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Personal Information

Last Name *

First Name *

Middle *

Current Address *

City *

State *

Zip *

Home or Nearest Phone *

Emergency Phone *

Position

Position * General Application Manual Machinist Part-Time Production Machinist/Production Floater Production Assembly

When Can You Start? *

Education

High School

Yrs Comp.

Diploma

College

Yrs Comp.

Degree

Course of Study

Have you applied for a job with us before?

Yes

No

Have you ever worked for us before?

Yes

No

Do you have any relatives working here?

Have you ever served in the U.S. Armed Forces?

Yes

No

If yes, which branch?

Date Entered Service

Date Discharged

Have you ever been convicted of a crime?

Yes

No

If yes, enter state, court, and offense.

Do not include minor traffic violations.

Reference #1

Name

Address

Phone

Reference #2

Name

Address

Phone

Reference #3

Name

Address

Phone

Employment Experience

Start with most recent or present employer and complete in full.

Employer

Address

Supervisor

Phone

Job Title

Start Date

Stop Date

Starting Salary

Stopping Salary

Work Performed

Reason for Leaving

May we contact this employer?

Yes

No

Employer

Address

Supervisor

Phone

Job Title

Start Date

Stop Date

Starting Salary

Stopping Salary

Work Performed

Reason for Leaving

May we contact this employer?

Yes

No

Additional Information

Please provide any additional information such as special skills, training, management experience, equipment operation, or qualifications you feel will be helpful to use in considering your application.

I have read, understand, and agree to the below agreement and conditions. *

Yes

No

I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between American Handling Systems, Inc., and myself for either employment or for the providing of any benefit. No promises regarding employment has been made to me and I understand that no such promise or guarantee is binding upon American Handling Systems, Inc., unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that American Handling Systems, Inc., retains the same right.

American Handling Systems, Inc., is an Equal Opportunity Employer, committed to employing individuals without regard to race, color, age, sex, marital status, veteran status, religion, creed, national origin, ancestry or handicap.

I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise polices or procedures, in whole or in part, at any time.

I understand that this application will be kept on active file for 60 days from the date completed, after which time I would have to reapply in accordance with established company procedures.