Employment Application FormStep 1 of 333%Your Personal InformationYour Name:(Required) First Middle Last Your Email Address:(Required) Enter Email Confirm Email Your Residential Address:(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Your Phone Number:(Required) Position You're Applying ForPosition You're Applying For:(Required) AutoCAD Drafter & Plasma/Brake Press Programmer/Operator OtherShift You are Available to Work:(Required) 1st Shift Any ShiftDate Available:(Required)Salary Expected:(Required)How Did You Hear About Us?Person to Notify in Case of Emergency:Emergency Person's Phone Number:Previous/Current EmploymentEmployment(Required)Please Provide Your Current and Previous Employers. A Minimum of 3 is Preferred (Click "+" to Add an Employer)EmployerStarting DateEnding DatePositionPhoneRate Of PayReason For Leaving Add RemoveYou May Contact All of the Employers Listed Above Except:The Reason Why We Can't Contact the Employer(s) Above: Educational DataEducation History:(Required)Please List Your Education History Including High School, College, and Trade Schools. (Click "+" to Add a School)School NameCity, StateNumber of Years AttendedDegree or GradeArea of Specialty Add RemoveSpecial SkillsMore About YouTell Us About Yourself:Upload Your ResumeUpload your resume in .pdf format.Accepted file types: pdf, Max. file size: 100 MB.PR Machine Works has a Zero Tolerance Drug Policy. In accordance, we drug test 100% of new hires.I agree to abide by all the rules of PR Machine Works and will obey the orders and instructions of my supervisor, I will use and wear all safety appliances furnished by the Company and will work in a safe manner observing all company safety rules, not exposing myself or other workers to unnecessary dangers.A) I understand that the use or possession of drugs, alcohol, or any controlled substances, other than that prescribed by a physician, is strictly prohibited on Company premises.B) I understand that employment will be on an at-will basis and may be terminated at any time by either party with or without notice.C) I authorize this Company to seek information about me from any source for evaluation purposes for potential employment and I agree to hold this Company harmless from any and all claims arising from such requests for information.D) I also agree that all former employers or any other persons may furnish this Company and its subsidiaries with all information regarding their record of my service, character, and reason for leaving. I hereby release such former employers and persons from all liability for providing such information.E) I understand that any false, incomplete, or misleading information on this application may result in my dismissal whenever discovered.F) I understand that any unanswered questions on this application may cause this application to be rejected.DISCLAIMER(Required)By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application. This consent was signed by:Signature:(Required)Date:(Required) MM slash DD slash YYYY PR Machine Works, Inc., complies with Title VII of the Civil Rights Act of 1964, as amended, as well as all other employment-related laws. We consider all qualified applicants without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.