Extreme Machine - Employment Application

Positions We Are Currently Hiring For

Day or Night Shift or Either?

Day Shift Night Shift Open to Either

Date You Can Start *

Date

Full Name *

First Name Middle Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Phone Number *

Area Code Phone Number

E-mail

Birth Date *

Month Day Year

Are You a U.S. Citizen? *

Yes No

Have You Worked Here Before?

Yes No

Have You Applied Here Before?

Yes No

How did you hear about us?

High School

Name of High School Attended

Number of Years Attended

Graduated?

Yes

College

Name of College/University Attended

Number of Years Attended

Graduated?

Yes

Area of Study/Degree

Trade School/Other

Name of Trade/Technical/Other School Attended

Number of Years Attended

Graduated?

Yes

Area of Study/Degree

Skills

List any relevant skills

Qualifications

List any relevant certifications or qualifications

Previous Employer

Name of Previous Employer

Position

Salary

Reason for Leaving?

Start Date

Month Day Year

End Date

Month Day Year

May We Contact?

Yes No

Reference 1

Name of Reference

Relationship

Phone

Email

Reference 2

Name of Reference

Relationship

Phone

Email

Cover Letter

Resume

By clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.

Employment Application

You Can Fill Out The Fields Below or Attach a Resume

Education:

Skills/Qualifications:

Previous Employment:

References:

Cover Letter & Resume (Optional):