Qualified applicants receive equal
consideration. No question is asked for the purpose of
excluding any applicant due to race, creed, color,
national origin, religion, age, sex, handicap, veteran
status, marital status, sexual orientation, or any other
characteristic protected by law. We are equal
opportunity employer.
Please list
chronologically, beginning with most recent experience.
Employer:
Address/City:
From (MM/YYYY):
To
(MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
Employer:
Address/City:
From (MM/YYYY):
To
(MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
Employer:
Address/City:
From (MM/YYYY):
To
(MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
Education
Name & Location
of School
Select Last Year
Completed
Major Course
Diploma/Degree
High
School
College/University
College/University
Business or Trade School
Personal Information
Member of the
Drug-Free Workplace Network. Pre-Employment Drug Testing
is a Requirement.
Are you legally
authorized to work in the U.S.?: (If hired, you will be required
to provide proof of work authorization.)
Yes
No
Are you at least 18
years of age?:
Yes
No
Briefly describe skills
you may have that you acquired in other employment or
armed forces:
Have you ever been
convicted of a crime (felony)?:
Yes
No
If yes, give details: (Convictions are not automatic
bar to employment)
If you are experienced
operator of any office machines or equipment, please
list:
Typing speed?:
wpm
Shorthand?:
wpm
If you are experienced
operator of any plant machines or equipment, please
list:
Do you have any other
skills you wish to mention?:
Are you presently
employed?:
Yes
No
If so, may we contact
your present employer?:
Yes
No
If hired, when would you
be available?:
Employment References
List individuals
familiar with your job qualifications (No relatives or
personal friends).
1)
Name of Reference:
2)
Name of Reference:
Occupation:
Occupation:
Address:
Address:
City/State/Zip:
City/State/Zip:
Phone:
Phone:
Relationship:
Relationship:
How long known:
How long known:
Invitation to Identify for
Affirmative Action Purposes
Edstrom Industries, Inc., is
committed to the employment and advancement of
minorities, females, and individuals with disabilities
and veterans. If you fall into one of these protected
classifications, we invite you to identify yourself and
receive coverage under our company's Affirmative
Action Plan. You may inform us of your desire
to benefit under the program at this time and/or any
time in the future.
Gender:
Male
Female
Indicate The Appropriate
Race/Ethnic Group:
How Were You Referred To
This Job:
Please read carefully before submitting your
application
All information contained in this application is true
and correct to the best of my knowledge and belief. I
understand that misrepresentations or omissions of any
kind may result in denial of employment or be cause for
subsequent dismissal if I am hired. I authorize the
company to investigate my responses on this application
and contact any or all of my former employers or any
individuals familiar with me or my employment background
for the purpose of verifying any information, I have
provided and/or for the purpose of obtaining any
information, whether favorable or unfavorable, about me
or my employment. I voluntarily and knowingly fully
release and hold harmless any person or organization
that provides information pertaining to me or my
employment. I understand that upon receiving a job
offer, a physical examination and drug screening may be
required. (Note: If this is a job requirement, you will
be notified.)
Regardless of whether or not I become employed by the
company, I recognize that this application is not and
should not be considered a contract of employment. I
understand that employment at the company is on an
at-will basis and that my employment may be terminated
with or without cause, and without notice, at any time,
at my option or the company's unless specifically
provided otherwise in a written employment contract. I
further understand that no company employee or
representative has the authority to enter into a
contract regarding duration or terms and conditions of
employment other that an officer or official of the
company, and then only by means of a signed written
document. We have a policy of no smoking on the
premises.
Check this box to
certify that you have read and accept the above
statement.
