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201 Lehmann Farm Road Whitney TX, 76692
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2024 Catalog
Employment Application
Applicant Information
First Name
*
Middle Initial
Last Name
Date of Birth
*
Applicants must be 18 years of age or older.
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
ZIP / Postal Code
*
Phone
*
Email Address
Date Available
Last 4 of Social Security
*
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Desired Salary
Department applying for:
*
Select the department you'd like to apply for.
Fabrication
Coating
Shipping
Office
Select the department you'd like to apply for.
Fabrication Position
Any (in fabrication)
Welding
Parts
Select the position you're applying for.
Shipping Position
Any (in Shipping)
Line Work
Boxing
Order Filler
Select the position you're applying for.
Coating Position
Any (in Coating)
Dipping
Griding
Select the position you're applying for.
Office Position
Any (in Office)
Customer Service
Technical Support
Human Resources
Maintenance / Janitorial
Select the position you're applying for.
Are you a citizen of the United States?
*
Yes
No
If no, are you authorized to work in the U.S?
*
Yes
No
Have you ever worked for this company?
*
Yes
No
If yes, when?
*
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
*
Education Information
High School
Did you graduate
Yes
No
Start Date
Finish Date
Diploma
College
Did you graduate
Yes
No
Start Date
Finish Date
Degree
Other Edu
Did you graduate
Yes
No
Start Date
Finish Date
Degree / Cert
References
First & Last Name
Relationship
Company
Phone
Address
First & Last Name
Relationship
Company
Phone
Address
First & Last Name
Relationship
Company
Phone
Address
Employment History
Company
Job Title
Supervisor
Phone
Start Date
End Date
Address
Starting Salary
Ending Salary
Job Duties
Reason for leaving
May we contact your previous supervisor?
Yes
No
Company
Job Title
Supervisor
Phone
Start Date
End Date
Address
Starting Salary
Ending Salary
Job Duties
Reason for leaving?
May we contact your previous supervisor?
Yes
No
Company
Job Title
Supervisor
Phone
Start Date
End Date
Address
Starting Salary
Ending Salary
Job Duties
Reason for leaving?
May we contact your previous supervisor?
Yes
No
Military Service
Are you active, reserve, or a veteran of military service?
Yes
No
Military Branch
Military start date
Military end date
Highest Rank
Discharge Type
If discharge was other than honorable, please explain:
Disclaimer and Signature
Disclaimer
*
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employement, I understand that false or misleading information in my application or interview may result in my release.
Signature
*
By signing here, you are stating that all information provided is true and accurate to the best of your knowledge.
Your browser does not support e-Signature field.
Date
*
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