for any reason, with or without cause and
without prior notice. I understand that no representative of Rochester Iron & metal, Inc. has the authority to make
any assurance to the contrary.
I attest with my signature below that I have given to Rochester Iron & Metal, Inc. true and complete information on
this application. No requested information has been concealed. I authorize Rochester Iron & Metal, Inc. to contact
references provided for employment reference checks. If any information I have provided is untrue, or if I have
concealed material information, I understand that this will constitute cause for denial of employment or immediate