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Inman Electric Motors, Inc. - Application for Employment

Inman Electric Motors, Inc., is an equal opportunity employer and does not discriminate in any aspect of employment on the basis of race, color, or religion, sex, pregnancy, sexual orientation, natural origin, marital status, age, ancestry, veteran status, physical or mental disability, or any other legally protected status. Please exclude any information, which may indicate your race, color, religion, sex, pregnancy, sexual orientation, national origin, marital status, age, ancestry, veteran status, physical or mental disability, or any other legally protected status.

Date

Name

First Last

Phone

Cell Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Type of Employment Desired:

Full-time

Part-time

Position applied for:

Salary desired:

Date Available for work:

Referred to Inman Electric by:

Are you willing to work any shift?

Yes

What hours are you available to work?

Can you perform the functions of any job with or without reasonable accommodations?

Yes

Some of our positions have certain physical characteristics that make them difficult or impossible for some people to do. Can you...

Read and write English, and be able to communicate and understand instructions effectively - both verbally and in writing?

Yes

Calculate and understand basic arithmetic?

Yes

Sit, stand, kneel, crouch and stoop?

Yes

Lift up to 50 pounds?

Yes

Work around oil and oil mist?

Yes

If you answered NO to any of the above questions, please explain:

Are you at least 18 years old?

Yes

If hired, can you furnish proof of your age?

Yes

Are you legally authorized to work in the U.S.?

Yes

Do you have any relatives or friends working at Inman Electric Motors, Inc.?

Yes

If yes, please provide their name:

EDUCATION

Select highest grade completed:

High School

College / Trade

If you did not graduate from High School, did you complete your G.E.D.?

Yes

High School

School Name

City and State

College / University

School Name

City and State

Major / Minor

Graduated

Yes

Degree

Associates

Bachelors

Masters

Vocational / Business / Other

School Name

City and State

Course of study

Graduated

Yes

Have you ever applied for a position with Inman Electric Motors, Inc. before?

Yes

If yes, when and what postition?

Have you ever worked for Inman Electric Motors, Inc. before?

Yes

If yes, when and what postition?

Have you ever been convicted of a felony or misdemeanor other than a minor traffic accident?

Yes

If yes, please explain:

NOTE: A conviction is not an absolute bar to employment but will be considered as it related to fitness and ability to perform the job.

Work Experience

Please list all employment for the past 10 years, including times of unemployment, starting with the most recent position. If there is not a 10-year history, please fill out as far back as possible. All information MUST be completed. You may attach a resume, but not in place of completing the required information.

Company Name

Company Address

Dates of Employment

Supervisor's Name

Supervisor's Phone

Job Title

Duties and Responsibilities

Starting salary per hour $

Ending salary per hour $

Reason for leaving:

Company Name

Company Address

Dates of Employment

Supervisor's Name

Supervisor's Phone

Job Title

Duties and Responsibilities

Starting salary per hour $

Ending salary per hour $

Reason for leaving:

Company Name

Company Address

Dates of Employment

Supervisor's Name

Supervisor's Phone

Job Title

Duties and Responsibilities

Starting salary per hour $

Ending salary per hour $

Reason for leaving:

Company Name

Company Address

Dates of Employment

Supervisor's Name

Supervisor's Phone

Job Title

Duties and Responsibilities

Starting salary per hour $

Ending salary per hour $

Reason for leaving:

Company Name

Company Address

Dates of Employment

Supervisor's Name

Supervisor's Phone

Job Title

Duties and Responsibilities

Starting salary per hour $

Ending salary per hour $

Reason for leaving:

References

Name

First Last

Address and Phone

Relationship to You

Occupation

Name

First Last

Address and Phone

Relationship to You

Occupation

Name

First Last

Address and Phone

Relationship to You

Occupation

Skills

Industrial

Assembly

Electronic Assembly

Forklift

General Labor

Inspection

Inventory

Material Handling

Packaging

Shipping/Receiving

Sorting

Warehouse

Assembly Explanation - What type? How many years? Where? When?

Electronic Assembly Explanation - What type? How many years? Where? When?

Forklift Explanation - What type? How many years? Where? When?

General Labor Explanation - What type? How many years? Where? When?

Inspection Explanation - What type? How many years? Where? When?

Inventory Explanation - What type? How many years? Where? When?

Material Handling Explanation - What type? How many years? Where? When?

Shipping/Receiving Explanation - What type? How many years? Where? When?

Sorting Explanation - What type? How many years? Where? When?

Warehouse Explanation - What type? How many years? Where? When?

INDUSTRIAL EQUIPMENT

Blue Prints

Calipers

Micrometers

Tools

Blue Prints Explanation - What type? How many years? Where? When?

Calipers Explanation - What type? How many years? Where? When?

Micrometers Explanation - What type? How many years? Where? When?

Tools Explanation - What type? How many years? Where? When?

MACHINE OPERATORS / SKILLED POSITIONS

CNC

Drill Press

Grinder

Crane

Hoist

Lathe

Metal Shear

Punch Press

Set Up

Electrician

Machinist

Machine Maintenance

Tool and Die

Welder

Auto Mechanic

Diesel Mechanic

CDL Driver

CNC Explanation - What type? How many years? Where? When?

Drill Press Explanation - What type? How many years? Where? When?

Grinder Explanation - What type? How many years? Where? When?

Crane Explanation - What type? How many years? Where? When?

Hoist Explanation - What type? How many years? Where? When?

Lathe Explanation - What type? How many years? Where? When?

Metal Shear Explanation - What type? How many years? Where? When?

Punch Press Explanation - What type? How many years? Where? When?

Set Up Explanation - What type? How many years? Where? When?

Electrician Explanation - What type? How many years? Where? When?

Machinist Explanation - What type? How many years? Where? When?

Machine Maintenance Explanation - What type? How many years? Where? When?

Tool and Die Explanation - What type? How many years? Where? When?

Welder Explanation - What type? How many years? Where? When?

Auto Mechanic Explanation - What type? How many years? Where? When?

Diesel Mechanic Explanation - What type? How many years? Where? When?

CDL Driver Explanation - What type? How many years? Where? When?

Any other skills you have that are not listed above:

Inman Electric Motors, Inc. - Application for Employment

Some of our positions have certain physical characteristics that make them difficult or impossible for some people to do. Can you...

EDUCATION

High School

College / University

Vocational / Business / Other

Work Experience

References

Skills

Inman Electric Motors is located at

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