Employment Application

01.Contact Information

First Name*

Last Name*

Email*

Address*

City*

State* Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code*

Home Phone*

Cell Phone*

Are You 18 years or older?*

Position Selected  Lathe Machinist - 1st ShiftOffice SupportMill Machinist - 2nd ShiftMill Machinist - Weekend Shift

Salary Desired

02.Availability

Please Indicate the shift(s) that you are available to work:

First Shift* - - -YesNo

Second Shift - - -YesNo

Weekend Shift - - -YesNo

Date You Can Start*

Are You Employed Now?

If yes may we inquire of your present employer?

How were you referred to Precision Machine?

03.Education & Military Experience

Highschool Education

Name, City, State

Years Completed

GPA

College Education

Name, City, State

Years Completed

Major or Degree

Technical College Education

Name, City, State

Years Completed

Major or Degree

Other Education

Name, City, State

Years Completed

Major or Degree

Military Experience

Military Service?

Duties/Training

04.Employment History

List your last three employers below, starting with the most recent.

Most recent employer:

Name Of Employer

Address

Name of Supervisor

Title

Phone Number

Dates of Employment:

From

To

Position Information:

Job Title

Reason for Leaving (be specific)

Description of jobs you held, duties performed, skills used or learned, advancements, or promotions while you worked at this company.

05.References

References

Please list three persons you are not related to, whom you have known at least one year.

Name

Address

Company

Number

06.Criminal Record Details

Are you currently legally authorized to work in the United States?

Have you ever been convicted of a crime (other than a minor traffic violation), or do you have such a charge pending?

If yes, please provide details including dates.
A conviction will not necessarily disqualify you for employment.

07.Attach Your Resume

08.Confirm Your Submission

MY SIGNATURE BELOW CERTIFIES that the above information and any attachments are true and accurate to the best of my knowledge. If employed by Precision Machine, Inc, I understand that any misrepresentation of factual information contained herein may be cause for dismissal.

MY SIGNATURE BELOW AUTHORIZES Precision Machine, Inc to process my application for employment by checking references with former employers, schools, individuals and law enforcement agencies. I authorize the references and employers listed above to give Precision Machine any and all information concerning my employment and any pertinent information they may have, personal or otherwise.

MY SIGNATURE BELOW RELEASES Precision Machine, Inc its employees and representatives, from all liability for any damage whatsoever incurred in obtaining information from references or in further disseminating such information.

MY SIGNATURE BELOW CERTIFIES that I understand that any offer of employment with Precision Machine, Inc, is contingent upon taking and passing a pre-employment drug screen.

Signature Field*

Date*