Midwest Prefinishing Application

Application for Employment
Midwest Prefinishing, Inc. is an equal opportunity employer and does not discriminateagainst otherwise qualified applicants on the basis of any characteristic protected by law,including race, color, religion, age, sex, national origin, or disability.
Which position are you applying for?
Your Contact Information
First Name
Last Name
Address Line 1
Address Line 2
City
State
Zip Code
E-mail Address
Home Phone
Mobile Phone
Social Security Number
Are you over 18 years old?
Do you hold a Valid Drivers License?
Do you hold a CDL?
If Yes,
Are you eligible for employment in the United States?
(If offered employment, you will be required to provide documentation to verify eligibility.)
During the last 10 years, have you been convicted of a crime other than a minor traffic offense?
(A conviction will not necessarily automatically disqualify you for employment. Rather,such factors as your age and date of conviction, seriousness and nature of the crime, and rehabilitation will be considered.)
Can you pass a drug test?
Can you with or without reasonable accommodation perform the essential functions of this job?
Employment
May We Contact Your Current Employer
Employer
Address
E-mail Address
Position
Date of Employment: From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Employment: To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary:
Supervisor
Duties
Reason for Leaving
Employer
Address
E-mail Address
Position
Date of Employment: From

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Employment: To

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Starting Salary
Ending Salary:
Supervisor
Duties
Reason for Leaving
References
First Name
Last Name
E-mail Address
Phone
First Name
Last Name
E-mail Address
Phone
First Name
Last Name
E-mail Address
Phone
FAQ"s
Past relative jobs and machine experience ?
What are you looking for in a job-what’s important?
How can you contribute to Midwest Prefinishing?
I hereby certify that the facts set forth in the above employment application are true andcomplete to the best of my knowledge and authorize Midwest Prefinishing, Inc. to verifytheir accuracy and to obtain reference information on my work performance. I herebyrelease Midwest Prefinishing, Inc. from any/all liability of whatever kind and nature, which, atany time, could result from obtaining and having, an employment decision based on suchinformation. I understand that, if I am employed by Midwest Prefinishing, Inc., falsified statements of anykind or omissions of facts called for on this application shall be considered sufficient basis fordismissal. I authorize Midwest Prefinishing, Inc. to make a thorough investigation of allstatements contained in this application about my past employment, education, and otheractivities. I release from liability all persons and organizations supplying such information.
E-Signature of Applicant
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: