Application for Employment

Strickland Manufacturing is an equal opportunity employer. We do not discriminate with regard to race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, disability, military status, or any other characteristic protected by law.

Personal Information

Incomplete information could disqualify you from further consideration. Please complete all fields.

Full Name Date Address Email Home Phone Mobile Phone Are you eligible to work in the U.S.? Are you at least 18 years or older? Can you perform essential functions of the job with or without accommodation?

Employment Desired

Date you can start Hourly rate / salary desired Position desired Are you currently employed? May we contact your present employer?

Referral Source

How did you hear about us? Have you worked here before? If yes, explain Do you know anyone who works here? If yes, who?

Education

High School - Name and Location Degree Received Subjects Studied/Major College or University - Name and Location Degree Received Subjects Studied/Major Trade, Business or Correspondence School - Name and Location Degree Received Subjects Studied/Major

Employment History

Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.

Employer #1

From To Employer Name Telephone Job Title Address Immediate Supervisor and Title Summary of Responsibilities Reason for Leaving

Employer #2

From To Employer Name Telephone Job Title Address Immediate Supervisor and Title Summary of Responsibilities Reason for Leaving

Employer #3

From To Employer Name Telephone Job Title Address Immediate Supervisor and Title Summary of Responsibilities Reason for Leaving

Employer #4

From To Employer Name Telephone Job Title Address Immediate Supervisor and Title Summary of Responsibilities Reason for Leaving

Special Skills or Training

Do you have any special skills, experience, and/or training that would enhance your ability to perform the position applied for? If yes, explain.

References

Give the names of three persons not related to you, whom you have known for at least three years.

Reference #1

Name Address, Phone, Email Company Years Acquainted

Reference #2

Name Address, Phone, Email Company Years Acquainted

Reference #3

Name Address, Phone, Email Company Years Acquainted

Declaration: Please read carefully before signing.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Strickland Manufacturing to hire me. If I am hired, I understand that either Strickland Manufacturing or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Strickland Manufacturing has the authority to make any assurance to the contrary.

I attest with my signature below that I have given to Strickland Manufacturing true and complete information on this application. No requested information has been concealed. I authorize Strickland Manufacturing to contact references provided for employment reference checks, as well as to conduct a background check, with my authorization. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Date Signature (Type Your Full Name)

I have read and agree to the declaration above.