APPLICATION FOR EMPLOYMENT

PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPURTUNITY EMPLOYER

PERSONAL INFORMATION

Work History

Work History

Work History

Please mark the following if you have AT LEAST 3 MONTHS of experience

ADMINISTRATOR(ADMIN)

  • Microsoft Excel
  • Microsoft Word
  • UPS Shipping
  • FedEx Shipping

FORKLIFT (FL)

  • Certified
  • Stand Up
  • Order/Cherry Picker
  • Reach Truck
  • Electric Pallet Jack
  • Manual Pallet Jack a Bendi

PRODUCTION (PROD)

  • Collator
  • Packing
  • Production line
  • Quality Control
  • Inspection

CONSTRUCTION (CONST)

  • Carpenter
  • Electrician
  • HVAC
  • Painting
  • Plumbing
  • Use of Hand tools

GENERAL LABOR (GL)

  • Lift 10-20Ibs
  • Lift 20-40Ibs
  • Lift 50 lbs
  • Can't lift

WAREHOUSE (WH)

  • Cycle Count
  • Inventory
  • Order Puller
  • Picking
  • Label/Ticketing
  • Receiving
  • Stocking
  • Palletize
  • Load/Unload
  • RF Scanner

MECHANIC (MECH)

  • Assembly
  • Blueprints
  • Calipers
  • Circuit Boards
  • Color Codes
  • Crimpers
  • Micrometers
  • Schematics
  • Soldering
  • Surface Mount soldering
  • Wire Bonding Wiring Diagrams

MACHINE OPERATOR (MOP)

  • Bob Tail
  • Bridge Port CNC Operator
  • CNC Programmer
  • CNC Set up
  • Deburring
  • Drill Press
  • Engine Lathe
  • Mill

MANAGEMENT (WING)

  • Line Lead
  • Shift Lead
  • Supervisor
  • Manager

FOOD

  • Cook
  • Dishwasher
  • Prep Cook
  • GMP knowledge
  • Packaging
  • Food handler
  • Maintenance Mechanic

Maintenance (WINT)

  • Facility Maintenance
  • Electrical Janitorial
  • Pharmaceutical
  • Food Manufacturing

HOSPITALITY (HSP)

  • Porters
  • Hotels
  • Residence Cleaning
  • Office Cleaning
  • Housemen
  • Front Desk

WELDING (WLD)

  • MIG
  • TIG
  • Certified
Yes   No
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Yes   No
Yes   No
Yes   No
Yes   No
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Authorization

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on the application shall be grounds for dismissal

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal and otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company to representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws

I Understand that a consumer credit repost or criminal records check may be necessary prior to my employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that poor credit history or conviction will not automatically result in disqualification from employment.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire