Employment Form 2022-02-09 - PR Machine Works

Employment Application Form

Step 1 of 3

Your Personal Information

Your 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

Your Phone Number:(Required)

Position You're Applying For

Position You're Applying For:(Required)

AutoCAD Drafter & Plasma/Brake Press Programmer/Operator

Other

Shift You are Available to Work:(Required)

1st Shift

Any Shift

Date 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 Employment

Employment(Required)

Please Provide Your Current and Previous Employers. A Minimum of 3 is Preferred (Click "+" to Add an Employer)

Employer

Starting Date

Ending Date

Position

Phone

Rate Of Pay

Reason For Leaving

You May Contact All of the Employers Listed Above Except:

The Reason Why We Can't Contact the Employer(s) Above:

Educational Data

Education History:(Required)

Please List Your Education History Including High School, College, and Trade Schools. (Click "+" to Add a School)

School Name

City, State

Number of Years Attended

Degree or Grade

Area of Specialty

Special Skills

More About You

Tell Us About Yourself:

Upload Your Resume

Upload 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)

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.