Niagara Machine Job Application
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Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Are you legally eligible to work in the United States?
Yes
No
Are you a veteran?
Yes
No
If selected for employment, are you willing to submit a background check?
Yes
No
Position being applied for
Available Start Date
-
Month
-
Day
Year
Date
Desired Pay
Employment Desired
Temp
Part Time
Full Time
Employment History
Employer
Title
Dates Employed
Starting Pay Rate
Ending Pay Rate
Employer City
Employer State
1
2
3
4
Education
School Name
Location
Years Attended
Degree Received
Major
1
2
3
4
5
References (Business or professional only)
Name
Title
Company
Phone
1
2
3
4
Submit Application
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