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Drew's Manufacturing Co. Employment Application
(Pre-Employment Questionaire) (An Equal Opportunity Employer)
Full Name (*)
Please enter your full name
Address (*)
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Phone Number (*)
Please enter your phone number
Are you 18 years or older? (*)
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Are you either a U.S. citizen or alien authorized to work in the U.S.? (*)
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Are you presently on probation or parole? (*)
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Do you have any physical limitations that preclude you from performing any work for which you are being considered? (*)
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If yes to above question, please describe physical limitations and what can be done to accommodate your limitation.
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Have you ever had back surgery or chronic back trouble?
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Have you ever applied to this company before?
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Employment Desired
Position applying for (*)
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Date you can start (*)
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Salary / Wage desired (*)
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Are you currently employed?
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May we contact your present employer? (if yes, please provide company name)
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Employment History. Please provide information about your last three jobs, starting with your present or most recent.
Employment 1 (Company name, employment dates, position, wage/salary, reason for leaving)
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Employment 2 (Company name, employment dates, position, wage/salary, reason for leaving)
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Employment 3 (Company name, employment dates, position, wage/salary, reason for leaving)
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U.S. Military Service? Rank?
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Education History.
What high school did you attend and did you graduate?
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Have you attended college? If yes, what college and did you graduate?
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Have you attended any trade schools? If yes, what trade school and subject did you study?
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Other information, credentials, licenses, ect... which are relevant to the position you are applying for.
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References. Please give the names of three persons, not related to you, whom you have known at least 3 years.
Reference 1 (name, phone #, occupation, years acquainted)
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Reference 2 (name, phone #, occupation, years acquainted)
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Reference 3 (name, phone #, occupation, years acquainted)
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Please answer YES or NO to the following statements based on if you accept the statements or not.
I certify that 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. (*)
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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. (*)
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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/or salary, be terminated at any time without prior notice. (*)
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Date (*)
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