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EMPLOYMENT APPLICATION

Thank you for taking the time to complete our online employment application. Please fill out the application below as completely as possible. This application will take approximately 15 minutes to complete.

 

Personal Information

Are you at least 18 years of age and do you have the legal right to work in the United States?
Yes No
 
First Name (Required)
Middle Name
Last Name (Required)
Nickname / Preferred Name
Street Address / Apartment  
City
State / ZIP Code     
Home Phone (Required) - Area code and phone number
Other Phone - Area code and phone number
Email Address
Resume - If you have a plain-text resume, paste it into the box below.

 

 

Criminal Background & Drug Screen

 
Have you ever been convicted of a felony? If yes, please explain.  
Yes No
Are you willing to take a drug screening test?   Yes No
 

Availability

Are you willing to work temporary?
Yes No
Are you looking for a full-time career position?
Yes No
When are you available to start?     
What weekday hours are you available?
What weekend hours are you available?
How many hours are you willing to work in a week?  
Are you willing to work overtime?
Yes No
What is the minimum pay you desire? Hourly rate or annual salary
How much notice will you need if a position is offered to you?
How many miles are you willing to travel to a position?
     

Education

Enter most recent - Do not enter start and end date if the most recent is high school

Name of School
Type of school  
Street Address
City  
State / ZIP Code   
Start Date (Month / Year)   
End Date (Month / Year)   
Degree  
Major Study Area
Other Studies
Please select skills you posses

Automation Automation - Software Applications - Accounting/Finance
Applications - Spreadsheets Applications - Microsoft Office Applications - Windows
Applications - Word Processing Office Work Administrative Assistant
Shipping and Receiving Light Industrial General Factory
Assembly Auto Body Repair Auto Mechanic
Diesel Mechanic Carpentry/Drywall Cleaning/Janitorial
Construction Industrial Sewing Landscaping
Packaging Painter-House Sandblaster
Screenprinter Soldering Spray Painter Insudtrial
Tape Measure Foundry Foundry - General
Production General Production Production Machine Operator
Machine/Die Set-up Material Handling Forklift/Towmotor
Overhead Crane Pallet Jack Plastics
Plastic Extrusion Platic - Finisher Plastic - Blow Mold
Plastic - Injection Plastic - Rotation Mold Rubber
Rubber Press Rubber Compounding Printing
Printing - Press Printing - Bindery Driver
Driver No CDL Driver - Class A Driver - Class B
Driver - Class C Bobcat/Construction Equip Truck/Heavy Equipment
Skilled Skilled General Blueprint Reading
Die/Mold Maker Electrical Equipment Electrician Commercial
Electronics Assembly HVAC or Refrigeration Industrial Controls
Jig/Fixture Setup Machine Builder Machinist
Machinist - CNC Machinist - CNC Programmer Machinist - Manual
Machine Operator Machine Operator - Bridgeport Machine Operator - CNC
Machine Operator - Grinder Machine Operator - HBM Machine Operator - Lathe
Machine Operator - Mill Machine Operator - Press Maintenance
Maintenance - General Maintenance - Machine Maintenance - Building
Maintenance - Electrical Maintenance - Hydraulics Maintenance - Mechanical
Panel Building Panel Wiring Pattern Maker - Mold
Pattern Maker - Wood Pipe Fitting Plumber
Schematics Tool & Die Maker Tool Room Machinist
Welder Welder - Arc Welder - Mig
Welder - Stick Welder - TIG Welder - Flex Core
Welder/Assembler Welder/Fitter Welder/Fabricator
Warehouse Warehouse General Forklift/Towmotor
Computerized Shipment Shipping & Receiving Stock Room/Inventory
Quality Control Quality Contorl General Calipers
Inspection Micrometers
 

Recent Employment

List most recent first

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)     
End Date (Month / Year)   
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

Company Name
Street Address
City
State / ZIP Code   
Supervisor Name
Job Title  
Job Duties  
Start Date (Month / Year)      
End Date (Month / Year)    
Start Wage Hourly rate or annual salary
End Wage Hourly rate or annual salary
May we contact this employer for a reference check?
Yes No

I certify that the statements I have made are true and correct and without material omission. I understand that making false statements or omitting pertinent facts is sufficient cause for rejection or dismissal from employment. I authorize obtaining information from any person(s), employers, educational institutions, licensing authorities, and/or law enforcement agencies concerning my background, work habits, skill or conduct on the job, with the exception of past employer(s) I have indicated that are not to be contacted. I hereby release such person or entities from all liability for damages for issuing such information.

When I am employed I agree that if at any time I make claims for personal injuries, I will submit myself, upon written request, to examination by a physician or physicians of employer's selection, at employer's expense, as often as may be requested.

I also agree that if I am employed, now or at any time in the future, my employment may be terminated at any time without liability to me for wages or salary except for such wages or salary which I earned prior to the date of my termination. I understand the term of my employment shall be limited to the duration of any assignment 
that I accept.

I am aware that Public Law 91-508, known as the Fair Credit Reporting Act, requires the employer to inform me that a routine inquiry may be made that will provide applicable information concerning my character, my general reputation, my personal characteristics and my credit history. Upon written request, I will provide additional information as to the nature and scope of the inquiry or any report which is produced.

I understand that I am applying for temporary or contract assignments. The completion of the this application process shall constitute a conditional offer of employment subject to my availability and the availability of customer assignments calling for the skill and qualifications that I possess, and I agree to consider acceptance of such assignments.

I also understand that employment is at-will and may be terminated by either the company or the employee with or without cause.

Please take a moment to review your application.  Indicate that you have read the above statement by entering your initials in the box below.  To complete this application, click on the Submit Application button.
Initials:    


This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with this Company depends solely on your qualifications.