Careers at Staunton Machine Works | Staunton Machine Works

Applicant Information

Name(Required)

First Middle Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Date of Birth(Required)

Date Available(Required)

Social Security No.

Desired Annual Salary $(Required)

Position Applied For(Required)

Are you a citizen of the United States?(Required)

If no, are you authorized to work in the U.S?

Have you ever worked for this company?(Required)

If so, when?

Do you have a valid Driver's License?(Required)

State Issued?

Have you ever been convicted of a felony or serious driving infractions? (DUI, reckless driving, etc.)(Required)

If yes, explain

Education

High School(Required)

Address

From

To

Did you graduate?(Required)

Degree

College

Address

From

To

Did you graduate?

Degree

College

Address

From

To

Did you graduate?

Degree

References

Please list three professional references

Reference 1:

Name(Required)

First Last

Relationship(Required)

Company(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Reference 2:

Name(Required)

First Last

Relationship(Required)

Company(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Reference 2:

Name(Required)

First Last

Relationship(Required)

Company(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Previous Employment

Previous Employment 1:

Company

Supervisor

First Last

Phone

Address

Street Address City State ZIP Code

Job Title

Starting Salary $

Ending Salary $

Job Responsibilites

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Previous Employment 2:

Company

Supervisor

First Last

Phone

Address

Street Address City State ZIP Code

Job Title

Starting Salary $

Ending Salary $

Job Responsibilites

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Previous Employment 3:

Company

Supervisor

First Last

Phone

Address

Street Address City State ZIP Code

Job Title

Starting Salary $

Ending Salary $

Job Responsibilites

To

From

Reason for Leaving

May we contact your previous supervisor for a reference?

Certifications, Machinery Operation, ETC.

List Certifications

Machinery Operations

Other

Disclaimer and Signature

Disclaimer(Required)

I certify that my answers are true and complete to the best of my knowledge. I authorize Staunton Machine Works, Inc. to contact references and previous employers provided for employment reference checks. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Yes

No

The following acts as your e-signature certifying that you have read the disclaimer and all answer are true and complete to the best of your knowledge

Name(Required)

First Last

Today's Date

CAREERS AT STAUNTON MACHINE WORKS, Inc.

Applicant Information

Education

References

Previous Employment

Certifications, Machinery Operation, ETC.

Disclaimer and Signature

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