Job Application: Laborers, Finishers, Operators, and Mechanics

Title: Laborers, Finishers, Operators, and Mechanics

Fields marked with an asterisk (*) must be filled out before submitting.

General Information

Date
Name *
Email Address *

Address

Street *
City *
State *
Zipcode *
Phone number
Have you ever been employed here? *
If yes, when?
Are you legally eligible for employment in this country? *
Who referred you to us?

Educational Background

What is the highest level of education you have completed? *
School name and location *
Years completed *
Degree/Major
Employment Desired
Position
Date you can start
Are you a member of a union?
If yes, which union?
Can you work overtime?

Skills and Qualifications

Summarize any special training, skills, licenses and/or certificates, etc.
What type of vehicles or equipment are you experienced with?

Employment History

Company
Start Date
End date
Pay rate
Reason for leaving
Job title and duties
Company
Start date
End Date
Pay Rate
Reason for leaving
Job title and duties
Company
Start date
End date
Pay rate
Reason for leaving
Job title and duties
May we contact your previous employer(s)?

Driving and accident record information

Driver license number
Type
Expiration date
Accident record (briefly describe accidents you were involved in for the last three years; include dates.)
Traffic convictions and forfeitures in the past three years (other than parking violations; include dates)

Physical record

Do you have any physical limitations that preclude you from performing any work for which you are applying?
If yes, please describe?

References

Name
Address
Phone
Name
Address
Phone
In case of emergency, notify
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I certify that the facts contained in this application are true and complete to the best of my knowledge and understanding that if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning mt previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liabilities for any damage that may result from furnishing same to you.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.
Date
Electronic Signature