Sales & Service of Grain Handling Equipment

Application for Employment

Application

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Date of Birth*
MM slash DD slash YYYY
Date available to start?*
MM slash DD slash YYYY
What position are you applying for?*
- Office
- Bin Crew
- Cement Crew
- Service Crew
How did you hear about this position?*
Are you seeking a full-time or part-time position?*
Salary Desired

per hour
Are you legally eligible for employment in the United States?*
- Yes
- No
Are you willing to take a drug test?*
- Yes
- No
Do you have a valid driver's license?*
- Yes
- No
Do you have a CDL?*
- Yes
- No
Do you have reliable transport?*
- Yes
- No
How many hours can you work per week?*
Can you travel/overnight stay?*
- Yes
- No
Last year of school completed?*
High School Diploma or GED?*
- Yes
- No
College Degree?*
- Yes
- No
Type of Degree?
Do you serve in the Military?*
- Yes
- No
What are your career goals?*
What are you good at professionally?*
What are you not interested in doing professionally?*
What kind of office experience do you have*
- Customer Service
- Computer Skills
- Sales
- Microsoft Outlook
- Microsoft Excel
- Microsoft Word
- Microsoft Powerpoint
- Auto Cad
- Peachtree/Sage
- Supervisory Position
- None
Check all that apply
What kind of equipment experience do you have?*
- Crane
- Skid Loader
- Telescoping Forklift
- Forklift
- None
Check all that apply
Have you operated:*
- Impacts
- Gas Powered Chopsaw
- None of the above
Check all that apply
Welding experience:*
- Arc/Stick
- Wire Feed
- Torch
- None
Check all that apply
Cement Experience:*
- Rebar Sizes
- Forms
- Pours
- None
Check all that apply
Experience in Service Work:*
- Pulleys
- Legs
- Bearings
- None
Check all that apply
Are you able to:*
- Lift 60lbs
- Climb 100'
- Read a tape measure
- Sit or Stand for long periods
- Repetitive movements (bend, twist, squat)
- Work outdoors in all tempuratures
- None of the above
Check all that apply
Do you have experience with*
- Building grain handling material
- Millwright work
- Supervisory Position
- None of the above
Check all that apply
Company name and location of most recent job #1*
Responsibilities:*
How long were you employed?*
Pay:
Reason for leaving:*
Company name and location of most recent job #2*
Responsibilities:*
How long were you employed?*
Pay:
Reason for leaving:*
Company name and location of most recent job #3*
Responsibilities:*
How long were you employed?*
Pay:
Reason for leaving:*
Acknowledgement & Authorization*
- Yes
- No
I certify that I have not purposely withheld any information that might adversely affect my chances of being hired and that the facts contained in this application are true & correct (complete) to the best of my knowledge. I also understand that any falsified statements on this application shall be grounds for not being hired or immediate dismissal, if hired. I know that I am required to abide by all the rules and regulations of this employer, along with this employer's pre-employment, & employment drug & alcohol policies. I permit this company to examine my record of employment, education record, criminal history (once interviewed) & any other information I have provided. I authorize the previous employers to disclose any pertinent information related to my work history and in my professional experiences.

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