Contact

Position Applied for:

Date of Application:

Name

Address

Phone Number:

If you are under 18, and it is required, can you furnish a work permit?

*YesNo

If no, please explain:

Have you ever been employed here before?

*YesNo

Are you legally eligible for employment in this country?

*YesNo

Date available for work:

Have you been convicted of a crime in the last seven (7) years?

*YesNo

If yes, please explain

Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.

Driver’s license number if driving is an essential job function

State

EMPLOYMENT HISTORY

Provide the following information for your past three (3) employers, assignments or volunteer activities, starting with the most recent.

Name of Employer

From

(MM/YY)

Hourly Rate/Salary: Start $

Final $

Address

Immediate Supervisor & Title

Reason for leaving

Summarize the nature of work performed and job responsibilities

Name of Employer

From

(MM/YY)

Hourly Rate/Salary: Start $

Final $

Address

Immediate Supervisor & Title

Reason for leaving

Summarize the nature of work performed and job responsibilities

Name of Employer

From

(MM/YY)

Hourly Rate/Salary: Start $

Final $

Address

Immediate Supervisor & Title

Reason for leaving

Summarize the nature of work performed and job responsibilities

Skills & Qualifications.

Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Describe mechanical background that may be related to the position for which you have applied:

List any machines you have operated, specify position and length of time on each machine:

Check which inspection/machinist tools you have used previously:

*Micrometersblueprintscalipersschematics

1. A student works in a factory during the holidays. He loads 10 trucks an hour. He works 8 hours a day, 5 days a week. How many trucks has he loaded after 4 weeks of work?

*(A) 800 Trucks(B) 1,200 Trucks(C) 1,600 Trucks(D) 2,000 Trucks

2. When operating any mechanical equipment, you should:

*(A) Wear earphones for hearing protection(B) Keep all guards in place(C) Operate it correctly and safely and concentrate on the job at hand.(D) b) and c) only

3. Inventory counts take 3 hours. If Jack counts 125 coolers per hour, what is the total number of coolers Jack has counted at the end of inventory?

*(A) 300 Coolers(B) 350 Coolers(C) 375 Coolers(D) 400 Coolers

REFERRAL SOURCE

Educational Background (IF JOB RELATED)

NAME AND LOCATION

YEARS COMPLETED

DID YOU GRADUATE?

COURSE OF STUDY

References

NAME

PHONE NUMBER

RELATIONSHIP

YEARS KNOWN

I UNDERSTAND THAT IF I AM EMPLOYED, ANY MISREPRESENTATION OR MATERIAL OMISSION MADE BY ME ON THIS APPLICATION WILL BE SUFFICIENT CAUSE FOR CANCELLATION OF THIS APPLICATION OR IMMEDIATE DISCHARGE FROM THE EMPLOYER’S SERVICE, WHENEVER IT IS DISCOVERED. I GIVE THE EMPLOYER THE RIGHT TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES, EMPLOYERS, EDUCATIONAL INSTITUTIONS, AND TO OTHERWISE VERIFY THE ACCURACY OF THE INFORMATION CONTAINED IN THIS APPLICATION. I HEREBY RELEASE FROM LIABILITY THE EMPLOYER AND ITS REPRESENTATIVES FOR SEEKING, GATHERING, AND USING SUCH INFORMATION AND ALL OTHER PERSONS, CORPORATIONS, OR ORGANIZATIONS FROM FURNISHING SUCH INFORMATION. THE EMPLOYER DOES NOT UNLAWFULLY DISCRIMINATE IN EMPLOYMENT AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY LOCAL, STATE, OR FEDERAL LAW. THIS APPLICATION IS CURRENT FOR ONLY 60 DAYS. AT THE CONCLUSION OF THAT TIME, IF I HAVE NOT HEARD FROM THE EMPLOYER AND STILL WISH TO BE CONSIDERED FOR EMPLOYMENT, IT WILL BE NECESSARY TO COMPLETE A NEW APPLICATION. IF I AM HIRED, I UNDERSTAND THAT I AM FREE TO RESIGN AT ANY TIME, WITH OR WITHOUT CAUSE, AND WITHOUT PRIOR NOTICE, AND THE EMPLOYER RESERVES THE SAME RIGHT TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE, AND WITHOUT PRIOR NOTICE, EXCEPT AS MAY BE REQUESTED BY LAW. THIS APPLICATION DOES NOT CONSTITUTE AN AGREEMENT OR CONTRACT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OR DEFINITE DURATION. I UNDERSTAND THAT NO REPRESENTATIVE OF THE EMPLOYER, OTHER THAN AN AUTHORIZED OFFICER, HAS THE AUTHORITY TO MAKE ANY ASSURANCES ON THE CONTRARY. I FURTHER UNDERSTAND THAT ANY SUCH ASSURANCES MUST BE IN WRITING AND SIGNED BY AN AUTHORIZED OFFICER. I UNDERSTAND IT IS THE COMPANY’S POLICY NOT TO REFUSE TO HIRE A QUALIFIED INDIVIDUAL WITH A DISABILITY BECAUSE OF THAT PERSON’S NEED FOR A REASONABLE ACCOMMODATION AS REQUIRED BY THE ADA. I ALSO UNDERSTAND THAT IF I AM HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF MY IDENTITY AND LEGAL WORK AUTHORIZATION. I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.

Signature of applicant

Date

CONTACT

EMPLOYMENT HISTORY

Skills & Qualifications.

REFERRAL SOURCE

Educational Background (IF JOB RELATED)

References

Our Locations

Elkhart, Indiana

Decatur, Alabama

Nashville, Tennessee

Contact EFP

inquiries@efpcorp.com

Elkhart, Indiana

Decatur, Alabama

Nashville, Tennessee