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EMPLOYMENT APPLICATION

If you are interested in any of our available positions at Amerequip, please fill out this form. All fields are required except where marked as 'Optional'. When you have completed the application and you have attached a resume' if applicable, click "Submit Form" to send it to us here Amerequip.

Special Skills

If relevant, please describe work processing speed, software knowledge, and office equipment experience. (Optional)

If relevant, please describe experience using manufacturing machines and equipment. (Optional)

Education

School

Name and Location (city, state)

No. Years Attended

Major Subjects

Diploma or Degree Received

High

Yes

College

Yes

Graduate

Yes

Other
(specify)

Yes

Training Courses

List any relevant training programs completed. (Optional)

Course/Seminar	Organization Sponsoring	Content	Date(s) Attended

Required License(s)

If required to drive a motor vehicle for the job applying for, state your: (Optional)

Drivers License Number:

State Issued:

Are you licensed with any group, association or society relating to the job for which you are applying?

Yes

Registration or License Number:

State Issued:

Expiration Date:

Employment History (start with most recent)

Previous employment #1

Name of Employer: *

Job Title: *

Name of Immediate Supervisor: *

Description of Duties: *

Start Salary: *

End Salary: *

Telephone: *

Address: *

Employment Dates (month and year)

From: *

To: *

Reason for Leaving: *

If currently employed, may we contact as a reference?

Yes

Previous employment #2 (Optional)

Name of Employer:

Job Title:

Name of Immediate Supervisor:

Description of Duties:

Start Salary:

End Salary:

Telephone:

Address:

Employment Dates (month and year)

From:

To:

Reason for Leaving:

If currently employed, may we contact as a reference?

Yes

Previous employment #3 (Optional)

Name of Employer:

Job Title:

Name of Immediate Supervisor:

Description of Duties:

Start Salary:

End Salary:

Telephone:

Address:

Employment Dates (month and year)

From:

To:

Reason for Leaving:

If currently employed, may we contact as a reference?

Yes

Previous employment #4 (Optional)

Name of Employer:

Job Title:

Name of Immediate Supervisor:

Description of Duties:

Start Salary:

End Salary:

Telephone:

Address:

Employment Dates (month and year)

From:

To:

Reason for Leaving:

If currently employed, may we contact as a reference?

Yes

Employment References

List individuals familiar with your job qualifications (no relatives or personal friends)

Reference #1

Name: *

Address: *

Day Telephone: *

Evening Telephone: *

Relationship: *

How long known? *

Reference #2 (Optional)

Name:

Address:

Day Telephone:

Evening Telephone:

Relationship:

How long known?

Reference #3 (Optional)

Name:

Address:

Day Telephone:

Evening Telephone:

Relationship:

How long known?

PLEASE READ CAREFULLY BEFORE SIGNING THIS FORM

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
I authorize the company to investigate my response on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.
I understand that upon receiving a job offer, a physical examination and drug screening will be required.
Regardless of whether or not I become employed by the company, I recognize that this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the companys, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.

Signed by Applicant *

Date *

EMPLOYMENT APPLICATION

Applicant Information

Name

Present Address

Phone

Position Applying For

Special Skills

Education

Training Courses

Required License(s)

Employment History (start with most recent)

Previous employment #1

Previous employment #2 (Optional)

Previous employment #3 (Optional)

Previous employment #4 (Optional)

Employment References

Reference #1

Reference #2 (Optional)

Reference #3 (Optional)

PLEASE READ CAREFULLY BEFORE SIGNING THIS FORM

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