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Employment Application
Personal Information
Name:
Address:
City:
State:
Zip Code:
Email:
Phone:
Are you 18 years or older?
Yes
No
Birth Date:
Employment
Location Applying To
3301 124th Ave S, Horace, ND 58047, United States
801 Burns St, Hawley, MN 56549, United States
Position Applying For
Office personal
Shipping and Receiving
Lathe operator
CNC Machinist
General Maintenance
Router operator
Part inspector
Shop Manager
Desired Start Date
Desired Salary
Have you ever worked at Leister Custom Machining?
No
Yes
Education
Name of School
Last Grade Completed
Name of School
Last Grade Completed
Name of School
Last Grade Completed
General
Special Skills
US Military Service and Rank
Have you ever been convicted, pled guilty to or no contest to a crime, excluding misdemeanors and traffic violations?
No
Yes
Employment History
Employer Name
Position
Salary
Start Date
End Date
Reason for Leaving
Responsibilities
Employer Name
Position
Salary
Start Date
End Date
Reason for Leaving
Responsibilities
Employer Name
Position
Salary
Start Date
End Date
Reason for Leaving
Responsibilities
References
List References 1
Name
Phone Number
Relationship
Years Known
List References 2
Name
Phone Number
Relationship
Years Known
List References 3
Name
Phone Number
Relationship
Years Known
Electronic Signature
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentation are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at anytime by the company.
Thank you! Your submission
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