Position Applied for:

Mechanical Enginners Field Lead Mechanics Welders CNC Machinists/Operators Machinists/Tool Makers Electricians Inside Sales Engineers

Name:

Present Address:

City:

State:

Zip Code:

How long have you lived here?

0-2 years 2-4 years 4-6 years 6-8 years 8-10 years 10 years +

Phone:

How many hours can you work weekly?

Days available to work?

Employment desired?

When can you start work?

Name of employer:

Employer's Address:

Phone:

Name of Last Supervisor:

Employment Start:

Employment End :

Salary Start:

Salary End:

Reason for Leaving:

List the duties performed, skills used or learned, advancements or promotions while you worked at this company:

Name of employer:

Employer's Address:

Phone:

Name of Last Supervisor:

Employment Start:

Employment End :

Salary Start:

Salary End:

Reason for Leaving:

List the duties performed, skills used or learned, advancements or promotions while you worked at this company:

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Name of High School:

Address of High Scool:

Number of Years Completed:

Did You Graduate?

Major or Degree?

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Name of College/University:

Address of College/University:

Number of Years Completed:

Did You Graduate?

Major or Degree?

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Name of Trade School:

Address of Trade School:

Number of Years Completed:

Did You Graduate?

Major or Degree?