General Products Machine Shop, Inc.
3661 Pole Line Road – Pocatello, Idaho 83201
An Equal Opportunity Employer
Employment Application
Personal Information:
Name: _____________________________________________________________ SSN: _______-______-_________
Last First Middle
Address: ________________________________________________________________________________________
Street City State Zip Code
Home Phone: ( ) ______________ Work Phone: ( ) ______________ Cell Phone: ( ) __________________
Position Applied For: _________________________ Are you currently employed: _________ Wage: ______________
May we contact your present employer? _______ Contact Name/Number/Position: _____________________________
Education:
a. Check highest grade completed: 8 9 10 11 12
b. If you did not complete high school, do you have a high school equivalency diploma? yes no
c. Check number of years of post high school education. 1 2 3 4 5 6 or more
Name and location of Institution Degree Received Major Dates Attended
1. ______________________________________________________________________________________________
2. ______________________________________________________________________________________________
3. ______________________________________________________________________________________________
d. If you expect to complete an educational program in the near future, please indicate what type of degree or program
and expected completion date: _______________________________________________________________________
Experience:
Highlight your knowledge, skills, and abilities which best demonstrate your qualifications for this position.
Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
Full-time Part-time Reason for Leaving:
Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
Full-time Part-time Reason for Leaving:
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General Products Machine Shop, Inc.
3661 Pole Line Road – Pocatello, Idaho 83201
An Equal Opportunity Employer
Employment Application
Experience (continued):
Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
Full-time Part-time Reason for Leaving:
Miscellaneous:
a. Check what shift(s) or times you are able to work. Day Swing Night Weekends
b. Check what job status you would accept. Full-time Part-time
c. What are your qualifications, experience, knowledge, skills, and abilities for the position you are applying for?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
d. What else should we know about you (the applicant) which was not mentioned above? List anything that might set
you apart from the other applicants.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
e. When will you be available to start work? _____ Month _____ Day _____ Year
References:
Name Phone Number Business /Title Years Known
1.
2.
I hereby certify that all entries on this application are true and complete, and I agree and understand that any
falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any
employment with General Products Machine Shop, Inc. I understand that all information on this application is
subject to verification.
Date: _____________________ Applicants Signature: __________________________________________________
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