Job Application

Date*

Which job are you applying for?*

Referral Source

Advertisement
Friend
Relative
Walk-in/Tour
Craig's List
Website
other

If employed and you are under 18, can you furnish a work permit?*

Yes
No

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Preferred Pronouns:

Languages Spoken/Written*

Have you filled out an application here before?

Yes (enter date below)
No

If yes, give date:

Have you ever been employed at Schacht Spindle Co. Inc?*

Yes
No

If yes, list dates of employment*

Are you currently employed?*

Yes
No

May we contact your present employer?*

Yes
No

When are you available to start work?*

Are you available to work:*

Full Time
Part-time
Shift work
Temporary

Have you been laid off and subject to recall?*

Yes
No

Can you travel if a job requires it?*

Yes
No

Are you able to legally work in this country?*

Yes
No

(Proof of citizenship or immigration status may be required upon employment. Please note: Applicants who are offered employment will need to provide their social security number or green card when they report to work on the first day. All new hires are sunject to e-verify.)

Are you a veteran of the U.S. Military?*

Yes
No

Are you currently an active duty service member or a member of the national guard?*

Yes
No

Do you have any phyical limitations that preclude from performing any work for which you are being considered?*

Yes
No

If yes, please explain.*

Upload Resume and/or cover letter.

Drop files here or

Government contractors are subject to 38 USC2012 of the Vietnam Era Veterans Readjustment Act of 1974 which requires that they take affirmative action to employ and advance in employment qualified disabled veterans and veterans of the Vietnam Era, and section 503 of the Rehabilitation act of 1973, as amended, which requires government contractors to take affirmative action to employ and advance in employment qualified disabled individuals. If you are a disabled veteran, or have a physical or mental disability, you are invited to volunteer this information, The purpose is to provide information regarding proper placement and appropriate accommodation to enable you to perform the job to the best of your ability in a proper and safe manner. This information will be treated as confidential. Failure to provide this information will not jeopardize or adversely affect your consideration for employment.

If you wish to be identified please choose one:

Disabled individual
Disabled veteran
Vietnam Era veteran

References

Please list three professional references who are not related to you and are not previous employers

Reference 1 - Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reference 2 - Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Reference 3 - Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Employment and Experience

Start with your present or most recent job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, religion, sex, or national origin.

Employer name*

Employer Name

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job title*

Supervisor*

First Last

Reason for leaving*

Dates employed*

Work performed/Anything else you'd like us to know about this job*

Employer Name*

Employer name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job title*

Supervisor*

First Last

Reason for leaving*

Dates Employed*

Work performed/Anything else you'd like us to know about this job*

Employer Name*

Employer Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title*

Supervisor*

First Last

Reason for leaving*

Dates Employed*

Work performed/Anything else you'd like us to know about this job*

Special Skills and Qualifications*

Education

What is your highest level of education completed?*

Decribe educational focus/course of study:*

Describe specialized training, apprenticeship, skills and extra-curricular activities.*

Applicant Statement

Consent*

I agree

"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 this application shall be grounds for dismissal.

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

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice.

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Application for Employment

References

Employment and Experience

Education

Applicant Statement