Begin with most recent employment.
Name of Company
City, State, Zip
Reason for leaving
Type of School
School Name and City
Last Year Attended
I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR H0W DISCOVERED.
It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any and other characteristic protected by Federal, State or Local law.
I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.
*I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.
Help Us Get to Know You
What job (or class) have you found most challenging and why?
What is a recent problem you had and how did you solve it?
What are your hobbies?
What things do you not like to do and why?
What are you most proud of and why?
Who is your role model and why?
Describe what it means to be a "good worker"?
Why are you interested in this job or type of work? Why do you want to work here?
What is your experience with this type of work?
What kind of tools/machines have you operated?
What kind of computer/software have you used?
On a measuring tape, how small does the fractional mark go? 1/2" 1/4" 1/8" 1/16" 1/32" 1/64"
What was your grade point average in math?
What is the highest level math you have taken, and what grade did you get in it?
List any other experience, skills, or other qualifications including hobbies, which you would like considered:
If desired, attach a résumé here:
* = required