Employment Application

Social Security Number: *

First Name *

Last Name *

Email *

Home Phone *

Mobile Phone

Address *

Address Line 2

City *

State *

Postal Code *

Position(s) applied for or type of work desired: *

Employment Desired *

Full-time

Part-time

Temporary

Date available to start work: *

(Use MM/DD/YYYY format)

Are you able to meet the attendance requirements? *

Yes

No

Do you have any objection to working overtime if necessary? *

Yes

No

Do you have any relatives or friends who are employed by Coilmaster? *

Yes

No

Please provide name(s):

Have you ever been previously employed by our organization? *

Yes

No

When, and in what position?

Can you submit proof of legal employment authorization and identity? *

Yes

No

If you are under 18, can you furnish a work permit if it is required? *

Yes

No

N/A

Have you ever been convicted of a crime in the last 7 years? *

Yes

No

Please explain (a conviction will not automatically bar employment):

Are you currently employed? *

Yes

No

May we contact your present employer? Please provide your employer's name and phone number.

Employment History

*Please provide information for your past five employers starting with the present or most recent.

Employer: *

Position held: *

Phone Number: *

Address: *

Job summary: *

Reason for leaving: *

Salary: *

Immediate supervisor and title: *

Employed From: *

(Use MM/DD/YYYY format)

Employed To: *

(Use MM/DD/YYYY format)

Employer: *

Position held: *

Phone Number: *

Address: *

Job summary: *

Reason for leaving: *

Salary: *

Immediate supervisor and title: *

Employed From: *

(Use MM/DD/YYYY format)

Employed To: *

(Use MM/DD/YYYY format)

Employer:

Position held:

Phone Number:

Address:

Job summary:

Reason for leaving:

Salary:

Immediate supervisor and title:

Employed From:

(Use MM/DD/YYYY format)

Employed To:

(Use MM/DD/YYYY format)

Employer:

Position held:

Phone Number:

Address:

Job summary:

Reason for leaving:

Salary:

Immediate supervisor and title:

Employed From:

(Use MM/DD/YYYY format)

Employed To:

(Use MM/DD/YYYY format)

Employer:

Position held:

Phone Number:

Address:

Job summary:

Reason for leaving:

Salary:

Immediate supervisor and title:

Employed From:

(Use MM/DD/YYYY format)

Employed To:

(Use MM/DD/YYYY format)

Other Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

References

List 3 references (Do not include relatives or employers):

Name *

Phone Number *

Number of Years Known *

Name *

Phone Number *

Number of Years Known *

Name *

Phone Number *

Number of Years Known *

Educational History

School Name and Location (High School) *

Yrs Completed *

Course of Study *

Degree Earned *

School Name and Location (College)

Yrs Completed

Course of Study

Degree Earned

School Name and Location (Technical / Other)

Yrs Completed

Course of Study

Degree Earned

All Applicants should carefully read the Coilmaster Attendance Control Policy (ACP) outlined here. If you cannot meet the requirements of the ACP, you will not be considered for employment with Coilmaster Corporation. There can be no special arrangements made regarding attendance.

Click Here to Read the ACP

ACKNOWLEDGEMENTS:

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.
I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.
If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.
I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.
I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.
I acknowledge that I have read the Coilmaster Attendance Control Policy and am able to comply with it during the New-Hire period and after the New-Hire period.

By pressing the "Submit Your Application" button below, I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

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Employment Application

Employment History

Other Skills and Qualifications

References

Educational History

ACKNOWLEDGEMENTS:

By pressing the "Submit Your Application" button below, I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

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Employment History

Other Skills and Qualifications

References

Educational History

ACKNOWLEDGEMENTS:

By pressing the "Submit Your Application" button below, I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.

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Want more?

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