QMC Technologies, Inc Application For Employment

Application for Employment

Please fill out entirely to be considered for employment with our safe and secure form below.
Position Applying For:*
Application Date*

MonthDayYear
Applicant Information*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Social Security Number
E-mail*
Phone Number*
Best Time To Call*
Desire Salary Range $:*
Date You Are Available to To Work*

MonthDayYear
Are You Legally Eligible to Work in the U.S.? (Proof of citizenship or immigration status will be required)*

YesNo
If Under 18, Can You Provide Required Proof of Eligibility to work?*

YesNo
Are you willing to take a drug test? *

YesNo
Are you currently on lay-off status and subject to call back?*

YesNo
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
(1) Employer's Name (Most Current)*
Address*
Supervisor's Name*
Position Held*
Phone Number
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Duties Performed:*
Reason for Departure/Leaving:*
May we contact this employer? (please check one)*

YESNO
(2) Employer's Name*
Address
Supervisor's Name*
Position Held*
Phone Number:*
Start Date*

MonthDayYear
Date
End Date*

MonthDayYear
Date
Duties Performed:*
Reason for Departure/Leaving:*
May we contact this employer? (please check one)*

YESNO
(3) Employer's Name
Address
Supervisor's Name
Position Held
Phone Number:
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Duties Performed:
Reason for Departure/Leaving:
May we contact this employer? (please check one)

YES
Any Additional Comments About Previous Employment History:
Please Explain Any Gaps in Employment:
Education

High School, College & Technical
High School Name:
City & State:
Years Completed:
Diploma/Degree (GED, Regents, Advanced Regents):
College:
City & State:
Years Completed :
Diploma/Degree:
Technical/Vocational/Other:
City & State:
Years Completed:
Certification:
Background

We'd like to know a little more about you. Please fill out completely to ensure you are considered for the opening.
Please List Any Job Related Training Received in the United States Military:
Any Additional Qualifications or Things You Want Us to Know About You?
What are your strengths?*
What are your weaknesses?*
What Keywords/Adjectives Describe Your Work Ethic and Attitude?*
How Would You Current/Last Boss Describe You?*
What is Your Opinion of Him/Her?*
How Would Your Coworkers Describe You Professionally?*
Why Should We Hire You Over Other Applicants?*
What Qualities or Talents Do You Possess that Will Help You Excel in Your Position?*
How Do You Perform Under Pressure? Please Provide An Example.*
How Do You React To Criticism? *
Please Tell Us About The Biggest Problem You Experienced at Your Last/Current Job and How You Overcame It:*
Mathematical Equation
A bat and ball together cost $1.10. The bat costs one dollar more than the ball. How much does the ball cost?*
Please explain how you got your answer.
Please Explain How You Got Your Answer*
Please explain how you got your answer.
Resume/Cover Letter
Upload & Attach Resume/Cover letter to Application Submission

Browse Files
Acceptable formats include: Microsoft Word, Open Office File Format, PDF Cancelof
References

(Please do not list family members or past supervisors)
Reference (1) Name*
Reference (1) Telephone*

Area CodePhone Number
Reference (2) Name*
Reference (2) Telephone*

Area CodePhone Number
Reference (3) Name*
Reference (3) Telephone*

Area CodePhone Number
Have You Ever Been Convicted of a Crime/Felony (other than traffic infractions) - If Yes, Please Explain:
How Did You Hear About Us?
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, verteran status or any other legally protected status(es). You are not required to list any memberships, activities or answer any questions that reveal any of the above. We are an equal opportunity employer.
Certification

I certify that that the statements made by me on this application are true and complete to the best of my knowledge. I understand that if I knowingly make any misstatement of fact, I am subject to disqualification and/or immediate dismissal and to such other penalties as maybe prescribed by law or personnel regulations. All statements on this application including employment information are subject to verification as a condition of employment. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this company is of an "at will" nature, which means that Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this at will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of unemployment, I understand that false or misleading information given on my application or interview(s) may result in termination of employment. I understand that I am required to abide by all rules and regulations of the employer.
Please verify that you are human*
Signature

Clear
Type Signature*
QMC Technologies, Inc
4388 Broadway • Depew • New York 14043
www.qmctechnologies.com • hr@qmctechnologies.com
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