application

presrite.

application.

Plant Applied for
Any

Position(s) Applied For

First Name

Last Name

Address

Address 2

City

State

Zip Code

Telephone
- -

Email Address

Have you ever been employed with Presrite Corporation?
Yes No

Are you legally eligible for employment in the United States?
(Form I-9 must be complete as part of this application process.)
Yes No

Date available for work

How were you referred to our company?
Ad Person Agency

Name(s) of relatives/friends employed by the company:

Employment History

History 1

History 2

History 3

Employment History #1

Date of Employment
From To

Employer

Job Title

Address

Immediate Supervisor

Supervisor Title

Summarize the nature of work performed and job responsibilities:

Reason for Leaving

Rate of pay $

Type

Employment History #2

Date of Employment
From To

Employer

Job Title

Address

Immediate Supervisor

Supervisor Title

Summarize the nature of work performed and job responsibilities:

Reason for Leaving

Rate of pay $

Type

Employment History #3

Date of Employment
From To

Employer

Job Title

Address

Immediate Supervisor

Supervisor Title

Summarize the nature of work performed and job responsibilities:

Reason for Leaving

Rate of pay $

Type

Resume

I certify that my answers to all of the foregoing are true and accurate.