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Position Applied for: |
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Referral Source: |
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Last Name: |
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First Name: |
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M.I.: |
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Phone Number |
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Email address: |
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Are you taking or do you plan to take any additional eductaion? If so, what? |
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SKILLS / ABILITIES: |
List any machines you are skilled in using: |
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List any skills or ablities you have which are pertinent to the position, including hobbies or related interests: |
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JOB REQUIREMENTS: |
Will you be able to perform the essential functions of the job, with or without reasonable accommodation? |
YesNo |
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PLEASE LIST WORK EXPERIENCE, INCLUDING MILTARY AND VOLUNTEER EXPERIENCE |
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PERSONAL REFERENCES |
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PLEASE READ EACH OF THE FOLLWOING ITEMS BEFORE SUBMITTING THIS APPLICATION |
- As a final step in the hiring process, an applicant may be subject to an employment entrance exam that may include screening for illegal drugs. Applicants who confirm positive on drug screening will not be considered for employment. If a job offer is made, it may be made contingent upon the successful passing of a physical.
- I CERTIFY that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, false, misleading or incomplete statements on this application shall be grounds for dismissal.
- I AUTHORIZE the company to investigate information concerning my previous employment, education and background. I further release all parties from all liability for any damage that may result from furnishing or receiving such information.
- I UNDERSTAND and agree that my employment and compensation may be terminated at any time without prior notice, with or without cause, at the option of the company or myself, and understand that no representative of the company, other than the President, has authority to enter into any agreement contrary to the foregoing.
- I UNDERSTAND that all company property must be returned and any indebtedness to the company must be paid on or before my last day of work. I authorize the company to deduct from my final paycheck an amount necessary to satisfy any unpaid obligation.
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I have read and understood the above clauses |
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Note: |
After successfully submitting the form you will be taken back to the Automatic Products home page. |