Employment Application

An Equal Opportunity Employer

Manufacturing Solutions, Inc and Areotek are equal opportunity employers. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

Personal Information

First Name

Last Name

Middle Initial

Complete Mailing Address

City

State

Zip

Are you 18 Years or Older?

Phone Number

Cell Phone Number

In Case of Emergency Notify

First Name

Last Name

Phone Number

Address

Employment Desired

Position

What date can you start?

Desired Salary

Are you employed now?

Can you work on the weekends?

Can you work evenings?

Are you available to work overtime?

Do you have reliable transportation for work?

May we inquire of your present employer?

Have you ever applied to this company before?

If yes, when did you previously apply?

How did you hear about us?

Are you prevented from being lawfully employed in the United States?

Do you have any friends, relatives, or acquaintances working for Manufacturing Solutions, Inc

If yes, State Name & Relationship:

Education

	Name	Location	Years Attended	Graduated?	Subject
Grammar School					General
High School					General
College/Trade School

Former Employers

	Name	Address	Salary	Position	Reason for Leaving	Start Date	Finish Date
#1
#2
#3

Are you or have you ever been enlisted in the Military?

References -- Note: The people you list cannot be family or friends.

	Name	Address	Business	Years Acquainted	Phone Number
#1
#2
#3

General Subjects of Special Study or Interest Special Skills

Signature I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment m may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's pr pesident, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. Email Address

Note: This email address will be used to send you news about the status of your application, as well as your interview time, etc. This field is optional. You will also be contacted by telephone within two weeks if your application is accepted.

Security Code

Manufacturing Solutions, Inc.

Employment Application