| How did you hear about DeWys Manufacturing? |
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| If other, please specify: | |
| Position Desired (check all that apply) |
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| If other, please specify | |
| Shift Preference (check all that apply) |
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| PERSONAL INFORMATION First Name * | |
| Middle Name | |
| Last Name * | |
| Present Address * | |
| City * | |
| State * | |
| Zip Code * | |
| Phone Number * | |
| Email Address | |
| Are you 18 years or older? * | |
| Are you legally entitled to work in the United States at this time for DeWys? * | |
| EDUCATION Please check all the following education you have received? |
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| High School / GED (Name) | |
| Location of School | |
| Number of years | |
| Did you graduate? | |
| College (Name) | |
| Location of College | |
| Number of years | |
| Did you graduate? | |
| Subject Studied | |
| Trade/Business/Correspondence School (Name) | |
| Location of School | |
| Number of years | |
| Did you graduate? | |
| Subject Studied | |
| General Subject of Special Study or Research Work (Name) | |
| Number of years | |
| Subject Studied | |
| WORK HISTORY Employer | |
| Address | |
| Phone Number | |
| Date of Employment - From (MM/YYYY) | |
| To (MM/YYYY) | |
| Job Title | |
| Salary | |
| Supervisor/Manager | |
| Reason for leaving? | |
| Employer | |
| Address | |
| Phone Number | |
| Date of Employment - From: (MM/YYYY) | |
| To: (MM/YYYY) | |
| Job Title: | |
| Salary: | |
| Supervisor/Manager: | |
| Reason for leaving: | |
| Employer | |
| Address | |
| Phone Number | |
| Date of Employment - From: (MM/YYYY) | |
| To: (MM/YYYY) | |
| Job Ttitle | |
| Salary | |
| Supervisor/Manager | |
| Reason for leaving: | |
| In case of emergency please notify (Name): * | |
| Phone Number * | |
| REFERENCES Reference 1 (Name): * | |
| Phone Number * | |
| Years Acquainted * | |
| Reference 2 (Name): | |
| Phone Number | |
| Years Acquainted | |
| Reference 3 (Name): | |
| Phone Number | |
| Years Acquainted | |
| Have you ever been convicted of a crime or are you presently charged with a felony? * | |
| If yes, where and when, and explain the circumstances: | |
| Describe any U.S. Military Service (branch, Rank, Nature, and Date of Discharge) | |
| Are you presently in the National Guard or Reserve? * | |
| If yes, identify unit and any service obligations: | |
| Please list any other name you have used in connection with employment, education, U.S. Military Service, or any criminal conviction or pending felony charge: | |
| Date you can start (MM/DD/YYYY): * | |
| Hourly wage desired? * | |
| Are you employed now? * | |
| If so, may we inquire of your present employer? | |
| Have you ever applied to this company before? * | |
| If yes, when? | |
| Have you previously worked for this company? * | |
| If yes, when? | |
| If yes, what position? | |
| Do you have relatives employed by this company? * | |
| If yes, who? | |
| Do you have any commitments or responsibilities (school, other employment) which might, in any way, interfere with your ability to work full time, including overtime? * | |
| If employed here, do you expect to work any other job? * | |
| If yes, give the nature of work and amount of time it requires: | |
| How much time did you miss from work in the past year? * | |
| Describe fully the nature of the work in your present (or most recent) job: * | |
| What special skills or knowledge do you have which will aid you in qualifying for employment? (include tools and machines) * | |
| Please submit a copy of your resume: |
You may upload up to 2 file(s)
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| I have read and agree to the terms of employment as set forth in the below link. * | |
| I further agree to be governed and to abide by the rules and regulations of the Company. Reference above to the Company includes it present and future parent and affiliated companies. * | |
| Today's Date: (MM/DD/YYYY) * | |