Production Worker Application For Employment First Name *Last Name *Email Address *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeTitlePhone *Emergency Contact Phone *How did you hear about this job? *Do you have a valid driver's license? *YesNoDo you have a reliable, licensed, and insured vehicle? *YesNoHave you ever been convicted of a criminal offense? *YesNoIf so, please explain:Would you be able to pass a drug test? *YesNoWould you be able to work Mon-Fri between 8 am and 5 pm? *YesNoAre you able to lift up to 40 lbs? *YesNoWould you have difficulty standing, bending, or kneeling in connection with performing necessary job functions? *YesNoWhat is your highest level of education? *HTMLEmployment HistoryAre you currently employed? *YesNoWhat is the name of your most recent employer? *How long have you been employed there? *Option 1Option 2May we contact them for a reference? *YesNoWhy did you leave this job, or why are you looking for a new one? *ReferencesAre you able to provide references? *YesNoReference #1 NameReference #1 PhoneWhat is your relationship to reference #1?Reference #2 NameReference #2 PhoneWhat is your relationship to reference #2?When would you be able to start? *Why are you interested in working with Midwest Current Transformer?How long do you see yourself working here? *Please attach your resume if you have one.Choose FileNo file chosenDelete uploaded file Send
