APPLICATION FOR EMPLOYMENT


We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, sexual orientation, citizenship status, genetic information or any other legally protected status.

 

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
 

  1. Position(s) Applied For:?


  2. How Did You Learn About Us?
      If (Other) Please Explain:
     
  3. First Name:

     

  4. Middle Name

     
  5. Last Name

     
  6. Address (Address/Number/Street/City/State/Zip Code)

     
  7. Email

     
  8. Primary Phone Number - Include Area Code (ex. 123-456-7890)

     
  9. Alternate Phone Number - Include Area Code (ex. 123-456-7890)

     
  10. Best time to contact you at home is:
     (AM / PM)
     
  11. If you are under 18 years of age, can you provide required proof of your eligibility to work?

     
  12. Have you ever filed an application with us before?
        If YES, what date? (mm/dd/yyyy)
     
  13. Have you ever been employed with us before?  
        If YES, what date? (mm/dd/yyyy)
     
  14. Do any of your friends or relatives, other than your spouse work for us? 

     
  15. Are you currently employed? 


    If YES, may we contact your current Employer? 

     
  16. Are you prevented from lawfully becoming employed in this country
    because of VISA or immigration status? 
     
  17. Can you provide proof of citizenship or immigration status upon employment? 

     
  18. Date available for work:
      (mm/dd/yyyy)
     
  19. What is your desired salary range?

     
  20. Are you available to work: 

     Full Time    Please indicate what Shift 
     1st Shift     2nd Shift    3rd Shift

     Part -Time  Please indicate    
    Morning    Afternoon    Evening

    Temporary  Dates available      -    (mm/dd/yyyy)
     
  21. Are you currently on "lay-off" status and subject to recall? 

     
  22. Can you travel if a job requires it? 

Education

  1. Education History
                                                                                                                                                              Years 
                                          Name/Address of School                    Course of Study                          Completed   Diploma / Degree

    High  School                 

    Undergraduate College 

    Graduate Professional   

    Other (Specify)             

     
  2. Describe any specialized training, apprenticeship, skills, and extra-curricular activities

     
  3. Describe any job-related training received in the United States Military

Employment Experience

                                Name                                               Address                                             Phone             Job Title
     1.  Employer     

                                Supervisor                                          Reason for Leaving                             Dates Employed      Hourly Rate / Salary (Start & Final)
                              

                              
Work Performed
                              

                               Name                                               Address                                             Phone             Job Title
     2.  Employer    
 
                                Supervisor                                          Reason for Leaving                             Dates Employed      Hourly Rate / Salary (Start & Final)

                              

             
                 Work Performed
                              

                               Name                                               Address                                              Phone            Job Title
     3.  Employer     
                                Supervisor                                          Reason for Leaving                                   Dates Employed      Hourly Rate / Salary (Start & Final)

                              

                               Work Performed
                              

                               Name                                               Address                                               Phone                Job Title
     4.  Employer    
 
                                Supervisor                                          Reason for Leaving                             Dates Employed      Hourly Rate / Salary (Start & Final)

                              

                        
       Work Performed
                              

     5.  List professional, trade, business or civic activities and offices held
         
(You may exclude memberships which would reveal gender, race, religion, national origin, age, ancestry, disability or other protect status)
    

Additional Information

  1. Other Qualifications (Summarize special job-related skills and qualifications acquired from employment or other experience)

Specialized Skills (Check Skills/Equipment Operated)

  1. Word Processing    WPM       Shorthand       WPM
    AutoCAD                Spreadsheet             PC/MAC
     
         
     
  2. Please List Any Production / Mobile Machinery Skills

     
  3. Please List Any Other Skills

     
  4. What motivates you the most when looking for a new job?
     
  5. Are you willing to learn different scopes of work/trade?   
     
  6. Are you willing to volunteer to work overtime if requested?  
     
  7. Are you willing to participate in company sponsored continued education courses?  
     
  8. Please state additional skills that may be helpful to us in considering your application

     

References

  1. Name                                                                                                                                         Phone       
  2. Name                                                                                                                                           Phone       
  3. Name                                                                                                                                          Phone       

     
NOTE to Applicant: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.

Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?
  

Applicant's Statement:  I certify that answers given herein are true and complete.  I authorize investigation of all statements contained in this application for
employment as may be necessary in arriving at an employment decision. 

This application for employment shall be considered active for a period of time not
to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are
being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will"
nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.  I understand,
also, that I am required to abide by all rules and regulations of the Employer.

I Agree to the Applicant's Statement above.