Employment Application | Parkhurst Manufacturing

Online Employment Application

General Information

Position Interested In(Required)

What starting salary do you require?(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Do you have a valid drivers license?(Required)

Do you have dependable transportation?(Required)

Are you authorized to work in the United States?(Required)

Are you available to work overtime?(Required)

May we contact your current employer?(Required)

Have you served in the Armed Forces?(Required)

Branch(Required)

Years Active Duty(Required)

Education

High School Name(Required)

High School Years Attended(Required)

High School Relevant Areas of Study

Did you graduate from High School?(Required)

Trade School

Trade School Years Attended

Trade School Relevant Areas of Study

Did you graduate from trade school?

College

College Years Attended

College Relevant Areas of Study

Did you graduate from College?

Special Skills and Qualifications

Can you read blueprints?(Required)

Can you read a tape measure?(Required)

Can you operate a forklift?(Required)

List other relevant skills and qualifications(Required)

Employment and Experience

Please list the current or most recent first. Fill out as many employers and experience as you can.

Employer One: Name

Employer One: Poisition(s) Held

Employer One: Supervisor

Employer One: Supervisor Phone Number

Employer One: Address

Street Address City State / Province / Region ZIP / Postal Code

Employer One: Yearly Salary

Employer One: Are you still working here?

Employer One: Start Date

Employer One: End Date

Employer One: Duties

Employer One: Please state the reason for leaving or looking for a new position.

Employer Two: Name

Employer Two: Poisition(s) Held

Employer Two: Supervisor

Employer Two: Supervisor Phone Number

Employer Two: Address

Street Address City State / Province / Region ZIP / Postal Code

Employer Two: Yearly Salary

Employer Two: Are you still working here?

Employer Two: Start Date

Employer Two: End Date

Employer Two: Duties

Employer Two: Please state the reason for leaving or looking for a new position.

Employer Three: Name

Employer Three: Poisition(s) Held

Employer Three: Supervisor

Employer Three: Supervisor Phone Number

Employer Three: Address

Street Address City State / Province / Region ZIP / Postal Code

Employer Three: Yearly Salary

Employer Three: Are you still working here?

Employer Three: Start Date

Employer Three: End Date

Employer Three: Duties

Employer Three: Please state the reason for leaving or looking for a new position.

Employer Four: Name

Employer Four: Poisition(s) Held

Employer Four: Supervisor

Employer Four: Supervisor Phone Number

Employer Four: Address

Street Address City State / Province / Region ZIP / Postal Code

Employer Four: Yearly Salary

Employer Four: Are you still working here?

Employer Four: Start Date

Employer Four: End Date

Employer Four: Duties

Employer Four: Please state the reason for leaving or looking for a new position.

References

Please list two references other than previous employers or relatives.

Reference One: Name

Reference One: Relationship

Reference One: Phone

Reference One: Email

Reference Two: Name

Reference Two: Relationship

Reference Two: Phone

Reference Two: Email

Resume

Resume Upload

Please upload your resume in PDF format.

Accepted file types: pdf, Max. file size: 10 MB.

Acknowledgment and Certification

Signature(Required)

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