ARE YOU PROCESS MACHINERY READY? APPLICATION INFORMATIONPosition applied for: Date of application:(Required) Name:(Required) Street address, city, state, zip :(Required) Email Address(Required) Phone Number:(Required)Alternate Phone Number:Best Time to Call: Are you legally able to work in the United States?YesNo(Proof will be required upon hire)Have you ever applied with Process Machinery, Inc.?(Required)YesNoIf So When Did you apply? Are you available to work Full Time?(Required) Are you available to work Part Time? Willing to relocate?(Required)YesNoNot ApplicablePlease indicate required salary: EDUCATIONHigh School(Required) Name and Address of School(Required) Course of Study Years Completed(Required) Diploma/ Degree(Required) Undergraduate College Name and Address of School Course of Study Years Completed Diploma/ Degree Graduate/ Professional Name and Address of School Course of Study Years Completed Diploma/ Degree Vocational or Technical Name and Address of School Course of Study Years Completed Diploma/ Degree Other qualifications (Special job-related skills, military training, apprenticeship, extra-curricular activities, business or civic activities and offices held):(Required)PREVIOUS WORK EXPERIENCEEmployer:(Required) Address:(Required) City, State, Zip Code:(Required) Telephone: Job Title:(Required) Job Duties:(Required) Dates of Employment:(Required) From - ToStarting Pay: Ending Pay: Reason for Leaving:(Required) Employer:(Required) Address:(Required) City, State, Zip Code:(Required) Telephone: Job Title:(Required) Job Duties:(Required) Dates of Employment:(Required) From - ToStarting Pay: Ending Pay: Reason for Leaving:(Required) Comments: Include explanation of any gaps in employment:(Required)PERSONAL/PROFESSIONAL REFERENCESName First Last PhoneOccupation: How does this person know you? Name First Last PhoneOccupation: How does this person know you? Name First Last PhoneOccupation: How does this person know you? Have you ever been convicted of a felony?(Required)YesNoIf yes, please state the date of the conviction and the convicted charge: If you are applying for a position that requires a drivers license, please fill out this section:Do you have a valid driver’s license?YesNoIf yes, give license no. and state where issued: How many reportable accidents have you had in the past 5 years? How many moving violations have you had in the past 5 years? Briefly explain each accident here:Consent(Required) I agree to the privacy policy.I certify that all information given on this application and any supporting information is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and if hired may result in my dismissal. I authorize Process Machiney Inc. to contact all former and current employer references listed and all educational institutions. All references are authorized to release all information requested which they might have about me. I hereby release Process Machiney Inc. and all references from any liability which might be claimed because of information provided by such references. I agree that, if hired, I will follow all company policies, rules, procedures, and all other directions. I understand that this application or subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I may terminate my employment at any time and for any reason without prior notice. I agree that if I am hired, I will be employed at the will of the company and my employment can be terminated at any time, with or without notice. I understand that Process Machiney Inc. is committed to promoting safety and high standards of employee performance, productivity, and reliability. All applicants may be required to pass a drug screening test prior to being hired. If I cannot pass a drug screening test, Process Machiney Inc. will not hire me. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event that I am hired. I have read, understand, and by my signature consent to these statements.Applicant signature:(Required) Date:(Required)
