Employment Application How did you hear about DeWys Manufacturing?*Google SearchDeWys WebsiteFacebookLinkedInMIWorks!Employment AgencyCollege/UniversityReferralAdvance Newspaper AdMlive.comGR PressGRnow.comThe Coopersville ObserverThe Muskegon ChronicleThe Advance NortheastThe Advance NorthwestOther Newspapers/MagazinesFamily or FriendsWord of Mouth ReferralOtherIf other, please specifyPosition Desired (check all that apply):* Assembly Brake Press Operator General Machining Hi-lo Operator Laser Operator Powder Coater Turret Operator Welder Other if other, please specify:Shift Preference (check all that apply):* First Second Third Weekend Personal InformationName* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email Address* Are you 18 years or older?*YesNoAre you legally entitled to work in the United States at this time for DeWys?*YesNoEducation InformationPlease check all the following education you have received:*High SchoolCollegeTrade / Business / Correspondence SchoolGeneral Subject of Special Study or Research WorkOtherNoneHigh SchoolLocation of School*Number of Years*Did you graduate?*YesNoCollegeCollege (Name)Location of CollegeNumber of YearsDid you Graduate?YesNoSubject StudiedTrade / Business / Correspondence SchoolTrade / Business / Correspondence School (Name):Location of School:Number of Years:Did you graduate?YesNoSubject Studied:WORK HISTORYEmployer 1*Address*Phone Number*Date of Employment - From* MM DD YYYY Date of Employment - To* MM DD YYYY Job Title*Salary*Supervisor / Manager*Employer 2AddressPhone NumberDate of Employment - From MM DD YYYY Date of Employment - To MM DD YYYY Job TitleSalarySupervisor / ManagerEmployer 3AddressPhone NumberDate of Employment - From MM DD YYYY Date of Employment - To MM DD YYYY Job TitleSalarySupervisor / ManagerEMERGENCY CONTACTIn case of emergency, please notify (Name):*Contact Phone Number*REFERENCESReference 1 (Name)*Reference Phone*Years Acquainted*Reference 2 (Name)Reference PhoneYears AcquaintedReference 3 (Name)Reference PhoneYears AcquaintedOTHER INFORMATIONHave you ever been convicted of a crime or are you presently charged with a felony?*YesNoIf 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?*YesNoIf 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* Hourly wage desired?*Are you employed now?*YesNoIf so, may we inquire of your present employer?*YesNoHave you ever applied to this company before?*YesNoIf yes, when?If yes, what position?Do you have relatives employed by this company?*YesNoIf 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?*YesNoIf 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):*Have you completed the National Career Readiness Certificate (NCRC)?*YesNoIf so, what level of NCRC?Please submit a copy of your resume - Accepted File Types ("pdf", "doc", "jpg"):Accepted file types: pdf, doc, jpg.I have read and agree to the terms of employment as set forth in the below link.*YesNoI 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.*YesNoToday's Date:* This iframe contains the logic required to handle Ajax powered Gravity Forms. Click here and read carefully to make sure you agree with these terms of employment. (PDF)
