1Start Application2Contact Info3Additional Info4Education5Employment History6Additional Qualifications7Refrences8Finalize We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. WE ARE AN EQUAL OPPORTUNITY EMPLOYERPosition(s) Applied For*Desired wage or salary rangeDate of Application* MM slash DD slash YYYY How did you learn about us? Advertisement Internet Friend Relative Job Fair Walk-In Other If you selected "Other" above...Referral Program: If you were referred to the company/position, please indicate the individual's name that referred you: Name and AddressFull Name* First Middle Last Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home PhoneCell PhoneEmail Address* Additional InformationAre you 18 years or older?* Yes No Have you ever filed an application with us before? Yes No If you selected "Yes" above, give date...Have you ever been employed with us before? Yes No If you selected "Yes" above, give date and reason for leaving...May we contact your present employer? Yes No Are you currently subject to a non-compete, confidentiality, non-disclosure, employment agreement or any offer agreement potentially restricting the scope of your work with a future employer? Yes No Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?Proof of citizenship or immigration status will be required upon employment Yes No Can you with or without reasonable accommodations perform the essential functions of this job?If you have any questions about the functions of the job, please ask the interviewer before answering this question. Yes No On what date would you be available for work? MM slash DD slash YYYY Are you available to work... Full Time Part Time Shift Work Temporary Are you currently on "lay-off" status and subject to recall? Yes No Can you travel if a job required it? Yes No Have you been convicted of a crime other than a minor traffic infraction?Conviction will not necessarily disqualify an applicant from employment. Yes No If you selected "Yes" above, please explain... EducationHigh School or EquivalentName and Address of School | Course of Study | Years Completed | Diploma/DegreeUndergraduate College, University, Trade SchoolName and Address of School | Course of Study | Years Completed | Diploma/DegreeGraduate ProfessionalName and Address of School | Course of Study | Years Completed | Diploma/DegreeOther (Specify)Name and Address of School | Course of Study | Years Completed | Diploma/DegreeLanguages You Speak*Choose One123Language 1Language 1 Name*Language 1 Speak*Choose OneFluentGoodFairLanguage 1 Read*Choose OneFluentGoodFairLanguage 1 Write*Choose OneFluentGoodFairLanguage 2Language 2 Name*Language 2 Speak*Choose OneFluentGoodFairLanguage 2 Read*Choose OneFluentGoodFairLanguage 2 WriteChoose OneFluentGoodFairLanguage 3Language 3 Name*Language 3 Speak*Choose OneFluentGoodFairLanguage 3 Read*Choose OneFluentGoodFairLanguage 3 Write*Choose OneFluentGoodFairAdditionalDescribe any specialized training, apprenticeship, skills and extra-curricular activities.Were you ever in the U.S. Military or Government Service? Yes No If you select "Yes" above, what military branch or agency?If you select "Yes" above, final rank or Government service level...If you select "Yes" above, dates of duty or service....From | ToDescribe any job-related training received in the United States military. Employment ExperienceEmployerSupervisorHrs/weekAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting SalaryEnding SalaryTelephone Number(s)Job TitleReason for LeavingWork PerformedEmployerSupervisorHrs/weekAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting SalaryEnding SalaryTelephone Number(s)Job TitleReason for LeavingWork PerformedEmployerSupervisorHrs/weekAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting SalaryEnding SalaryTelephone Number(s)Job TitleReason for LeavingWork PerformedEmployerSupervisorHrs/weekAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Starting SalaryEnding SalaryTelephone Number(s)Job TitleReason for LeavingWork PerformedList professional, trade, business or civic activities and offices held.You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status. Additional Skill InformationOther QualificationsSummarize special job-related skills and qualifications acquired from employment or other experience.Specialized Skills PC/TYPEWRITER EXCEL WORD POWER POINT ADOBE ILLUSTRATOR WEB DEVELOPMENT Other SkillsProduction/Mobile MachineryEquipment OperatedState any additional information you feel may be helpful to us in considering your application. References such as previous supervisor or co-worker who can provide professional referencesNamePhoneAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code NamePhoneAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code NamePhoneAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Applicant's StatementI certify that answers given herein are true and complete to the best of my knowledge. I specifically authorize Hastings Machine Company, and those acting on behalf of Hastings Machine, to investigate and/or make inquiry into my background as may be necessary in arriving at an employment decision, including, but not limited to, a criminal background check, a consumer reporting agency report, an MVR (motor vehicle report) and workman's compensation activity report. I release Hastings Machine Company from any liability, including a potential claim for defamation, related to the completion or undertaking of my pre-employment background check. This application for employment shall be considered active for a period of time not to exceed 6 months. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employe may resign at any time and the Employer may discharge Employe at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or inter- view(s) may result in discharge. If employed, I agree to abide by all policies, rules and procedures of the Employer. I also understand that I may be required to take a drug test or participate in a random drug pool as a condition of employment. I hereby authorize the use of photocopies of this section of the application for employment for acceptance by all persons and parties as an original for the release of any and all information that is revelant to the consideration of the application of employment. I agree to release all such persons and parties from any claim or liability for providing such information to the company. Signature of Applicant*Please enter your full name to electronically sign this application.Date* MM slash DD slash YYYY NameThis field is for validation purposes and should be left unchanged.
