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Are you a U.S. citizen, or do you have an entry permit which allows you to work? *
YesNo
Last Name
First and Middle Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Email
Do you have a valid driver's license? *
Yesno
Do you have access to a car? (For some positions, a vehicle is required) *
YesNo
Are you over age 18? *
YesNo

Application for Position of (check all that apply) *
General / Utility / AssemblyLaser OperatorPress BrakeTurret PunchingWelding - TIGWelding - MIGWelding - Robotic
Date Available *
Choose from the 3 shifts in order of YOUR preference (i.e. 1st, 2nd, and 3rd)
1st Shift *
2nd Shift *
3rd Shift *
Types of Employment Preferred (Check more than one box if desired) *
Permanent Full-timePermanent Part-timeTemporary Full-timeTemporary Part-time

Highest grade or year completed.
Do you have a High School Diploma or a GED Equivalency? *
YesNo
Name and Location of High School
Training beyond High School Please list the College or University, Nursing, Business College, or other schools you have attended. Under credits earned, indicate Q for Quarter Hours and S for Semester Hours. If you have more than one institution that you have attended, please add another one with the plus sign to the right of the first row.
Name and Location
Dates Attended From / To
Credits Earned
Major Field
GPA Base
Degree & Year Conferred
Additional Training
Describe any education or training you had which is not covered above, such as vocational school, correspondence courses, service schools, in-service training, or volunteer work that you feel is relevant to the job or jobs for which you are applying. Also include relevant licenses or certificates. Be specific.

Instructions Provide a complete description. This information will be used to determine if your application is accepted. BE SPECIFIC. Start with your most recent job. BE CERTAIN TO INCLUDE SERVICE IN THE ARMED FORCES. For part-time work, show this average number of hours per month. Indicate any changes in job title under same employer as a separate position.
First Employer
Employer
Kind of Business
Your Title
Reason For Leaving
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Name of Supervisor
Total Time Employed
From
To
Income
Monthly SalaryHourly
Beginning $
Ending $
Your Duties
Second Employer
Employer
Kind of Business
Your Title
Reason For Leaving
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Name of Supervisor
Total Time Employed
From
To
Income
Monthly SalaryHourly
Beginning $
Ending $
Your Duties
Third Employer
Employer
Kind of Business
Your Title
Reason For Leaving
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Name of Supervisor
Total Time Employed
From
To
Income
Monthly SalaryHourly
Beginning $
Ending $
Your Duties
May we communicate with your present employer?
YesNo

Can you operate and set up the following machine or equipment? Check all that apply
HEAR (1/4" CUTOFF BLANKING)
Set-UpOperate
List Place of Experience
TURRET PUNCH PRESS
Set-UpOperate
List Place of Experience
PRESS BRAKE (FORMING)
Set-UpOperate
List Place of Experience
WIRE WELDER (PULSE)
Set-UpOperate
List Place of Experience
HELIARC WELD
Set-UpOperate
List Place of Experience
ASSEMBLY
YesNo
List Place of Experience
ROBOT WELD
Set-UpOperate
List Place of Experience
FORKLIFT OPERATOR
Set-UpOperate
List Place of Experience
READ BLUEPRINTS
YesNo
List Place of Experience
READ CALIPERS
YesNo
List Place of Experience
Other information not covered above
Lifting *
For some positions, it may be required that employees possess certain physical capabilities. Check the appropriate area below, which you feel reflect the physical activities in which you can routinely engage without harm to yourself or fellow employees. Please be assured that a negative answer will not disqualify you from consideration.25 lbs. or less50 lbs.75 lbs.100 lbs. or more
Do you have difficulties
Bending or stoopingStanding for long periods of timeClimbingWorking in extreme temperatures
List any physical limitations which you feel may relate to the work for which you are applying.
First Name
Last Name

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