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Qualified applicants
receive equal consideration. No
question is asked for the purpose of
excluding any applicant due to race,
creed, color, national origin,
religion, age, sex, handicap,
veteran status, marital status,
sexual orientation, or any other
characteristic protected by law. We
are equal opportunity employer.
The field descriptions in
BLUE
text are required. |
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First Name: |
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Last
Name: |
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Address: |
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City: |
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State: |
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Zip: |
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Phone: |
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E-mail: |
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Desired Position: |
Click here to view descriptions
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If
Other: |
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Employment History
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Please list chronologically,
beginning with most recent
experience. |
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Employer: |
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Address/City: |
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From
(MM/YYYY): |
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To
(MM/YYYY): |
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Supervisor: |
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Phone: |
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Salary: |
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Type
of Work: |
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Reason for Leaving: |
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Employer: |
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Address/City: |
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From
(MM/YYYY): |
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To
(MM/YYYY): |
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Supervisor: |
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Phone: |
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Salary: |
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Type
of Work: |
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Reason for Leaving: |
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Employer: |
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Address/City: |
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From
(MM/YYYY): |
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To
(MM/YYYY): |
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Supervisor: |
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Phone: |
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Salary: |
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Type
of Work: |
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Reason for Leaving: |
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Education
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Personal
Information
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Member of the Drug-Free Workplace
Network. Pre-Employment Drug Testing
is a Requirement. |
Are
you legally authorized to work in
the U.S.?:
(If hired,
you will be required to provide
proof of work authorization.)
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Yes
No
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Are
you at least 18 years of age?:
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Yes
No
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Briefly describe skills you may have
that you acquired in other
employment or armed forces:
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Have
you ever been convicted of a crime
(felony)?: |
Yes
No
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If
yes, give details:
(Convictions
are not automatic bar to employment)
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If
you are experienced operator of any
office machines or equipment, please
list: |
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Typing speed?: |
wpm |
Shorthand?: |
wpm |
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If
you are experienced operator of any
plant machines or equipment, please
list:
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Do
you have any other skills you wish
to mention?: |
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Are
you presently employed?:
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Yes
No
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If
so, may we contact your present
employer?: |
Yes
No
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If
hired, when would you be available?: |
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Employment References
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List individuals familiar with your
job qualifications (No relatives or
personal friends). |
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1)
Name of Reference: |
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2)
Name of Reference: |
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Occupation: |
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Occupation: |
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Address: |
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Address: |
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City/State/Zip: |
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City/State/Zip: |
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Phone: |
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Phone: |
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Relationship: |
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Relationship: |
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How
long known: |
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How
long known: |
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Invitation to Identify for
Affirmative Action Purposes
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Edstrom
Industries, Inc., is committed to
the employment and advancement of
minorities, females, and individuals
with disabilities and veterans. If
you fall into one of these protected
classifications, we invite you to
identify yourself and receive
coverage under our company's
Affirmative Action Plan.
You may inform us of your desire to
benefit under the program at this
time and/or any time in the future.
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Gender: |
Male |
Female |
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Indicate
The Appropriate Race/Ethnic Group:
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How Were
You Referred To This Job:
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Please read carefully before
submitting your application
All information contained in this
application is true and correct to
the best of my knowledge and belief.
I understand that misrepresentations
or omissions of any kind may result
in denial of employment or be cause
for subsequent dismissal if I am
hired. I authorize the company to
investigate my responses on this
application and contact any or all
of my former employers or any
individuals familiar with me or my
employment background for the
purpose of verifying any
information, I have provided and/or
for the purpose of obtaining any
information, whether favorable or
unfavorable, about me or my
employment. I voluntarily and
knowingly fully release and hold
harmless any person or organization
that provides information pertaining
to me or my employment. I understand
that upon receiving a job offer, a
physical examination and drug
screening may be required. (Note: If
this is a job requirement, you will
be notified.)
Regardless of whether or not I
become employed by the company, I
recognize that this application is
not and should not be considered a
contract of employment. I understand
that employment at the company is on
an at-will basis and that my
employment may be terminated with or
without cause, and without notice,
at any time, at my option or the
company's unless specifically
provided otherwise in a written
employment contract. I further
understand that no company employee
or representative has the authority
to enter into a contract regarding
duration or terms and conditions of
employment other that an officer or
official of the company, and then
only by means of a signed written
document. We have a policy of no
smoking on the premises.
Check this box to certify that you
have read and accept the above
statement. |
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