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Milac Manufacturing
We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job-related medical condition or handicap or any other legally protected status. We are a drug free workplace. All applicants are screened upon hire and randomly thereafter.
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| Position Applying For:* |
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| Name:* |
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| Address1:* |
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| Address2: |
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| City:* |
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| State:* |
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Zip:* |
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| E-mail:* |
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| Telephone:* |
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| Fax: |
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* Required Fields |
| Have you ever filed an application here before? |
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| If yes give, date? |
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| Have you ever been employed here before? |
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| If yes give, date? |
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| Are you employed now? |
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| May we contact your present employer? |
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| Comments: |
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Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
(Proof of citizenship or immigration status will be required upon employment) |
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| On what date would you be available for work? |
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Are you available to work: |
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| Do you have reliable transportation? |
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| Are you a Veteran of the US Military service? |
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| If yes, what branch? |
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Have you been convicted of a felony?
(Conviction will not necessarily disqualify applicant from employment) |
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| If yes, explain? |
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Have you ever used any other name(s) other than that
indicated above? |
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| If Yes, please provide the names you have used. |
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List professional, trade, businesses or civic activities and offices held.
(You may exclude memberships that would reveal sex, race, religion, national origin, age ancestry, or handicap or other protected status): |
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Give name, address and telephone number of three references that are not related to you and are not previous employers. (Within approx. 100miles) |
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| Name: |
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| Relationship: |
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| Address1: |
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| Address2: |
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| City: |
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| State: |
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Zip: |
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| Telephone: |
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Start with your present or last job. Include military service assignments and volunteer activities. You may exclude organization names that indicate race, color, religion, gender, national origin, handicap or other protected status. |
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| Special Skills / Qualifications: |
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Other Courses, Training or Honors Received: State any additional information you feel may be helpful to us in considering your application. |
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Applicant's Statement
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 90 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
The applicant understands that neither this document, nor any offer of employment from the employer constitute an employment contract unless a specific document to that affect is executed by the employer and employee in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer. |
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Please read above statement and check one box below: |
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