First Name
*
M.I.
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Phone Number:
*
email:
Position Applying for:
*
Machine Operator
Setup / Material Handler
Maintenance
Quality Assurance
Process Tech / Supervisor
Production Manager
Tooling
Other
Shift Preferred:
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First
Second
Third
Any
Expected salary range or hourly rate of pay:
Type of work desired:
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Full Time
Part Time
Seasonal
Temporary
Date available for work:
*
How were you referred to this company?
Are you legally eligible for employment in the USA?
*
Yes
No
Working on it
Will you work overtime if required?
*
Yes
No
Employment Experience:
Phone:
Employer:
Address:
Job Title:
Supervisor:
Date employed from:
Date employed to:
Work Performed:
Reason for leaving:
Other employment experience, and / or why you should be considered for employment:
*
Education:
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High School
College
Vocational School
Still Going to School
Are you willing to submit to a drug screening?
*
Yes
No
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