Employment Application – Nelson Mechanical Design

1 - Today's Date:

2 - Applicant Name:

3 - Position Applied For:

4 - Email: *

5 - Telephone Number:

6 - Alternate Telephone Number:

7 - Current Address:

Address Line 1

Address Line 2

City

State

Zip Code

8 - If under the age of 18, can you produce the necessary work certificate at the time of employment?

9 - Type of employment desired?

10 - Are you willing to work overtime?

11 - Date on which you can start work, if hired:

12 - If hired, can you provide proof that you are legally eligible for employment in the U.S.?

13 - Have you previously applied for employment with this Company?

14 - Have you ever been employed by this Company?

15 - Do you have any commitments to any other employer which could affect your employment with this Company if hired (for example, an employment agreement, a non-competition, or non-solicitation agreement, etc.)?

16 - Select All That Apply to You:

I Completed High School
I Completed College
I Completed a Graduate Program
I Completed Trade School

25 - Previous Employers:

54 - Have you ever been terminated or asked to resign from any job?

56 - Have you ever been given the choice to resign rather than be terminated?

58 - Briefly describe any special skills, training, or experience you possess relevant to the position for which you are applying:

60 - List any professional or occupational registration, licensure or certification you currently hold which is relevant to the position for which you are applying and/or indicate whether you have ever had any related professional registration, license, or certification suspended, revoked or terminated:

61 - Would you like to provide References?