Employment application - Acme Wire Products Co, Inc.

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Employment applicationStratedia2021-04-09T00:59:56-04:00

Application For Employment

Position(s) Applied For

Date of Application

Referral Sources

Advertisement
Employee
Govt. Agency
Walk-in
Relative
Employment Agency
Other

Name Of Source

Name *

First

Last

Address

Address Line 1

City

State

Email *

Phone *

Home Telephone

Date Available For Work

Please List any other names by which you have been known of which we should be aware to adequately verify your identity, employment history and educational history

Have you applied here before?

Yes
No

If yes, when

Have you ever been employed here ?

Yes
No

If yes, when

Do you have any obligations under a Non-Complete agreement ?

Yes
No

Explain

Are you legally permitted to work in United State ?

Yes
No

Proof of eligibility will be required upon employment

Will you relocate if the job requires ?

Yes
No

Will you travel if the job requires ?

Yes
No

Are you able to meet the attendance requirements of the position?

Yes
No

Will you work overtime if required ?

Yes
No

Previous Employment

List your last 10 years of employers, assignment, or volunteer activities, starting with the most recent, including military experience. PLEASE DON'T WRITE SEE RESUME. Explain any gaps in employment in the comments section below

Employer

Job Title

Immediate Supervisor

Reason For Leaving

Start Date

End Date

Summarize the job responsibilities

Employer

Job Title

Immediate Supervisor

Reason For Leaving

Start Date

End Date

Summarize the job responsibilities

More Experience

Yes
No

Employer

Job Title

Immediate Supervisor

Reason For Leaving

Start Date

End Date

Summarize the job responsibilities

Employer

Job Title

Immediate Supervisor

Reason For Leaving

Start Date

End Date

Summarize the job responsibilities

Educational Background

Name of School / College

Address of School / College

Major Subject

Last Year Attended

Name of School / College

Address of School / College

Major Subject

Last Year Attended

Graduated ?

Yes
No

Name of Graduate School

Address of Graduate School

Major Subject

Name of Degree

Name of Graduate School

Address of Graduate School

Major Subject

Name of Degree

Accomplishments

Describe the skills and aptitudes that you feel qualify you for a position at the company

Use this Space

References

List Name and Phone number of 3 business/work references that are not related to you and are not the previous supervisors. IF applicable, use 3 school or personal references that are not related to you

Name

Phone

Years Known

Relationship

Name

Phone

Years Known

Relationship

Name

Phone

Years Known

Relationship

About Us

Acme Wire Products is a second generation family business specializing in custom wire forming and welded wire components. We provide sturdy, close tolerance parts of steel and stainless steel with consistent dimensional quality. We form parts to your requirements – including rings, frames, levers, handles, guards, guides, panels, baskets, carriers, grids, specialty hardware and supports and all types of industrial wireforms in quantities of 100 pieces and greater.

Contact Info

P.O. Box 218, 7 Broadway Avenue Extension Mystic, Connecticut 06355

Phone: 800-723-7015

Email: [email protected]

Web: www.acmewire.com

ISO 9001: 2015 Certified
Acme Wire Products CAGE Code: 1KK92

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