APPLICATION FOR EMPLOYMENT

Position(s) Applied For

How did you learn about us?

Name

First

Middle

Last

Address

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone

If you are under 18 years of age, can you provide proof of your eligibility to work?

Yes
No

Have you ever applied for employment with us? If yes: Month and Year

Yes
No

Month and Year

Are you a Vietnam Veteran?

Yes
No

Are you legally eligible for employment in the United States?

Yes
No

Have you ever been employed with us before? If yes: Month and Year

Yes
No

Month and Year

Are you currently employed?

Yes
No

Are you currently on “lay-off” status?

Yes
No

Education

Elementary School

Name and Location of School (Elementary School)

Course of Study

Did you graduate?

# of Years Completed

Degree or Diploma

High School

Name and Location of School (High School)

Course of Study

Did you graduate?

# of Years Completed

Degree or Diploma

Business/Trade/ Technical

Name and Location of School (Business/Trade/ Technical)

Course of Study

Did you graduate?

# of Years Completed

Degree or Diploma

College

Name and Location of School (College)

Course of Study

Did you graduate?

# of Years Completed

Degree or Diploma

Graduate School

Name and Location of School (Graduate School)

Course of Study

Did you graduate?

# of Years Completed

Degree or Diploma

Employment Experience

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

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Company Name

Address

Name of Supervisor

State Job Title and Job Description

May we contact?

Yes
No

Telephone

Employment Start Date:

Employment End Date:

Reasons for leaving

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Company Name

Address

Name of Supervisor

State Job Title and Job Description

May we contact?

Yes
No

Telephone

Employment Start Date:

Employment End Date:

Reasons for leaving

Military

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Did you serve in the U.S. Armed Forces?

Yes
No

Describe any training received relevant to the position for which you are applying.

Other Qualifications

Summarize special job related skills and qualifications acquired from employment or other experience which you feel may be helpful to us in considering your application.

Specialized Skills

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***Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING

Are you capable of performing in a reasonable manner the activities involved in the job or occupation for which you have applied? A description of the activities involved in such a job or occupation has been provided.

Yes
No

References

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Name

Address

Phone

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Name

Address

Phone

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Name

Address

Phone

WARSAW FOUNDRY CO., INC.