Employment Application
All Applications are active until:
APPLICANT INFORMATION
Last Name:
First Name:
M.I.:
Date:
Street Address:
Apartment/Unit#:
City:
State:
ZIP:
Phone:
Cell Phone:
How did you hear about us:
E-Mail Address:
Date Available:
Position Applied for:
Referred by:
Do you know anyone who works for our company?
Can you work any shift?
YES
NO
If no, explain:
Can you work weekends?
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for this company?
If so, when?
Have you ever been convicted of a felony?
If yes, explain:
Are you a veteran?
Date and Type of Discharge:
Can you weld?
If yes, type of experience:
Have you ever Operated a Press?
If yes, type and length of time:
Do you have Quality experience?
If yes, what:
Have you ever done Maintenance work?
List any training or special skills.
EDUCATION
High School:
Address:
From: To:
Did you graduate? YES NO
Degree:
College:
Address
Other:
F-18.44 Revision: #2
PREVIOUS EMPLOYMENT (LIST MOST CURRENT FIRST)
Company
Phone
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From To
Reason for Leaving
May we contact your previous supervisor for a reference?
$
Reference 1
Name:
Number:
Relation:
Reference 2
DISCLAIMER AND SIGNATURE
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
I understand that if offered a position with T.RAD, I may be required to submit to a pre-employment medical or physical examination and a drug screen. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to effect the results of these pre- employment test will result in withdrawal of any employment offer or termination of employment if already employed.
I understand that this application is considered current for three months. If I wish to be considered for employment after this period I must fill out and submit a new application.
Signature: Date: