Fusion Technician

Fusion Technician JOB Application

    Date *

    Personal


    Name *

    Address


    Email *

    Phone Number *

    Date of Birth *

    Have you ever applied here before? *

    If so, when?

    Have you ever had any previous association with this company?*

    If so, when?

    Reason for leaving

    Are you employed?*

    If not, how long since last employment?

    Were you referred to our company?*

    If so, by whom?

    Education


    Highest grade completed: *

    College

    Last school attended: Name *

    Last school attended: Address*

    Did you graduate?*

    Degrees or honors received:

    Other education

    Military Status


    Have you ever served in the U.S. Armed Forces?*

    Branch

    Date from:

    Date to:

    Are you currently a member of the Active Reserves or National Guard?*

    List any special skills or training that you received:

    Work Experience

    Beginning with your present or most recent employer, accounting for any gaps in employment. Please show the past three years of employment.


    Name of Company

    Phone

    Address

    Street Address

    Address Line 2

    Date employment began:

    Date employment ended:

    Reason for leaving

    Job title

    Name of supervisor

    Any accidents?

    Equipment operated


    Name of Company

    Phone

    Address

    Street Address

    Address Line 2

    ZIP Code

    Date employment began:

    Date employment ended:

    Reason for leaving

    Job title

    Name of supervisor

    Any accidents?

    Equipment operated

    Additional Information


    Are you physically able to perform heavy manual work?*

    Consent

    Comments

    It is the policy of Plastic Fusion Fabricators to maintain and promote equal employment opportunities without regard to race, color, gender, age, religion, disability, national origin or other non-merit factors. This policy includes but is not limited to employment, advancement, demotion, transfer, recruitment, layoff, termination, pay rates, etc. If you need assistance with completing this application or during any phase of the employment process, please notify the Human Resources Department at: [email protected], 256.852.0378, and every effort will be made to accommodate your needs in a reasonable amount of time.

    By typing my name below I certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge. I also agree that any falsified information and / or significant omissions may result in my disqualification from employment now or at any time. I understand that this organization participates in E-Verify.

    Name*

    Date*


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