Application for Employment

Personal Information

Present Address

Last Previous Address

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Education and Training

High School

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2.

 
 
 
 

College

1.

 
 
 
 

2.

 
 
 
 

Other

List Graduate School, Apprentice Programs, Special Training, and Service Programs

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2.

 
 
 
 

3.

 
 
 
 

4.

 
 
 
 

Special Skills

Office Skills

Special Licenses

Employment Record - Begin with current or most recent employer, including Military Service.

1.

Dates Employed

Salary Per Wk.

 
 
 

2.

Dates Employed

Salary Per Wk.

 
 
 

3.

Dates Employed

Salary Per Wk.

 
 
 

4.

Dates Employed

Salary Per Wk.

 
 
 

5.

Dates Employed

Salary Per Wk.

 
 
 

Personal References: (Names of Persons - NOT Relatives - Who Can Provide Professional and/or Character References)

1.

2.

3.

In Case of Emergency the Following Persons Should be Notified: Two(2) Required

1.

2.

Bucyrus Precision Tech, Inc.

Equal Opportunity Employer

 

ALL QUALIFIED APPLICANTS WILL RECIEVE CONSIDERATION WITHOUT REGARD TO AGE, DISABLITY, RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, MILITARY STATUS, OR CITIZENSHIP

Acknowledgement

 

I certify that the information contained in this application is complete and accurate. I agree that the company shall not be liable in any respect if my employment is terminated because of the falsity of statements, answer, or omission made by me in this application for employment. I authorize all schools, former employers, references, and others who have information about me to provide such information to the company and I hereby release all parties from liability for any damage that may result from providing such information.

 

I understand that any offer of employment is contingent upon my satisfactorily passing a drug/alcohol screening test. I further understand and agree that any offer of employment is contingent upon my satisfactorily passing a medical examination. Should an offer of employment be extended to me, or should I begin employment prior to the results of a medical examination, my employment may be subject to termination based upon the results of such examination.

 

I agree to conform to the rules, regulations, policies, and procedures of the company and understand and agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time by either the company or myself. I understand that no manager, assistant manager, or other representative of the comapny has authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing.

 

The use of this blank does not indicate there are positions open and does not in any way obligate the company.