EMPLOYMENT APPLICATION Are you at least 18 years or older? Yes or No , If no, you may be required to provide authorization to work.
Do you have the ability, with or without reasonable accommodations, to perform the essential functions of the job for which you are applying? Yes or No.
CAPABILITY / RELIABIILITY:
Will you abide by the safety rules of this company? Yes or No
Have you ever been disciplined for violating company safety rules or regulations? Yes or No
Have you ever been fired, or asked to resign from a job? Yes or No
(List names of employers in consecutive order with present or last employer listed first. If self-employed, give firm name and supply business references)
Name & Address of Employer
Below describe duties performed, skills used/learned, advancements/promotions earned:
WORK HISTORY (Continued):
(List names of employers in consecutive order with present or last employer listed first. If self-employed, give firm name and supply business references)
Name & Address of Employer
Below describe duties performed, skills used/learned, advancements/promotions earned:
(List names of employers in consecutive order with present or last employer listed first. If self-employed, give firm name and supply business references)
Name & Address of Employer
Below describe duties performed, skills used/learned, advancements/promotions earned:
GIVE THREE REFERENCES, NOT RELATIVES OR FORMER EMPLOYERS
Authorization & Agreement
I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrectstatements made on this application form or during any interviews may be grounds for my immediate discharge.
I hereby authorize Cook General Engineering, Inc., to contact any company or individual it deems appropriate to investigate my employment history, character, qualifications and education and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation.
I agree that, if I am employed, I will abide by all the rules and regulations of the Cook General Engineering., Inc. I also understand that my employment is at-will and may be terminated by myself or by the company at any time for any reason or no reason at all, with or without prior notice.
Submit Form
