EMPLOYMENT APPLICATION

If you need help filling out this application or any phase of the pre-employment process please call us at (651) 780-4411 and every effort will be made to accommodate your needs in a reasonable amount of time.

APPLICANT INFORMATION
Today's Date *
Today's Date
Name *
Name
Telephone Number *
Telephone Number
Availability
Are you legally authorized to work in the United States? *
Are you under the age of 18, and can you provide proof of eligibility to work? *
On what date can you start? *
On what date can you start?
For what schedules would you be available? *
Select all that are applicable.
Education
Name, City/State, Degree Earned
Name, City/State, Degree Earned
Job Related Skills
If applying for a position that requires driving, do you have the appropriate driver's license?
Employment History
Your application may not be considered unless every question is answered. Since we may contact previous employers telephone numbers are essential.
Most Recent Employer
Address *
Address
Telephone Number *
Telephone Number
Start Date *
Start Date
End Date *
End Date
Supervisor's Telephone Number *
Supervisor's Telephone Number
$
Second Most Recent Employer
Address
Address
Telephone Number
Telephone Number
Start Date
Start Date
End Date
End Date
Supervisor's Telephone Number
Supervisor's Telephone Number
$
Third Most Recent Employer
Address
Address
Telephone Number
Telephone Number
Start Date
Start Date
End Date
End Date
Supervisor's Telephone Number
Supervisor's Telephone Number
$
References
First Reference
Telephone Number *
Telephone Number
Second Reference
Telephone Number *
Telephone Number
Third Reference
Telephone Number *
Telephone Number
Certification
I certify the answers given by me to the foregoing questions and any statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts regarding information called for in this application may result in rejection of my application, or discharge at any time during my employment. I also agree that, if company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment. I understand that if I am hired, my employment shall be “at-will,” and that either the Company or I can choose to terminate the employment relationship for any reason, or no reason at all, with or without notice.
Authorization
I understand that background, drug, or medical testing may be conducted on me as part of the process to determine my fitness for employment, and hereby agree to submit to such testing. I authorize all persons, schools, companies, medical practitioners, current and/or former employers, and law enforcement authorities to release any information concerning my background or test results, and hereby release any said persons, schools, companies, medical practitioners, current and/or former employers, and law enforcement authorities from any liability for any damage whatsoever for issuing this information.
EEO STATEMENT
We are an Equal Employment Opportunity employer, and do not discriminate in our hiring or employment practices. All qualified applicants will receive consideration without regard to race, color, creed, religion, national origin, citizenship, age, disability, sex, military service, genetic testing, marital status, sexual orientation, status with respect to public assistance, or any other characteristic protected by Local, State or Federal law.
APPLICANT NOTE
This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. This application applies only to the position specified. It is considered inactive after 60 days. If at any time after this point you wish to be considered for employment with this company, another application will have to be completed.
E-Signature *
E-Signature
By entering your name , you are signing this agreement electronically.
Today's Date *
Today's Date
Restrictions *
Are there any restrictions which prevent you from: Lifting 70 lbs, standing for 10 Hours per day, or using vibratory tools.