Marchant Schmidt Employment Application

If you are interested in any of the available positions at Marchant Schmidt, Inc., please fill out this form as completely as possible. All fields are required except those sections marked as (Optional). When you have completed the application, click "Submit Form" to send it to Marchant Schmidt, Inc.

APPLICANT INFORMATION

Full Name

First NameMiddle NameLast Name

E-mail

Address

Street Address

PO Box / Address line 2

CityState / Province

Postal / Zip CodeCountry

Are you 18 years of age or older?

Cell Phone Number

Area CodePhone Number

Other / Secondary

Area CodePhone Number

Are there other names under which you have worked or attended school?

If yes, please list for reference checking purposes.

Are you legally authorized to work in the U.S.?

Have you ever signed a non-compete agreement with a previous employer?

Have you ever been convicted of a crime or plead no contest for any offense or violation other than minor traffic violations?

If yes, explain (Convictions are not an automatic bar to employment)

Do you have any pending criminal charges against you?

If yes, please describe

Have you ever applied at this company before?

If yes, when & what position

Have you ever worked at this company before?

If yes, when & what position

POSITION APPLYING FOR

Position Applying for:

Shift Preference:

When can you start?

How were you referred to the company?

Upload Resume/Cover Letter

Upload a File

SPECIAL SKILLS

Fabrication / Welding

Rows	Yes	No
Welding-TIG
Welding - MIG
Machine Building
Brake Press
Metal Roller
Shear
Metal Saw
Forklift

Machining

Rows	Yes	No
Drill Press
Lathes
Mill
Blue Print Reading
CNC Equipment
Laser
Metal Finishing
Sheet Metal Layout

Office / Administrative

Rows	Yes	No
Data Entry
Microsoft Word
Microsoft Excel
Microsoft Powerpoint
Microsoft Access
ERP System

EDUCATION

School

Rows	Name & Location	No. Years Attended	Graduated?	Major
High
College
Graduate
Other (specify)

TRAINING COURSES

List any relevant training programs completed (Optional)

Click to edit

Rows	Course/Seminar	Organization/Sponsoring	Content	Dates(s) Attended
*
*
*
*

*If required to drive a motor vehicle for the job applying for, state your: (Optional)

Drivers License Number

State Issued:

Are you licensed with any group, association or society relating to the job for which you are applying?

Registration/License #

State Issued

EMPLOYMENT HISTORY

(start with most recent)

Previous Employment #1

Name of Employer:

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

CityState / Province

Postal / Zip CodeCountry

Description of Duties:

Employment Dates: START (mo/yr):

Employment Dates: END (mo/yr):

Reason for Leaving:

Start Salary

End Salary:

If currently employed, may we contact as a reference?

_______________________________________________

Previous Employment #2 (Optional)

Name of Employer:

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

CityState / Province

Postal / Zip CodeCountry

Description of Duties:

Employment Dates: START (mo/yr)

Employment Dates: END (mo/yr)

Reason for Leaving

Start Salary

End Salary

If currently employed, may we contact as a reference?

_______________________________________________

Previous Employment #3 (Optional)

Name of Employer

Job Title:

Telephone

Immediate Supervisor

Address

Street Address

PO Box / Address Line 2

CityState / Province

Postal / Zip CodeCountry

Description of Duties

Employment Dates: START (mo/yr)

Employment Dates: END (mo/yr)

Reason for leaving

Start Salary

End Salary

If currently employed, may we contact as a reference?

Application for Employment