Slabe Machine Products

Application For Employment
 
Thu, July 29, 2010
 

Thank you for your interest in applying for a job with our Company.  Because of our commitment to offering the highest possible satisfaction to our customers, we are only interested in hiring the best.  We want to have a complete understanding of your qualifications, motivations and interests, so that we can make careful and deliberate hiring decisions that will benefit both the company and our employees.  Please answer the following questions honestly, completely and thoughtfully.

We are an Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, sex, national origin, age, marital status or veteran status, or handicap or disability.
 
  Basic Information
 
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Last Name First Name M.I.
     
Street Address City State Zip Code
     
Telephone Social Security Number
ex., 555-555-5555 ex., 222-22-2222
   
If you are under 18 years of age, do you have a work permit?
   
If you have ever worked under another name, please identify:
     
Last Name First Name M.I.
 
  Your Job Interests
 
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Position desired: Date you can start work:
   
     
What starting salary or wage do you expect :    
$  
   
Are you available for full-time work? Are you willing to work any shift?
   
Are there any days of the week when you would not be available to work?  Please specify:
   
How did you learn of this job opening?  
   
Have you ever worked for this Company before?   
 
If Yes, when? Who was your supervisor?
 
 
Why did you leave?
 
Do you know anyone who works here? If Yes, Who?
 
  Your Education & Training
 
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Please select your highest grade completed:
   
What was the last school you attended?
   
What extracurricular actitivites did you participate in, or special skills did you acquire at the above school(s) which might help for the job in which you are applying?
   
 
  Your Work Experience
 
 
Are you presently employed?
   
Are you on layoff and subject to recall?
   
If yes, to where?
   

Beginning with your present or most recent employer, describe your employment experiences below:

 
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1. Present or Last Employer    
       
Employer Name      
       
Street Address City State Zip Code
       
Telephone Kind of Business:    
(ex., 555-555-5555)
   
Starting Position: Starting Pay  
$
Final Position: Final Pay  
$
   
 
Dates Employed:   From:  To:    
  (ex., 01-05) (ex., 01-05)
   
 
Name of Supervisor: Title of Supervisor:
   
  Description of Your  Work and Responsibilities: Reason for Leaving:
 
   
 
Will you receive a satisfactory reference from this employer?
   
  If "No", please explain:
 
   
 
May we contact your present employer at this time:
   
  If "No", please explain:
 
   
 
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2. Present or Last Employer    
       
Employer Name      
       
Street Address City State Zip Code
       
Telephone Kind of Business:    
(ex., 555-555-5555)
   
Starting Position: Starting Pay  
$
Final Position: Final Pay  
$
   
 
Dates Employed:   From:  To:    
  (ex., 01-05) (ex., 01-05)
   
 
Name of Supervisor: Title of Supervisor:
   
  Description of Your  Work and Responsibilities: Reason for Leaving:
 
   
 
Will you receive a satisfactory reference from this employer?
   
  If "No", please explain:
 
   
 
May we contact your present employer at this time:
   
  If "No", please explain:
 
   
 
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3. Present or Last Employer    
       
Employer Name      
       
Street Address City State Zip Code
       
Telephone Kind of Business:    
(ex., 555-555-5555)
   
Starting Position: Starting Pay  
$
Final Position: Final Pay  
$
   
 
Dates Employed:   From:  To:    
  (ex., 01-05) (ex., 01-05)
   
 
Name of Supervisor: Title of Supervisor:
   
  Description of Your  Work and Responsibilities: Reason for Leaving:
 
   
 
Will you receive a satisfactory reference from this employer?
   
  If "No", please explain:
 
   
 
May we contact your present employer at this time:
   
  If "No", please explain:
 
   
 
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4. Next Previous Employer    
       
Employer Name      
       
Street Address City State Zip Code
       
Telephone      
(ex., 555-555-5555)  
   
 
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5. Next Previous Employer    
       
Employer Name      
       
Street Address City State Zip Code
       
Telephone      
(ex., 555-555-5555)  
   
 
  Personal Information
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Do you have, or have you applied for the legal right to remain permanently and work in the US?
 
Have you ever been dischared or asked to resign by an employer?
 
If yes, please explain:
 
 

A record of criminal conviction will not necessarily be a bar to employment, since the Company will consider factors such as age, time of the offense, the nature and seriousness of the violation, and the evidence of rehabilitation in making any employment decision.
 
Have you ever been convicted of a crime, other than minor traffic violations?
 
If yes, please explain:
 

Please complete the following section if the job for which you are applying might require you to drive Company vehicles.
 
Do you have a valid driver's license?
 
License number
State  
 
Have you had any accidents in the last 5 years?
 
If yes, please give details:
 
Have you been cited for any moving violations in the last five years?
 
If yes, please give details:
 
Has your driver's license ever been suspended, revoked, denied or cancelled?
 
If yes, please give details:
 
 
  Your Military Experience
 
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Completing this section of the application is optional.  Leave the area blank if you do not wish to answer. 

 
Have you ever been in the United States Armed Services?
 
If yes, which branch?
 
Describe any skills you acquired in the Service which could be useful to the job for which you are applying:
 
  Your References
 
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Reference 1
     
Last Name First Occupation
Street Address City   Telephone  
(ex., 555-555-5555)
 
Reference 2
     
Last Name First Occupation
       
Street Address City   Telephone  
(ex., 555-555-5555)
 
Reference 3
     
Last Name First Occupation
       
Street Address City   Telephone  
(ex., 555-555-5555)
 
Please Read The Following Paragraphs Carefully
 
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By agreeing below, I certify that I have read, understand and agree to each of the following statements:

All of the information I have supplied on this application is true, accurate and complete, to the best of my knowledge,and I have not knowingly withheld any information which, if known to the Company, would affect my application unfavorably.

If I am hired by the Company, and if the Company discovers at any time during my employment that any of the statements or answers on the application are false, misleading, or incomplete, I may be dismissed immediately from my job.

This employment application will be considered active for ninety (90) days  from the date below.  If I want to be reconsidered for a job with the Company after this period of time I must fill out another application.

I agree to submit to a medical examination which may include testing for drugs or alcohol prior to beginning work with the Company.  I understand that if I am employed by the Company, I may be required, when job related  and consistent  with the Company's business needs, to undergo a medical examination or testing for alcohol.  I further understand that I may be required to submit to a test for the use of illegal drugs at any time.

In consideration of my employment with the Company, I agree to abide by all the Company's rules and regulations.

I understand that nothing in this employment application creates a contract of employment between me and the Company.  I understand that if I am employed by the Company, my employment and compensation are "at will", which means that my employment can be terminated, either by the Company or me, with or without cause, and with or without notice.  I understand that no manager or supervisor has the authority to make any employment agreeement with me, either orally or in writing, that is not an at will agreement.  Only the President of the Company has the authority to enter into an employment agreement with me for any  specified period of time.

I agree to release to the Company or its designated agents all medical information, including but not limited to files, reports, x-rays, evaluations, and opinions held by medical personnel, to the extent such information is job-related and consistent with the Company's business needs.  I acknowledge that this is a general release and that if hired, it remains in effect for the duration of my employment.

In the event of my personal indebtedness to the  Company, I authorize the Company to withhold from my wages such amounts as permitted by law to satisfy my obligation to the Company.

I give the Company my permission to conduct any investigation regarding the information contained in my employment application, which the Company thinks is necessary to determine the qualifications for assuming a job with the Company.  I give the Company my permission to contact any former employer, school, college or university, utility company, credit or finance bureau or office, or any personal or professional reference, or any other individual for the purpose of gathering any information, personal or otherwise, that such sources may have about my character, general reputation, credit, education, or employment record, and I give my consent to any such source to release to the Company whatever information they have about me.  I also unconditionally release all named and unnamed sources from any and all liability which might result from furnishing any information about me.

 
Thu, July 29, 2010