EMPLOYMENT OPPORTUNITIES

 

Personal Information

First Name:

Middle Initial: Last Name:

Address:

 Apt #:

City:

State: Zip:

Home Phone:

        Cell Phone:
   

Are you 18 years of age or older?

 Yes No

What date are you available to start?

Are you employed now?

Yes No

If so may we inquire of your present employer?

 Yes No

Have you ever applied to Liquid Automation, Inc. before?

 Yes No

Have you ever worked for Liquid Automation, Inc. before?

 Yes No

Reason for leaving:

Are you willing to participate in random drug testing?

 Yes No

Do you have reliable transportation?

 Yes No

What shift are you available to work?

Days Nights Either

What wage are you expecting?

 $

 

School  Name & Location 

# Yrs. Attended

Did you

Graduate?

High School:

Yes No

College:

 Yes No

Trade:

 Yes No

Special Training:

Special Skills:

Machines/Equipment you are able to operate (includes office& clerical):

 

Past Employment

COMPANY 1

Company Name:

 Phone:

Address:

City:

State: Zip:

Start Date:

 Leave date:

Job title:

Wkly Starting Salary:

$   Wkly Final Salary: $ 

Supervisors Name:

 May we contact your supervisor?: Yes No

Reason for leaving:

 

COMPANY 2

Company Name:

 Phone:

Address:

City:

State: Zip:

Start Date:

 Leave date:

Job title:

Wkly Starting Salary:

$   Wkly Final Salary: $ 

Supervisors Name:

 May we contact your supervisor?: Yes No

Reason for leaving:
 

COMPANY 3

Company Name:

 Phone:

Address:

City:

State: Zip:

Start Date:

 Leave date:

Job title:

Wkly Starting Salary:

$   Wkly Final Salary: $ 

Supervisors Name:

 May we contact your supervisor?: Yes No

Reason for leaving:

 

What position are you applying for?

 

  

Clerical/Administrative Assistant

  

1. How many years of experience do you have in an actual office environment?

2. List all Software/Office machinery/Skills you have:
   

General Laborer

  

1. How many years of experience do you have?

2. Are you able to run a Hi-Lo?

 Yes No

3. List your Machinery Knowledge/Skills:                   

   

Electrician

  

1. Can you bend conduit?

 Yes No

2. Can you read prints?

 Yes No

3. Do you have your own tools?

 Yes No

4. Are you able to run a Hi-Lo?

Yes No

5. How many years of experience do you have?

6. List your Skills/ Knowledge here:                          

   

Machine Builder

  

1. Do you have your own tools and gages?

Yes No

2. Are you able to run a Hi-Lo?

 Yes No

3. How many years of experience do you have?

4. List your Skills/knowledge here:                           

   

Machinist

  

1. Are you able to run a Boring Mill?

Yes No

2. Are you able to run a Lathe?

 Yes No

3. Are you able to run a Bridgeport?

 Yes No

4. Are you able to run a CNC?

Yes No

5. Are you able to run a Hi-Lo?

 Yes No

6. How many years of experience do you have?

7. List your Skills/Knowledge here:                           

 

Pipe fitter

  

1. Do you have your own tools?

 Yes No

2. Are you able to use Hand Benders?

 Yes No

3. Are you able to use Bench Benders?

Yes No

4. Are you able to Read Prints?

Yes No

5. Are you able to run a Hi-Lo?

 Yes No

6. How many years of experience do you have?

7. List your Skills/Knowledge here:                           

Will you make yourself available to come into our office and fill out a complete application and take our aptitude tests?                                Yes No
 

 

   
 

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