JOB APPLICATION

Please fill in the blanks below. We will respond either by phone, mail, fax or e-mail, whatever is most appropiate.

PERSONAL INFORMATION
Name: (Last, First, Middle)Date:
Present Address
(Street, City, State & Zip):
Permanent Address
(Street, City, State & Zip):
*Email:Phone:
State Name & Relationship
To Any Relatives in our Employment:		Referred By:
EMPLOYMENT DESIRED
Position Desired?:
Date You Can StartSalary Desired:
Are you Employed Now?:Yes    NoWhere:
Have you ever applied
to Advance Mfg., Inc. before?:		Yes    NoWhen:
EDUCATION
GRAMMAR SCHOOL
Name & Location:Major Subjects:
Did You Graduate:Yes    NoGrade Point Average:
HIGH SCHOOL
Name & Location:Major Subjects:
Did You Graduate:Yes    NoGrade Point Average:
COLLEGE / UNIVERSITY
Name & Location:Major Subjects:
Did you Graduate:Yes    NoGrade Point Average:
OTHER (Specify)
Name & Location:Major Subjects:
Did you Graduate:Yes    NoGrade Point Average:
OTHER INFORMATION
Subjects of Special Study or Research Work:
Special training or skills:
Activities: ( Civic, Athletic, etc.)
Exclude organizations, the name or character of which indicates the race, creed, sex, marital status, age, color, or national origin of its members.
FORMER EMPLOYERS
(List the last four employers, starting with the present or most recent.)
DATES EMPLOYEDNAME & ADDRESSPOSITION & SALARYREASONS FOR LEAVING
REFERENCES
(Give the names of three persons not related to you, whom you have known at least one year.)
NAMEADDRESSBUSINESSYEARS AQUAINTED
In Case Of An Emergency, Notify:
Authorize investigation of all statements contained in this application. I understand that misreprsentation or omission of facts called for is cause for dismissal. Further, i understand and agree that my employment is for no definite period and may, at the discretion of the employer, be terminated at any time without any previous notice.
Signature:Date:
*

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This employment application has been designed for general use throughout the United States. At the time of publication, every effort was made to assure that the form complies with all the general and certain state requirements prohibiting employment discrimination. However, legal requirement may vary from state to state and laws change frequently. Rediform assumes No responsibility for inclusion of any questions in this form which violate local, State and/or Federal laws.