Employment | B & T Manufacturing

Application Information

Full Name:*

First Middle Last

Address:*

Street Address Apartment/Unit # City State / Province / Region ZIP / Postal Code Country

Mobile Phone:*

Home Phone:

Email:*

Date Available?*

Are you Currently Employed?*

Yes
No

Salary Desired?

Position applied for:*

How did you learn about our company?

Are you a citizen of the United States?*

Yes
No

Are you authorized to work in the U.S.?*

Yes
No

Have you ever worked for this company?*

Yes
No

If so, when?

Have you ever been convicted of a felony?*

Yes
No

Explain:

Education

High School:*

Address:*

Start Date:*

End Date:*

Diploma Awarded:*

College:*

Address:*

Start Date:*

End Date:*

Degree Awarded:*

Other (if any):

Address:

Start Date:

End Date:

Degree Awarded:

Previous Employment

Company:

Address:

Phone:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Start Date:

End Date:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes
No

Company:

Address:

Phone:

Supervisor:

Job Title:

Starting Salary:

Ending Salary:

Responsibilities:

Start Date:

End Date:

Reason for Leaving:

May we contact your previous supervisor for a reference?

Yes
No

Military Service

Branch:

Start Date:

End Date:

Rank at Discharge:

Type of Discharge:

If other than honourable, explain:

Disclaimer

Disclaimer*

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree to the above disclaimer.*