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Engineering Quality CNC Components and Systems Since 1985

Application For Employment

  Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.  

Position Applied for:
Referral Source:
First Name: Middle: Last:
Address:        
City: State: Zip:
Phone: SSN#: Email:

If you are under 18, would you be able to furnish a work permit?
Have you ever been employed with MicroKinetics before?
If Yes, give dates.
Are you employed now?
May we contact your existing employer?
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(proof of citizenship or immigration status may be required upon employment.)
On what date would you be available for work?
Are you available to work:
Are you on a lay-off and subject to recall?
Can you travel if a job requires it?
Have you been convicted of a felony within the last 7 years?
(Conviction will not necessarily disqualify applicant from employment.)
If Yes, please explain.

Employment Experience

Start with your present or last job. Include military service assignments and volunteer activities.
Exclude organization names which indicate race, color, religion, sex or national origin.

(Fill Out Completely)

1.
Employer:
Phone:
Address:
Job Title:
Supervisor:
Reason for Leaving (or for planning to leave):

Dates Employed

Hourly Rate/Salary

From

To

Starting

Final

Average hours per week:

Work Performed:

2.
Employer:
Phone:
Address:
Job Title:
Supervisor:
Reason for Leaving (or for planning to leave):

Dates Employed

Hourly Rate/Salary

From

To

Starting

Final

Average hours per week:

Work Performed:

3.
Employer:
Phone:
Address:
Job Title:
Supervisor:
Reason for Leaving (or for planning to leave):

Dates Employed

Hourly Rate/Salary

From

To

Starting

Final

Average hours per week:

Work Performed:

Education

 

High

College/University

Graduate/Professional
School Name:

Years Completed:

Diploma/Degree:

Describe Course of Study:


Describe Specialized Training, Apprenticeship, Skills, and Extra-Curricular Activities.

Honors Received:

State any additional information you feel may be helpful to us in considering your application.

Applicant's Statement


I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Company.

(All information provided on this form will be held confidential and will not be made available to anyone else.)