Company
Career Opportunites
APPLICATION FORM
The Company is an equal opportunity employer. Applicants are considered for all positions without discrimination because of race, color, national origin, ancestry, age, sex, religion, marital status, veteran status, military status, citizenship status, sexual orientation, gender identity, mental or physical disability, medical condition, pregnancy, or any other characteristic protected by applicable state or federal law.
First Name
Last Name
Middle Initial
Address
City
State
Zip
Phone
Phone2
Email
Position Applied for
Salary Requirements
Date Available to start
How did you hear about this position?
Have you previously applied for employment with the Company?
yes
no
If Yes, what position
Year applied
Have you previously worked for the Company?
yes
no
If yes, state your position or title
Dates of Employment
If yes, state your reason for leaving
If hired, can you provide documentation of lawful ability to work in the United States?
yes
no
If the position for which you applying requires that you drive, can you provide proof of a valid driver’s license and current automobile insurance?
yes
no
EDUCATION
School
Name and Location
Years Completed
Degree/Diploma
Major
Year Graduated
High School
College
Graduate
Business/Trade
MILITARY EXPERIENCE - Complete this section if you served in the United States Armed Forces
Branch of Service
Army
Navy
Air Force
Marines
Coast Guard
Period of Active Service
Special Training
Have you ever been convicted of, or pled guilty or no contest to, a felony?
yes
no
In answering this question, the following convictions do not require a "yes" response: (1) an offense for which you were referred to, and participated in, a pre or post-trivial diversion program, or (2) a conviction that has been expunged. If the answer to this question is "yes", please provide the following information:
Date of conviction
County and State of conviction
Offense
Please note: An affirmative response to this question will not automatically result in your disqualification for employment
EMPLOYMENT HISTORY - ONE
Company Name
Company Phone
Address
Job Title
Hours
full time
part time
Dates Employed
from (M/Y)
to (M/Y)
Salary
start $
end $
Supervisor’s Name and Title
May we contact?
yes
no
Position Duties
Reason for Leaving
EMPLOYMENT HISTORY - TWO
Company Name
Company Phone
Address
Job Title
Hours
full time
part time
Dates Employed
from (M/Y)
to (M/Y)
Salary
start $
end $
Supervisor’s Name and Title
May we contact?
yes
no
Position Duties
Reason for Leaving
EMPLOYMENT HISTORY - THREE
Company Name
Company Phone
Address
Job Title
Hours
full time
part time
Dates Employed
from (M/Y)
to (M/Y)
Salary
start $
end $
Supervisor’s Name and Title
May we contact?
yes
no
Position Duties
Reason for Leaving
SPECIAL SKILLS, TRAINING OR EXPERIENCES
State any additional information you fell may be helpful to us in considering you for employment, such as awards, articles/books published, activities, special skills, experience, or training relevant to the position for which you are applying:
REFERENCES
Please list three (3) references of former supervisors, managers or teachers whom we may contact. Please do not list persons who are merely personal friends or relatives.
REFERENCE - ONE
Name
Relationship to applicant
Years Known
Company
Phone
REFERENCE - TWO
Name
Relationship to applicant
Years Known
Company
Phone
REFERENCE - THREE
Name
Relationship to applicant
Years Known
Company
Phone
AGREEMENT - (Please Read Carefully)
I certify that the information provided in the Application is true and complete to the best of my knowledge. I understand that I will not be hired, or may be terminated, if I provide false or incomplete information on this application or at any time prior to or during my employment. I further certify that I, the undersigned applicant, have personally completed this application.
I herby give the Company the right to investigate my past employment and education. I release from all liability all persons, companies, and corporations who supply or gather such information. I indemnify the Company against any liability that might result from such an investigation.
I understand that nothing contained in this application is intended to create an employment contract between me and the Company. I understand and agree that if I am employed, my employment will be "at-will," which means that either I or the Company may terminate the employment relationship at any time, with or without cause and with or without advance notice. I further understand that if I am hired, the "at-will" nature of my employment may only be changed by a written agreement signed by me and the President or another executive-level Officer of the Company. This "at-will" agreement supersedes and replaces any prior written or oral representations of understandings regarding the nature of my employment relationship with the Company if hired.
Date
Applicants Name/Signature
Social Security Number
2500 Sweetwater Springs Blvd
Suite 110
Spring Valley, CA 91978
tel: 619-415-1000
solutions@swfab.com
Copyright © 2007 Southwest Fabricators