Application for Employment
Instructions:
Complete all necessary information. You may be asked to provide additional information on another form. This application will be kept on file. It is to your advantage to periodically check to keep it active and current.
Contact Information
First Name:
Last Name:
Email:
Address:
City:
State:
Zip:
Phone#
(xxx) xxx-xxxx
:
Spouse Name:
Phone#
(xxx) xxx-xxxx
:
Emergencey Contact:
Phone#
(xxx) xxx-xxxx
:
Insurance Company:
ID #:
Dependants
Dependant # 1
Dependant # 2
Dependant # 3
Name:
Relationship:
Sex
DOB
Applicant Information
Position Applying For:
Administrative
Machinist
Experienced Welder
CNC Programmer/Machinist
Would You Accept:
Full Time:
Part Time:
Date Available:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
jan
feb
mar
apr
may
jun
jul
aug
sep
oct
nov
dec
2010
2011
2012
Can You Work:
Weekends:
Overtime:
Available Shift?
1st Shift
2nd Shift
3rd Shift
Are You Legally Eligible For
Employment In The U.S.
(Age, Credentials)?
Yes
No
What Is Your Primary Reason For Seeking Employment With Ash-Tec?
Special Training Or Skills Applicable To Position
Educational Background
School Name
Location
Graduation Date
High School:
College:
Graduate School:
Vocational:
Courses Of Study
Previous Employment
(most recent first)
1.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
2.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
3.
Company Name:
Contact Name:
Address:
City:
State:
Zip:
Position:
Duties:
Worked:
Salaray:
From:
To:
Start:
Final:
Employer's Statement
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age disability, marital or veteran status, or any other legally protected status.
Applicant's Statement
I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
In the event of employment, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that if I am hired, any false or misleading information given in my applications or interview(s) may result in discharge from the company. I understand, also, that I am required to abide by all rules and regulations of the employer.
I also understand that if I am hired, I will be required to provide proof of identity and legal work authorization.
Full Name:
Initials:
By entering your name and initials above and submitting this form, you are agreeing to the terms listed above.
Design by
Fuzzy Bean
