Employment

Application for Employment with 3-D CNC, Inc.

3-D CNC, Inc. is an equal opportunity employer and will not discriminate against any applicant for employment because of race, color, religion, gender, national origin, sexual orientation, disability, age, marital status or any other protected status. Applicants who require an accommodation throughout the application and interview process should request this in advance. Additional testing of job related skills may be required prior to employment.

Personal Information

Last Name:

First Name:

MI:

Present Address:

City:

State:

Zip:

Permanent Address:

City:

State:

Zip:

Phone:

Are you 18 years of age or older?

Yes No

Are you prevented from lawfully
becoming employed in this country because
of VISA or immigration status?

Yes No

Employment Desired

Position Applied For:	*
Date you can start:
Salary Desired
Are you employed now?	Yes No
If so, may we inquire of your present employer?	Yes No
Have you ever been employed by 3D-CNC before?	Yes No
If yes, where?
If yes, when?
Referred by?

Education

	Name / Location of School	Number of Years Attended	Did you Graduate?	Subjects Studied
Grammar School:			Yes No
High School:			Yes No
College:			Yes No
Trade, Business or Correspondence School:			Yes No

General

Subjects of Special Study or Research Work:
Special Skills:
Activities: (Civic, Athletic, etc)
U.S Military or Naval Service:
Rank:
Present membership in National Guard or Reserves:

Former Employers

List below last three employers, starting with last one first.

Date: Month/Year

Name / Address of Employer

Salary

Position

Reason for Leaving

From:
To:

From:
To:

From:
To:

From:
To:

Which of these jobs did you like the best?
What did you like most about this job?

References

Give the names of three persons not related to you, whom you have known at least one year.

Name	Address	Business	Years Aquainted

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 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 president, 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.

I AGREE *

* indicates required fields

Please Enter this Code:

into this box:

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