General Information

Are you at least 18 years of age?
YesNo

Position

Position or Type of Employment Desired
Chassis ModificationPowder Coat Loader / Unloader2nd Shift Laser OperatorForklift Operator 1st ShiftBender (Aluminum)CDL Driver

Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?
YesNo

Will Accept (check all that apply):
Part TimeFull TimeTemporary

Preferred Shift:
1st (Days - Starts at 6 A.M.)2nd (Afternoon - Evening) 3rd (Overnight Hours)

Hourly Rate or Salary Desired

Date Available For Employment

Education and Training

High School Graduate Or General Education (GED) Test Passed?:
YesNo

If no, list the highest grade completed:

Primary Education, High School, College, Business School, Military (Most recent first)

VETERAN INFORMATION (Most recent)

Date of Entry



Date of Discharge

Character Or Employment References:

I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.
I Agree


Today's Date

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