Employment Application Form

Employment Application

By completing this form, I affirm that the information I have provided in this application and all attached documents are true to the best of my knowledge, information, and belief, and I have not knowingly withheld any information requested. I understand that withholding or misrepresenting information in this application is grounds for rejection of my application. I authorize the company to verify my record of employment, education records, and any other information I have provided.
Name*

First NameLast Name
Birth Date

MonthDayYear
Phone Number*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you meet the minimum age requirement of 18 years or older?*

YesNo
Are you legally authorized to work in the US?*

YesNoI will need sponsorship now or in the future.
Our standard work hours are 6:00am - 4:30pm Monday - Thursday; do you have any conflicts with this schedule?*

YesNo
Do you accept the above statement for application submission?*

YesNo
Please indicate the roles that match your EXPERIENCE/SKILLS:*

Laser OperatorTube Laser OperatorPress Brake OperatorAssembly TechWelderRobot WelderSpot WelderShipping ClerkMaterial HandlerMill OperatorLathe OperatorSaw OperatorQuality TechnicianEngineerIT SupportMachinistPowder CoatingTube Bending
CURRENT SKILLS/KNOWLEDGE:*

Blueprint ReadingMeasurement EquipmentSolidworksSheetworksCamworksSigmanestForklift LicenseSix SigmaCARPAR'sCPR/First AidNone of the AboveOther (please list below)
List other skills or certifications:
Please indicate the skills you would be interested in TRAINING/LEARNING:*

Laser OperatorTube Laser OperatorPress Brake OperatorAssembly TechWelderRobot WelderSpot WelderShipping ClerkMaterial HandlerMill OperatorLathe OperatorSaw OperatorQuality TechnicianEngineerIT SupportMachinistPowder CoatingTube Bending
Resume (cover letter optional)*

Cancelof
How did you hear about Dellinger Enterprises?

Google or other search engineIndeed.comCurrent Employee (please list employee name below)
Referred by:
Please verify that you are human.*
Should be Empty: