MS&J Application For Employment

MS&J is an EQUAL OPPORTUNITY EMPLOYER. We do not discriminate with respect to employment conditions based on sex, race, creed, national origin, color, age, or disability.

Please enter your personal information:

Your full name :

First

Middle

Last

Current Address :

City

State

Zip

Telephone number :

In case of Emergency, notify: Name: Phone:

Employment Information

Do you have a legal right to be employed in the United States?

Yes

No

Type of work applying for:

Do you have machine shop experience?

Yes

No

On what date can you start work? (Month/Day/Year) / /

Are you available for work on the 2nd or 3rd shift?

Yes

No

What job skills do you have to offer?

Are you currently employed?

Yes

No

If currently employed, may we contact your employer?

Yes

No

Please select highest grade completed in school:

9	High School
10
11
12
1	College
2
3
4

Have you attended a Trade School or served an Apprenticeship?

Yes

No

If Yes, please describe:

Have you served in the Armed Forces?

Yes

No

Are you a Viet Nam Era Veteran?

Yes

No

Describe job-related Armed Forces duties/training:

Employment Record

(Beginning with most recent employment)

Employer #1

From:	(Month/Day/Year) / /
To:	(Month/Day/Year) / /
Employer:
Address:
Position held:
Hourly earnings:
Supervisor's name:
Reason for leaving:

Employer #2

From:	(Month/Day/Year) / /
To:	(Month/Day/Year) / /
Employer:
Address:
Position held:
Hourly earnings:
Supervisor's name:
Reason for leaving:

Employer #3

From:	(Month/Day/Year) / /
To:	(Month/Day/Year) / /
Employer:
Address:
Position held:
Hourly earnings:
Supervisor's name:
Reason for leaving:

Employer #4

From:	(Month/Day/Year) / /
To:	(Month/Day/Year) / /
Employer:
Address:
Position held:
Hourly earnings:
Supervisor's name:
Reason for leaving:

References

Name	Address	Phone Number

Have you worked with us before?

Yes

No

If so, please enter the details below:

From	(Month/Day/Year) / /
To	(Month/Day/Year) / /
What was your prior position?
Who was your supervisor?
Reason for leaving:

The facts and statements contained in this application are true and complete to the best of my knowledge. I understand that falsified statements or misrepresentations will be considered just cause for rejection of this application or dismissal from employment. I authorize organizations and individuals named herin to provide any and all pertinent information concerning my previous employment and any pertinent information they may have, personal or otherwise. I realease all parties from liability for furnishing this information.

Enter your name here to digitally "sign" this application. Your name in this box signifies your acceptance of the disclaimer above.

Signed (input your name):

(Optional) Attach your resume (10MB max):