Great American Coil
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Because of the Brave
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Application for Employment
(Non exempt position)

Applicant Name:
First Middle Last

Address Information:
Street Address
City State Zip

Contact Information
Primary Phone:  ###-###-####
Secondary Phone:  ###-###-####

Position Information
Employment Type:
Desired Position:
Desired Wage: $ /hour
Date Available to Start:

Education Information
High School
School Name:
Years attended: From:   To:

College/Tech School
School Name:
Years attended: From:   To:
Relevant Course of Study:

Eligibility / Skills Information:
Are you 18 years or older?
Are you either a U.S. citizen or an alien authorized to work in the U.S.?
Do you have good math skills?
Do you know how to read a tape measure?  
Do you take pride in your work?  
Do you enjoy a fast paced environment?  
Do you know how to read measured drawings?
Do you enjoy working with machines?  

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that if I am employed, any false statements on this application may be grounds for dismissal. I authorize investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice.

 Check this box to indicate your agreement to these terms