Federal and State law prohibits discrimination in employment because of gender, age, race, color, religion, marital status, national origin, citizenship, veteran status, disability, arrest records, genetic predisposition or carrier status, political activities and legal activities conducted outside of work hours.
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Click here to view descriptions |
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Attach resume:
ACCEPTABLE FORMATS: .doc, .wpd, .txt, .wks, .pdf |
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If under 18 years of age, do you have a work permit? Yes No
Are you either a U.S. citizen or an alien who has the legal right to remain and work in the U.S.? (You will be required to furnish proof of lawful work status if you are extended a job offer.) Yes No
Have you ever been convicted of a crime? Yes No If yes, please describe fully the criminal conviction(s), listing the nature of the offense and your rehabilitation since the conviction(s). A conviction record will not necessarily be a bar to employment. You may use a separate sheet. |
Employment History
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| Please list chronologically, beginning with most recent experience. |
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Education
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Personal Information
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| Member of the Drug-Free Workplace Network. Pre-Employment Drug Testing is a Requirement. |
Are you legally authorized to work in the U.S.?:
(If hired, you will be required to provide proof of work authorization.) |
Yes
No |
| Are you at least 18 years of age?: |
Yes
No |
| Briefly describe skills you may have that you acquired in other employment or armed forces: |
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| Have you ever been convicted of a crime (felony)?: |
Yes
No |
If yes, give details:
(Convictions are not automatic bar to employment) |
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| If you are experienced operator of any office machines or equipment, please list: |
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| Typing speed?: |
wpm |
Shorthand?: |
wpm |
| If you are experienced operator of any plant machines or equipment, please list: |
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| Do you have any other skills you wish to mention?: |
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| Are you presently employed?: |
Yes
No |
| If so, may we contact your present employer?: |
Yes
No |
| If hired, when would you be available?: |
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Employment References
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| List individuals familiar with your job qualifications (No relatives or personal friends). |
| 1) Name of Reference: |
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2) Name of Reference: |
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Occupation: |
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Address: |
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City/State/Zip: |
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Phone: |
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Relationship: |
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| How long known: |
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How long known: |
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Invitation to Identify for Affirmative Action Purposes
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Edstrom Industries, Inc., is committed to the employment and advancement of minorities, females, and individuals with disabilities and veterans. If you fall into one of these protected classifications, we invite you to identify yourself and receive coverage under our company's Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future.
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| Gender: |
Male |
Female |
| Indicate The Appropriate Race/Ethnic Group: |
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| How Were You Referred To This Job: |
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Please read carefully before submitting your application
Applicant's Statement
I understand that my employment may be terminated with or without reason or notice, at any time, at either my option or that of the Company. I understand that no management representative has any authority to enter into any agreement for continuing employment for any specific period of time or which is contrary to the foregoing without written approval of the Company. I give the Company permission to contact all or any of my previous employers and references and authorize them to disclose any information the Company my request in the course of its investigation of this application for employment and I hereby release the Company and such references and prior employers from any and all liability with respect to such disclosures. After a tentative offer of employment has been made, if requested by the Company, I agree to take a job-related medical examination at no personal expense and authorize the examining physician to disclose the findings to the Company. I understand that any offer of employment is conditioned upon receipt of satisfactory references and satisfactory completion of such job-related medical examination.
I also understand that I may be requested now or at any subsequent time during my employment with the Company to submit to drug and/or alcohol tests, at the Company's expense. I understand that if I refuse to take the test, my employment may be terminated immediately.
I have provided truthful and complete responses to all inquiries in the application and authorize the Company to investigate all statements contained in the application. I understand that the discovery of any falsification or omission constitutes a ground for immediate dismissal. If employed, I will abide by the Company's rules and regulations, which I understand are subject to change by the Company.
Check this box to certify that you have read and accept the above statement.
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