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Job Application: CNC Programmer

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Personal Information
First Name Middle Name Last Name
Home Phone Work Phone Cell Phone
Email Address
Address City State Zip Code Since
Current Residence:
Education
School Attended: City: State: Diploma: Degree/Cert.: Area of Study:
High School yes
no
College (1) yes
no
College (2) yes
no
Employment Information
Position Applying For Date You Can Start Desired Salary
Which do you prefer? When can you work? Weekends
Evenings
 Availability M
Tu
W
Th
F
Sa
Su
Not Available
Please answer all of the following questions.
1. Are you at least 18 years old? yes
no
2. Are you legally eligible for employment in the USA? yes
no
3. Have you worked for us before? yes
no
If yes, please provide dates and locations
4. Are you able to preform the essential functions of the job with or without reasonable accomodations? yes
no
5. Have you ever been convicted of, or pled guilty to, a felony or crime other than a minor traffic citation? yes
no
If yes, please explain
Employment History
Please list your current and/or past employer information:
Most Recent Employer Prior Employer(1) Prior Employer (2)
Employer:
City
State
Zip Code
Phone
Position Held
From
To
Pay Upon Leaving
Supervisor
Duties
Reason for leaving
References
Reference (1) Reference (2) Reference (3)
Name:
Address
Phone
Relationship
Years Acquainted
Additional Information
Please use this space to list any special skills you may have that relate to the position applied for:
Please list any professional licenses, designations, certifications, etc. that may relate to the position applied for.
Include date granted, name of organization, and any other relevant information.
Resume
Please copy/paste your resume.
Upload your resume. (word or pdf file preferred)
Optional Information The Civil Rights Act of 1964 (Title 42, United States Code, Section 2000e et. Seq) and related laws and regulations require employers to monitor their equal employment opportunity compliance on a continuing basis. To aid in this review process, you are requested to identify your sex and group status on this form. The information you furnish will be maintained only for the purpose of monitoring compliance with applicable laws and regulations concerning equal employment opportunity and will not be used for any other purpose.
Social Security Number Please specify additional information here:
Group Status
Gender male
female
Application Agreement
1.) I have read and reviewed the information in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
yes
2.) I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.
yes
Signature Date

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