Application for Employment

Name:*
E-mail:
Address:
Position Applied For:
Are You At Least 18 Years Old?
Have you ever been convicted of a felony?
If yes, explain:
Availability to Work:

Employment History


Begin with the most recent employment and go back 10 years. Explain any gaps in employment. False or incomplete information will be grounds for rejection of application and/or termination of employment.
Name of Employer:
Employer 1 Phone:
-
Employer 1 Address:
Date Started:
Starting Title/Position:
Starting Pay:
Supervisor Name:
Are you eligible for rehiring?
Date Left:
Ending Title/Position:
Ending Pay:
Reason for Leaving:
If no, Why not?
Name of Employer 2:
Employer 2 Phone:
-
Employer 2 Address:
Date Started :
Starting Title/Position :
Starting Pay :
Supervisor Name :
Are you eligible for rehiring ?
Date Left :
Ending Title/Position :
Ending Pay :
Reason for Leaving :
If no, Why not ?
Name of Employer 3:
Employer 3 Phone:
-
Employer 3 Address:
Date Started :
Starting Title/Position :
Starting Pay :
Supervisor Name :
Are you eligible for rehiring ?
Date Left :
Ending Title/Position :
Ending Pay :
Reason for Leaving :
If no, Why not ?
Name of Employer 4:
Employer 4 Phone:
-
Employer 4 Address:
Date Started:
Starting Title/Position:
Starting Pay:
Supervisor Name:
Are you eligible for rehiring?
Date Left:
Ending Title/Position:
Ending Pay:
Reason for Leaving:
If no, Why not?

Skills/Certifications/Aptitudes

List any skills, certifications, trades, etc. that would assist you in performing the job that you are applying for (for example: typing/wpm, computer aptitudes, languages, etc.)

Education

High School Attended:
Graduated?
College Attended:
Course of Study:
Years attended:
Degree earned:
Graduated ?
College Attended :
Course of Study :
Years attended :
Degree earned :
Graduated ?
Additional education/training:
Identify certificates earned or training attended that are relevant to the position sought:
Other Interests:

References

Reference 1:
Reference 1 Phone:
-
Relationship:
Reference 2:
Reference 2 Phone:
-
Relationship :
Reference 3:
Reference 3 Phone:
-
Relationship :

Upload a Resume or Cover Letter:
I certify that the information provided above is true and complete, to the best of my knowledge. I realize that any misrepresentations in the information so provided (whether intentional or un-intentional) may result in the rejection of my application, or if hired, in my immediate dismissal.

I authorize Specialty Machine Works, Inc (hereinafter the "Company") to check all references from current and previous employers and any person listed as a reference on this application that may be relevant to my employment or my ability to perform the job for which I have applied. I authorize the Company to verify any of the information furnished in this application including, but not limited to, criminal history and driving records. I authorize all persons, schools, companies, and law enforcement authorities to release any information concerning my background and employment history that may be relevant to the evaluation of this application and I hereby release any such persons, schools, companies and law enforcement authorities from any liability for damages whatsoever for issuing this information to this Company and/or its agents.

I hereby acknowledge and agree that if employed by Company, such employment relationship is at-will; that is, I would be free to resign from the Company whenever I wish, and the Company is not restricted from terminating any employee at any time for any reason.

I further understand that my employment with the Company will not be for any specific fixed period or term. At no time shall any oral statement by management of the Company be construed as giving rise to or creating a contract of employment between the Company and me or any other employee, or to otherwise alter or modify the at-will nature of the employment relationship.

I understand that the Company prohibits the use and possession of controlled substances and/or alcohol on its premises as outlined in the Company's Drug and Alcohol Policy. As required by the Company's Drug and Alcohol Policy, I am willing to submit to drug testing to detect the use of illegal drugs prior to and during employment.
Applicant's Name (first and last):
Date :
This application will remain valid for only sixty (60) days. After that time, it will be necessary for you to fill out another application in order to be considered for employment.

The Company is an equal opportunity employer of all qualified persons. The Company does not discriminate on the basis of race, color, national origin, gender, handicap or disability, age, or any other legally protected status or classification in any of its policies, procedures, or practices in compliance with Title VII of the Civil Rights Act of 1964 (pertaining to race, color and national origin), Section 504 of the Rehabilitation Act of 1973 (pertaining to handicap), and the Age Discrimination Act of 1975 (pertaining to age). This non-discriminating policy covers hiring and employment at the Company.
Word Verification: