Application For Employment

Name:

first

middle

last

Social Security
Number:

Address:
 

city

state

zip
Home Phone:
Other phone:
if work phone,
ok to call at work? 		yes
no
Email Address:
Referral Source:
Advertisement
Agency:
Mass Precision Employee:
Other:
List Date Previously Employed Here:
List names of relative working at Mass Precision Sheetmetal, Inc. if any:

EMPLOYMENT DESIRED
List position you are applying for & experience, if any.
Job title:
Experience:

years

months
Are you authorized to work in the USA?    
yes no
Date you can start:
Salary Desired:
If required, can you work weekends?     
yes no
Which shift(s) are you willing to work?     
days swing graveyard
Do you want to work:    
part-time full-time

LIST COLLEGE, UNIVERSITY and PART-TIME STUDIES,
Vocational, military and other training (include current)

NAME AND LOCATION degrees (type) COURSE OF STUDY















Summarize skills and equipment experience you acquired from employment or other experience (office machines, computer equipment, tools, etc.) and include any other information you think would be helpful to us in considering us for employment.

LIST THREE PROFESSIONAL REFERENCES WE MAY CONTACT:

NAME company title day phone number










EMPLOYMENT EXPERIENCE
Even if you have a resume, please complete this section.
Failure to fully complete this portion of the application may remove you from further consideration. List all periods of employment and unemployment for past ten years.
Dates employed: 
 to
Employer:
Address:
 

city

state

zip
Phone:
Supervisor's Name:
Job Title:
Work Performed:
Reason for Leaving:
Pay: Start:    Finish:
Dates employed: 
 to
Employer:
Address:
 

city

state

zip
Phone:
Supervisor's Name:
Job Title:
Work Performed:
Reason for Leaving:
Pay: Start:    Finish:
Dates employed: 
 to
Employer:
Address:
 

city

state

zip
Phone:
Supervisor's Name:
Job Title:
Work Performed:
Reason for Leaving:
Pay: Start:    Finish:
Dates employed: 
 to
Employer:
Address:
 

city

state

zip
Phone:
Supervisor's Name:
Job Title:
Work Performed:
Reason for Leaving:
Pay: Start:    Finish:

QUESTIONNAIRE - Please answer questions below and give details to "yes" answers.
1. Have you ever been discharged for cause by a former employer?
    
yes no
2. Have you ever been convicted of a felony?
    
yes no
Details For
"Yes" Answers:
For positions that require driving a company vehicle, a current DMV printout will be requested if you are scheduled for an interview.
I UNDERSTAND THAT EMPLOYMENT AT MASS PRECISION SHEETMETAL, INC. WILL BE GOVERNED BY THE TRADITIONAL RULES OF "AT WILL" EMPLOYMENT, WHICH MEANS THAT MASS PRECISION SHEETMETAL, INC. OR I HAVE THE RIGHT AT ANY TIME TO TERMINATE THE EMPLOYMENT RELATIONSHIP. I AUTHORIZE INVESTIGATIION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATIONS OR OMISSION OF FACTS CALLED FOR MAY BE CAUSE FOR REJECTION OR APPROPRIATE ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT.
I accept these terms.
I do not accept these terms.

Please confirm this submission by entering the two words below.