Application for Employment

We appreciate your interest in Ingleside Machine Co., Inc. Ingleside offers equal opportunities to all persons without regard to race, color religion, age, sex, disability, national origin, ancestry,free pokies mobile citizenship, military or veteran status, marital status, sexual orientation, domestic violence victim status, predisposing genetic characteristics or genetic information, or any other status protected by law. Applicants who require reasonable accommodation during the application process may contact Human Resources.

Today's Date

Personal Information

First Name

Last Name

Middle Initial

Phone

Address

Your Email

If under 18 years of age, do you have a work permit?
YesNo

Are you either a U.S. citizen or an alien who has the legal right to remain and work in the U.S.? (you will be required to furnish proof of lawful work status if you are extended a job offer)
YesNo

Have you ever been convicted of a crime?
YesNo

If you answered yes above, please describe fully the criminal conviction(s) and the nature of the offense. A conviction record will not necessarily be a bar to employment.

Have you ever initiated an act of violence in the workplace?
YesNo

If you answered yes above, please provide the date(s) and explain so that individual circumstances can be considered. A “Yes” answer will not necessarily be a bar to employment.

Position(s) applied for

Desired rate of pay

Date you can start

Have you ever worked for this company before?
YesNo

If yes, when?

Supervisor?

Reason for leaving?

List all special technical skills that you feel qualify you for the job for which you are applying (For example., computer programming/language, software, equipment operation, special tools or machines, etc.)

Are you willing to work overtime?
YesNo

Education Information

Highest Grade Completed - Grade School
1234567

Highest Grade Completed - High School
9101112

Highest Grade Completed - College
1234

Last School Attended

Degree Obtained

License, Vocational, or Trade Training

Professional References

Please give the names of three persons not related to you, whom you have known professionally at least three years.

Reference #1

Name

Address

Years Known

Reference #2

Name

Address

Years Known

Reference #3

Name

Address

Years Known

Employment History

List all your work experience (starting with your most recent employer). Please account for all periods of unemployment in this section. You may attach additional sheets of paper. Please explain fully all gaps in your employment history in excess of one month.

Employer #1

Business Name

Address

Job Title

Supervisor Name

Dates Employed - From: mm/dd/yyyy - To: mm/dd/yyyy

Briefly describe your job duties and work experience:

Reason for Leaving

Employer #2

Business Name

Address

Job Title

Supervisor Name

Dates Employed - From: mm/dd/yyyy - To: mm/dd/yyyy

Briefly describe your job duties and work experience:

Reason for Leaving

Employer #3

Business Name

Address

Job Title

Supervisor Name

Dates Employed - From: mm/dd/yyyy - To: mm/dd/yyyy

Briefly describe your job duties and work experience:

Reason for Leaving

May we contact your present employer at this time?
YesNo

Have you ever been terminated or asked to resign from any job?
YesNo

Has your employment ever been terminated by mutual agreement?
YesNo

Have you ever been given the choice to resign rather than be terminated?
YesNo

If you answered Yes to any of the above three questions, please explain the circumstances of each occasion.

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Applicant Statement:

I understand that if I am hired, my employment may be terminated with or without cause or notice, at any time, at either my option or that of the Company. I understand that no management representative has any authority to enter into any agreement for continuing employment for any specific period of time or which is contrary to the foregoing and that any such agreement must be in writing signed by the Company President. I give the Company permission to contact all or any of my previous employers and references and authorize them to disclose any information the Company may request in the course of its investigation of this application for employment, and I hereby release the Company and such references and prior employers from any and all liability with respect to such disclosures. After a tentative offer of employment has been made, if requested by the Company, I agree to take a job-related medical examination at no personal expense and authorize the examining physician to disclose the findings to the Company. I understand that any offer of employment is conditioned upon receipt of satisfactory references and satisfactory completion of any such job-related medical examination. I also understand that I may be requested now or at any subsequent time during my employment with the Company to submit to drug and/or alcohol tests, at the Company’s expense. I understand that if I refuse to take the test, my employment may be terminated immediately. I have provided truthful and complete responses to all inquiries in the application and authorize the Company to investigate all statements contained in the application. I understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal or refusal to hire. If employed, I will abide by the Company’s rules and regulations, which I understand are subject to change by the Company.

Applicant's Signature