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  507-356-8345

Image

  507-356-8345

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Progressive Tool & Manufacturing

  507-356-8345

Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex,

religion, national origin, disability or other protected classifications.


Please carefully read and answer all questions. You will not be considered for employment if you fail to completely answer all the questions

on this application. You may attach a résumé, but all questions must be answered.

“Employer”
Position applying for


PERSONAL DATA


Full Name (last, first, middle) *
Street Address and/or Mailing Address
City
State
Zip
Home Telephone Number
Date you can start work
Business Telephone Number 
Salary Desired
Cellular Telephone Number
Do you have a High School Diploma or GED?
Yes
No


POSITION INFORMATION
Check all that you are willing to work


Hours:
Full Time
Part Time
Time:
Days
Evenings
Status:
Regular
Temporary
Phone *
+1
Search
    Email *


    QUALIFICATIONS
    Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.


    School Name
    Degree
    Address / City / State
    School Name
    Degree
    Address / City / State
    School Name
    Degree
    Address / City / State

    List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc


    Special Skills


    REFERENCES
    Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have three professional references, then list personal, unrelated references.


    Name #1
    Address/City/State
    Phone
    Relationship
    Name #2
    Address/City/State
    Phone
    Relationship
    Name #3
    Address/City/State
    Phone
    Relationship


    WORK HISTORY
    Start with your present or most recent employment and work back. Use a separate sheet if necessary. (INCLUDE PAID AND UNPAID POSITIONS)


    Job Title #1
    Start Date (mo/day/yr) 
    End Date (mo/day/yr)
    Company Name
    Supervisor’s Name
    Phone Number
    City
    State
    Zip
    Duties
    Reason for Leaving 

    Job Title #2
    Start Date (mo/day/yr) 
    End Date (mo/day/yr)
    Company Name
    Supervisor’s Name
    Phone Number
    City
    State
    Zip
    Duties
    Reason for Leaving 

    Job Title #3
    Start Date (mo/day/yr) 
    End Date (mo/day/yr)
    Company Name
    Supervisor’s Name
    Phone Number
    City
    State
    Zip
    Duties
    Reason for Leaving 

    Job Title #4
    Start Date (mo/day/yr) 
    End Date (mo/day/yr)
    Company Name
    Supervisor’s Name
    Phone Number
    City
    State
    Zip
    Duties
    Reason for Leaving 

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    I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application.
    I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with
    or without notice to the other party

    Applicant Signature
    Clear
    Date