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Application Form
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Personal Information
Name
*
First
Middle
Last
Suffix
Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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Michigan
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Ohio
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Pennsylvania
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South Carolina
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Tennessee
Texas
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Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone Number
*
Alternative Phone Number
Email
*
Are you 18 years or older?
*
Yes
No
Are you currently authorized to work in the United States?
*
Yes
No
Employment Desired
Position
*
Desired Start Date
Date Format: MM slash DD slash YYYY
Desired Salary
*
Type of Work Desired
*
Full-Time
Part-Time
Shift Preference
*
First Shift
Second Shift
Third Shift
Have you ever worked for Mishawaka Sheet Metal?
*
Yes
No
Previous location you worked for Mishawaka Sheet Metal
When did you last work for Mishawaka Sheet Metal?
Have you ever applied for a job with any companies owned by Mishawaka Sheet Metal?
Yes
No
When did you apply?
How did you hear about Mishawaka Sheet Metal?
Education
High School - Name
High School - Location
High School - Number of Years Attended
High School - Did you Graduate?
Yes
No
High School - Grade Point Average
High School - Major Course of Study
College - Name
College - Location
College - Number of Years Attended
College - Did you Graduate?
Yes
No
College - Grade Point Average
College - Major Course of Study
Trade, Vocational or Business School - Name
Trade, Vocational or Business School - Location
Trade, Vocational or Business School - Number of Years Attended
Trade, Vocational or Business School - Did you Graduate?
Yes
No
Trade, Vocational or Business School - Grade Point Average
Trade, Vocational or Business School - Major Course of Study
Additional Educational Experiences
Employment History
Please list Present and all Former Employers (Most recent first)
May we contact your present employer?
*
Yes
No
Employer 1 - Name
*
Employer 1 - Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employer 1 - Supervisor
Employer 1 - Reason for Leaving
Voluntary Quit
Lay-off
Termination
Employer 1 - Date Started Employment
Date Format: MM slash DD slash YYYY
Employer 1 - Date Ended Employment
Date Format: MM slash DD slash YYYY
Employer 1 - Starting Salary
Employer 1 - Ending Salary
Employer 1 - Your Name while Employed
(if different than your Present Name)
Additional Employer
Check box to include another employer
Employer 2 - Name
*
Employer 2 - Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employer 2 - Supervisor
Employer 2 - Reason for Leaving
Voluntary Quit
Lay-off
Termination
Employer 2 - Date Started Employment
Date Format: MM slash DD slash YYYY
Employer 2 - Date Ended Employment
Date Format: MM slash DD slash YYYY
Employer 2 - Starting Salary
Employer 2 - Ending Salary
Employer 2 - Your Name while Employed
(if different than your Present Name)
Additional Employer
Check box to include another employer
Employer 3 - Name
*
Employer 3 - Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Employer 3 - Supervisor
Employer 3 - Reason for Leaving
Voluntary Quit
Lay-off
Termination
Employer 3 - Date Started Employment
Date Format: MM slash DD slash YYYY
Employer 3 - Date Ended Employment
Date Format: MM slash DD slash YYYY
Employer 3 - Starting Salary
Employer 3 - Ending Salary
Employer 3 - Your Name while Employed
(if different than your Present Name)
Additional Employment Information
(if necessary)
Industrial Skills
(complete if applying for a Manufacturing Position)
Can you incrementally read a tape measure?
Yes
No
Can you read down to 1/32"?
Yes
No
Can you read simple blue prints/drawings?
Yes
No
What kind of hand and power tools have you used?
What kind of machines and manufacturing equipment have you operated and/or set up?
Office Skills
(complete if applying for an Office/Clerical Position)
What computer software or program experience do you have?
What other office equipment have you used?
Other Skills / Experiences
Describe any other skills and/or experience that should be considered.
References
Please list the names of three people not related to you, who know your work abilities.
Reference 1 - Name
Reference 1 - Phone
Reference 1 - Business
Reference 1 - Years Known
Reference 2 - Name
Reference 2 - Phone
Reference 2 - Business
Reference 2 - Years Known
Reference 3 - Name
Reference 3 - Phone
Reference 3 - Business
Reference 3 - Years Known
Criminal History
Have you ever been convicted of a felony, or a misdemeanor involving and drug offense, violent act, use or possession of a weapon or act of dishonesty for which the record has not been sealed or expunged?
*
Yes
No
Nature of crime(s)
Please briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case. Employment will not be denied to any applicant solely because the person has been convicted of a crime. The nature, date and circumstances of the offense, as well as whether the offense negatively impacts the person's ability to represent the Company in a positive light, or to perform the job applied for competently and without concern for safety or security, will be considered.
Agreement upon Submission
Please read the following carefully before submitting:
In completing this application form, I understand that Mishawaka Sheet Metal may conduct an investigation of my background. Mishawaka Sheet Metal may utilize a third party reporting agency to conduct an investigation including a consumer report or an investigative consumer report, and in that instance, other documents regarding disclosure and authorization will be provided to me. By my signature below, I authorize all persons, schools, companies, consumer reporting agencies and other organizations to supply all truthful information requested by Mishawaka Sheet Metal in association with the investigation including information regarding my educational background, work history, skills and personal character. I hereby hold harmless all persons, companies, schools, agencies and other parties from all claims related to the provision of accurate and truthful background information provided about me. I understand that any false statements or omissions of requested information will disqualify me from employment with Mishawaka Sheet Metal. Should I become an employee and it is later found out that I have misrepresented or omitted requested information, I understand that I will be discharged. I understand and agree that, if hired, my employment with Mishawaka Sheet Metal is for no definite period and may be terminated at any time for any reason without prior notice. Just as I may resign my employment at any time for any reason, Mishawaka Sheet Metal will have full right and authority to terminate my employment within its sole discretion. I understand and agree that the terms and conditions of my employment, if hired, can only be varied from the "at-will" arrangement through a written contract signed by the President of Mishawaka Sheet Metal. I understand, agree and acknowledge that any reliance on any statements by any other representative of Mishawaka Sheet Metal contrary to the "at-will" arrangement is unreasonable and may not form any basis for my reliance thereon. I also understand and agree that Mishawaka Sheet Metal has the right to modify, amend or terminate policies, procedures, rules and benefit plans in its discretion as long as the changes are in a manner consistent with requirements imposed by law. I acknowledge and agree that, should I receive an initial offer of employment, such offer is preliminary and contingent upon my successful completion of a medical examination which will include testing for the use of drugs and alcohol and will confirm my ability to perform the essential functions of the position for which I am being hired. I understand that my refusal to undergo such examination in its entirety will preclude me from obtaining and continuing employment with Mishawaka Sheet Metal. I understand that a failure of the drug/alcohol test will cause my offer of employment to be rescinded. Further, I hereby authorize and agree that all medical information obtained in association with the post offer pre-placement examination shall be released from the appropriate medical personnel to Mishawaka Sheet Metal. I release and hold harmless all persons, companies and other entities conducting such examination from all liability(ies) and damages experienced as a result of the information provided to Mishawaka Sheet Metal. I understand that this application for employment shall be considered active for a period of time not to exceed sixty (60) days. I understand that, if I wish to be considered for employment beyond this time, I should contact Mishawaka Sheet Metal to inquire as to whether applications are being accepted at such a time.
*
I understand and accept the above legally binding policies and conditions, and that Mishawaka Sheet Metal is relying upon my agreement in accepting my employment application and resume.
Digital Signature
*
Please enter your full name as a digital signature of the application.
Comments
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