Marchant Schmidt Employment Application

If you are interested in any of the available positions at Marchant Schmidt, Inc., please fill out this form as completely as possible. All fields are required except those sections marked as (Optional). When you have completed the application, click "Submit Form" to send it to Marchant Schmidt, Inc.

APPLICANT INFORMATION

Full Name

First Name Middle Name Last Name

E-mail

Address

Street Address

PO Box / Address line 2

City State / Province

Postal / Zip Code Country

Are you 18 years of age or older?

Yes No

Cell Phone Number

Area Code Phone Number

Other / Secondary

Area Code Phone Number

Are there other names under which you have worked or attended school?

Yes No

If yes, please list for reference checking purposes.

Are you legally authorized to work in the U.S.?

Yes No

Have you ever signed a non-compete agreement with a previous employer?

Yes No

Have you ever been convicted of a crime or plead no contest for any offense or violation other than minor traffic violations?

Yes No

If yes, explain (Convictions are not an automatic bar to employment)

Do you have any pending criminal charges against you?

Yes No

If yes, please describe

Have you ever applied at this company before?

Yes No

If yes, when & what position

Have you ever worked at this company before?

Yes No

If yes, when & what position

POSITION APPLYING FOR

Position Applying for:

Shift Preference:

When can you start?

How were you referred to the company?

Agency Newspaper Walk-in School Friend / Relative Other

Upload Resume/Cover Letter

SPECIAL SKILLS

Fabrication / Welding

Yes

No

Welding-TIG

Welding - MIG

Machine Building

Brake Press

Metal Roller

Shear

Metal Saw

Forklift

Machining

Yes

No

Drill Press

Lathes

Mill

Blue Print Reading

CNC Equipment

Laser

Metal Finishing

Sheet Metal Layout

Office / Administrative

Yes

No

Data Entry

Microsoft Word

Microsoft Excel

Microsoft Powerpoint

Microsoft Access

ERP System

EDUCATION

School

Name & Location

No. Years Attended

Graduated?

Major

High

College

Graduate

Other (specify)

TRAINING COURSES

List any relevant training programs completed (Optional)

Click to edit

Course/Seminar

Organization/Sponsoring

Content

Dates(s) Attended

*

*If required to drive a motor vehicle for the job applying for, state your: (Optional)

Drivers License Number

State Issued:

Are you licensed with any group, association or society relating to the job for which you are applying?

Yes No

Registration/License #

State Issued

EMPLOYMENT HISTORY

(start with most recent)

Previous Employment #1

Name of Employer:

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

City State / Province

Postal / Zip Code Country

Description of Duties:

Employment Dates: START (mo/yr):

Employment Dates: END (mo/yr):

Reason for Leaving:

Start Salary

End Salary:

If currently employed, may we contact as a reference?

Yes No

_______________________________________________

Previous Employment #2 (Optional)

Name of Employer:

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

City State / Province

Postal / Zip Code Country

Description of Duties:

Employment Dates: START (mo/yr)

Employment Dates: END (mo/yr)

Reason for Leaving

Start Salary

End Salary

If currently employed, may we contact as a reference?

Yes No

_______________________________________________

Previous Employment #3 (Optional)

Name of Employer

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

City State / Province

Postal / Zip Code Country

Description of Duties

Employment Dates: START (mo/yr)

Employment Dates: END (mo/yr)

Reason for leaving

Start Salary

End Salary

If currently employed, may we contact as a reference?

Yes No

Application for Employment