Job Application

APPLICATION FOR EMPLOYMENT

PLEASE READ BEFORE COMPLETING THIS APPLICATION AND ANSWERING THE FOLLOWING QUESTIONS. PLEASE KEEP IN MIND THAT NONE OF THE QUESTIONS ARE INTENDED TO IMPLY ANY LIMITATIONS, PREFERENCES, OR DISCRIMINATION BASED ON ANY NON-JOB-RELATED INFORMATION. BY COMPLETING THIS APPLICATION, THERE IS NO ASSURANCE OF EMPLOYMENT. HOWEVER, IF A SUITABLE OPENING OCCURS, THIS APPLICATION WILL RECEIVE DUE CONSIDERATION. USE OF THIS FORM DOES NOT INDICATE THERE ARE POSITIONS AVAILABLE.

I. Personal Data

Name

Last Name *

First Name *

Middle Name

Your Email *

Address

Street

City

State

Zip

Phone At Which You Can Be Reached

Daytime

Evenings

Previous Address (if less than 2 years at above)

Street

City

State

Zip

Position(s) Applied For

Date Available

Full or Part Time?

Full-time
Part-time

Hours Preferred

Other special qualifications and skills

Are you authorized to work in the U.S. in the position for which you are applying?

Yes
No

Ever applied to work here before?

Yes
No

Position Applied For

When?

Ever worked here before?

Yes
No

If yes, provide details

Do you have any commitments to another employer which might affect your work here?

Yes
No

If yes, please explain

Is your age at least 18?

Yes
No

II. Education and Training

Please complete all appropriate items.

High or Trade School

NAME AND LOCATION OF SCHOOL

DATES ATTENDED

NAME AND DATE OF DEGREE EARNED

MAJOR AND MINOR FIELDS OF STUDY

Diploma?

Yes
No

Business or Tech. School

NAME AND LOCATION OF SCHOOL

DATES ATTENDED

NAME AND DATE OF DEGREE EARNED

MAJOR AND MINOR FIELDS OF STUDY

Colleges

NAME AND LOCATION OF SCHOOL

DATES ATTENDED

NAME AND DATE OF DEGREE EARNED

MAJOR AND MINOR FIELDS OF STUDY

Other Training (Explain)

NAME AND LOCATION OF SCHOOL

DATES ATTENDED

NAME AND DATE OF DEGREE EARNED

MAJOR AND MINOR FIELDS OF STUDY

III. Employment Record

Starting with PRESENT or most RECENT job, list all previous employers. Include self-employment, military service, summer, and part-time jobs.

PRESENT / PREVIOUS EMPLOYER

DATES (mo/yr)

SALARY

POSITION & DUTIES

Company Name

From

Starting $

Position & Duties

Street Address

To

Ending $

May we contact this employer?

Yes
No

City

State, Zip

Telephone Number

Name & Title of Supervisor

Reason for leaving

PRESENT / PREVIOUS EMPLOYER

DATES (mo/yr)

SALARY

POSITION & DUTIES

Company Name

From

Starting $

Position & Duties

Street Address

To

Ending $

May we contact this employer?

Yes
No

City

State, Zip

Telephone Number

Name & Title of Supervisor

Reason for leaving

PRESENT/PREVIOUS EMPLOYER

DATES (mo/yr)

SALARY

POSITION & DUTIES

Company Name

From

Starting $

Position & Duties

Street Address

To

Ending $

May we contact this employer?

Yes
No

City

State, Zip

Telephone Number

Name & Title of Supervisor

Reason for leaving

IV. Military Service

Have you served in the U.S. Armed Forces?

Yes
No

Branch of Service

Length of Service

Final Rank Achieved

Indicate service school attended or other special training received

V. References
(Do not list relatives or former employers)

Name

Address and Phone Number

Known How Long

Occupation

1) Reference Name

Address and Phone Number

Known How Long

Occupation

2) Reference Name

Address and Phone Number

Known How Long

Occupation

3) Reference Name

Address and Phone Number

Known How Long

Occupation

4) Reference Name

Address and Phone Number

Known How Long

Occupation

I certify that the facts set forth in this employment application (and any accompanying resume) are true and complete to the best of my knowledge. I understand that any falsification, omission, misrepresentation or concealment of information on this application may be sufficient grounds for disqualification from further consideration for hire or immediate discharge and that the company shall not be liable in any respect if my employment is so denied or terminated.

I authorize the Company to verify the information contained in this application and to make any investigation of my personal or employment history. I also authorize any former school, employer, person, firm, corporation, credit agency or government agency to give the Company any information that they may have about me. In consideration of the Company's review of this application, I release the Company and all providers of information from any liability as a result of furnishing and receiving this information.

I further agree that, if employed, I will conform my conduct to Company rules and understand that unless otherwise specifically agreed to in writing, my employment can be terminated at any time with or without cause, and with or without notice, at my option or the option of the Company. I understand that no personnel recruiter, interviewer or other representative of the Company other than the President has authority to enter into any agreement for employment for any specified period of time. I also understand that this application and any employment manuals or handbooks that may be distributed to me during the course of my employment shall not be construed as a contract.

Schwing America, Inc. provides equal employment opportunity to all individuals regardless of disability, race, age, religion, color, gender, creed, national origin, or political affiliation.

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