Employment Application

General Information

Position you are applying for: Date:
First Name: Middle Name: Last Name:
Email:
Address: Suite/Apt#:
City: State: Zip: Country:
Check this box if the above address is also your Mailing Address.
Mailing Address: Suite/Apt#:
City: State: Zip: Country:
Home#: () - Work#: () - Other#: () -
Can we contact you at work? Yes No When can you Start? Desired Status: Full Time Part Time Temporary
What is your desired hourly pay? $ Have you ever worked for ResQ Manufacturing before? Yes No
If yes, what was the reason for leaving?
Have you ever applied at ResQ Manufacturing before? Yes No          If yes, when?
How did you hear about us, or who were you referred by?

Education

High School

High School Name:
City: State: Country:
Completed High School in Year (or Last Year Attended):    Total Years Completed:    Did you graduate? Yes No

University/College

University/College Name:
City: State: Country:
Major: Degree:
Years completed:     Did you graduate? Yes No     Graduated in (or last year attended):

Trade, Business or Correspondence (Other)

Trade, Business or Correspondence School Name:
City: State: Country:
Major: Degree:
Years completed:     Did you graduate? Yes No     Graduated in (or last year attended):
Please list any special skills or qualifications you have:

Employment History (Start with most recent employment)

Current or Most Recent Employer:

Employer Name: City: State:
Employed From Date: Employed To Date: Total Years Employed:
Position: Reason for Leaving: Hourly Pay: $
Description of Duties:
Are you currently employed with this employer? Yes No If yes, may we contact this employer? Yes No
Who is/was your supervisor at the above employment: Your supervisor's title:

Past Employer Number 2:

Employer Name: City: State:
Employed From Date: Employed To Date: Total Years Employed:
Position: Reason for Leaving: Hourly Pay: $
Description of Duties:

Past Employer Number 3:

Employer Name: City: State:
Employed From Date: Employed To Date: Total Years Employed:
Position: Reason for Leaving: Hourly Pay: $
Description of Duties:

Past Employer Number 4:

Employer Name: City: State:
Employed From Date: Employed To Date: Total Years Employed:
Position: Reason for Leaving: Hourly Pay: $
Description of Duties:

References

First Reference:

Name: Occupation: Personal Professional
Address: Suite/Apt#:
City: State: Zip: Country:
Home#: () - Work#: () - Other#: () -
How many years do you know this individual? Is this individual family? Yes No        May we contact this individual at work?

Second Reference:

Name: Occupation: Personal Professional
Address: Suite/Apt#:
City: State: Zip: Country:
Home#: () - Work#: () - Other#: () -
How many years do you know this individual? Is this individual family? Yes No        May we contact this individual at work?

Third Reference:

Name: Occupation: Personal Professional
Address: Suite/Apt#:
City: State: Zip: Country:
Home#: () - Work#: () - Other#: () -
How many years do you know this individual? Is this individual family? Yes No        May we contact this individual at work?

Other Information

Feel free to list here any other information that may aid us in processing your application:

Authorization

"By submiting this application to ResQ Manufacturing, I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from such utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any aggreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability- related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."
Yes, I agree with these terms. No, I do not agree with these terms.

Core Mentality

Here at ResQ Manufacturing we realize that it is integrity which should make the world go round. Building our business around such values, makes it a pleasure to work with you for a better tomorrow. Providing quality products since 2012, we understand what it takes to be successful in this economy.