Laurel Machine and Foundry Co.

Laurel Machine and Foundry Co.

Application for Employment
To Applicant:

We deeply appreciate your interest in our organization. Thank you for taking the time to complete this application. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to information obtained from a consumer reporting agency, including but not limited to information regarding credit data, personal character, general reputation and mode of living. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Are you legally eligible for employment in the United States? If hired, you are required to submit proof of your eligibility to work in the USA.*

YesNo
Are you over the age of eighteen? If no, hire is subject to verification that you are of minimum legal age.*

YesNo
Were you previously employed by Laurel Machine and Foundry?*

YesNo
If YES, when?
Input date of previous employment, if applicable.
If your application is considered favorably, on what date will you be available for work?*
Input Month and Day
Are there any other job-related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying?
Employment History

List below present and past employment, beginning with your most recent
Employer 1 - Company Name: (most recent)*
Company Name
Employer 1 - Company Address*
Company Address
Employer 1 - Company Phone*
Employer Phone Number
Employer 1 - Type of Business*
Type of Business
Employer 1 - Start Date of Employment*

MonthDayYear
Start Date
Employer 1 - End Date of Employment*

MonthDayYear
End Date
Employer 1 - Weekly Starting Salary
Starting Salary
Employer 1 - Weekly Last Salary
Weekly Last Salary
Employer 1 - Reason for Leaving*
Reason for leaving
Employer 1 - Describe the work you did:*
Employer 1 - Job Description
Employer 1 - Supervisor Name:*
Supervisor Name
Employer 2 - Company Name:
Company Name
Employer 2 - Company Address
Company Address
Employer 2 - Company Phone
Employer Phone Number
Employer 2 - Type of Business
Type of Business
Employer 2 - Start Date of Employment

MonthDayYear
Start Date
Employer 2 - End Date of Employment

MonthDayYear
End Date
Employer 2 - Weekly Starting Salary
Starting Salary
Employer 2 - Weekly Last Salary
Weekly Last Salary
Employer 2 - Reason for Leaving
Reason for leaving
Employer 2 - Describe the work you did:
Employer 1 - Job Description
Employer 2 - Supervisor Name:
Supervisor Name
Employer 3 - Company Name:
Company Name
Employer 3 - Company Address
Company Address
Employer 3 - Company Phone
Employer Phone Number
Employer 3 - Type of Business
Type of Business
Employer 3 - Start Date of Employment

MonthDayYear
Start Date
Employer 3 - End Date of Employment

MonthDayYear
End Date
Employer 3 - Weekly Starting Salary
Starting Salary
Employer 3 - Weekly Last Salary
Weekly Last Salary
Employer 3 - Reason for Leaving
Reason for leaving
Employer 3 - Describe the work you did:
Employer 1 - Job Description
Employer 3 - Supervisor Name:
Supervisor Name
EDUCATION
Elementary - Name and Address of Elementary School:*
Elementary - Last Year Completed*
Did You Graduate Elementary School?*

YESNO
High School - Name and Address of High School:*
High School - Last Year of Study Completed*
High School - Course of Study*
High School - Did You Graduate*
High School - List Degree or Diploma
College/Trade School - Name and Address of School
College/Trade School - Years of Study Completed
College/Trade School - Course of Study
College/Trade School - Did you Graduate?
College/Trade School - List Degree or Diploma
OTHER - Name and Address of Other School
Other School - Years of Study Completed
Other School - Course of Study
Other School - Did you Graduate?
Other School - List Degree or Diploma
Personal References
Reference 1: Name and Occupation*
Reference 1: Address*
Reference 1: Phone Number*
Reference 2: Name and Occupation
Reference 2: Address
Reference 2: Phone Number
Reference 3: Name and Occupation
Reference 3: Address
Reference 3: Phone Number
May we telephone you to follow up on this application?*

YESNO
If YES, what is the best time to call?
May we telephone you to follow up on this application at work?

YESNO
If YES, what is the best time to call at work?
What is your business telephone number (if applicable)?
PLEASE READ

The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at any time, for any reason or no reason. NO one other than an officer of the Company has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by an officer
I, First Name* Last Name* have read and understand the Above Statement prior to submitting the information contained within this application form.
Click (Submit) below to send your application for consideration.
Should be Empty:

Laurel Machine and Foundry Co.

To Applicant:

Employment History

EDUCATION

Personal References

PLEASE READ

Click (Submit) below to send your application for consideration.