Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Availability

MM

DD

YYYY

Phone

(###)

###

####

Are you willing to work overtime? *

Yes

No

Are you willing to work weekends?

Yes

No

Available for which shifts?

1st

2nd

Are you citizen of United States? *

Yes

No

If no, are you authorized to work in U.S?

Yes

No

Worked for this company?

Yes

No

Been convicted of a felony? *

Yes

No

From

MM

DD

YYYY

To

MM

DD

YYYY

Graduated?

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

May we contact your previous employer?

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

From

MM

DD

YYYY

To

MM

DD

YYYY

May we contact your previous employer?

Yes

No

Management

I have a strong background in Management Leadership

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am highly skilled in Communication (Written and Verbal)

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Computer Skills

I have experience with Microsoft Office Products (Excel, Word)

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I am familiar with ERP Software

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Cost and Accounting

I have experience with Accounting

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

I have experience with Cost Management

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

From

MM

DD

YYYY

To

MM

DD

YYYY

DISCLAIMER AND SIGNATURE *

I certify my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand false or misleading information in my application or interview may result in my release or termination.

Date of applying *

MM

DD

YYYY