Innovative Machine Specialists - Application for Employment - Office

IMS Application for Employment - Office

Please complete the application below.

PERSONAL INFORMATION
Name First Last
Email
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Referred By:
List reason(s) you are applying for this position:
EDUCATION HISTORY
High School - Name/Location
High School - Years Attended
High School - Subjects Studied
High School - Did You Graduate? Yes No n/a
College - Name/Location
College - Years Attended
College - Subjects Studied
College - Did You Graduate? Yes No n/a
Other Education/Training - Name/Location
Other Education/Training - Years Attended
Other Education/Training - Subjects Studied
Other Education/Training - Did You Graduate? Yes No n/a
Please list subjects of special training/research as well as special training work skills:
Please check if you have experience in any of the following fields: Data Entry Microsoft Excel/Word Quickbooks Receptionist Telephone Skills Customer Relations Placing Orders Paper Filing Electronic Filing Safety Inventory
List other office skills:
I prefer to work: Part-Time Full-Time Either Part or Full Time
EMPLOYMENT DESIRED
Position Desired
Date You Can Start / MM / DD YYYY
Salary Desired
Are You Employed? Yes No
If currently employed may we contact your present employer? Yes No
Present Employer Contact Name
Present Employer Phone Number
FORMER EMPLOYERS
List upto four employers below, starting with the most recent first.
Employer 1 - Start Date
Employer 1 - End Date
Employer 1 - Name & Address
Employer 1 - Salary
Employer 1 - Position
Employer 1 - Reason for Leaving
Employer 2 - Start Date
Employer 2 - End Date
Employer 2 - Name & Address
Employer 2 - Salary
Employer 2 - Position
Employer 2 - Reason for Leaving
Employer 3 - Start Date
Employer 3 - End Date
Employer 3 - Name & Address
Employer 3 - Salary
Employer 3 - Position
Employer 3 - Reason for Leaving
Employer 4 - Start Date
Employer 4 - End Date
Employer 4 - Name & Address
Employer 4 - Salary
Employer 4 - Position
Employer 4 - Reason for Leaving
REFERENCES
List below the names of three persons not related to you, whom you have known at least one year.
I give IMS permission to contact these references: Yes No
Reference 1 - Name
Reference 1 - Phone Number
Reference 1 - Business
Reference 1 - Years Known
Reference 2 - Name
Reference 2 - Phone Number
Reference 2 - Business
Reference 2 - Years Known
Reference 3 - Name
Reference 3 - Phone Number
Reference 3 - Business
Reference 3 - Years Known
AUTHORIZATION
"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 may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative 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, 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." - Employment at will. Yes No
Please Enter Your Initials Here:
Upload Resume with this Application