Application for Employment
Fields marked with an asterisk(*) are required.
Personal Information


Name:
First: *
Middle: Last: *

Address:
Street: *
City: *
State: *
Zip: *

Phone:
Home: *
Work:

In case of emergency, notify:
Name: *
Phone: *

Additional questions:
Desired position: Desired salary: Date you can start: *
Type of work:  

Have you ever applied for employment with us before? Yes No*

Date if yes:

Are you at least 18 years of age? Yes No*
Can you provide proof of U.S. citizenship? Yes No*
Do you have relatives employed at Wilkens? Yes No*
Name if yes:

May we inquire of your current employer? Yes No*
If no, reason:

Will you work overtime if asked? Yes No*
Have you been convicted of a felony in the last 7 years? Yes No*
If yes, describe in full:


Skills and Special Studies


List any relevant experience or skills:

References


Give the names of three persons not related to you
NamePhone NumberBusinessYears Acquainted

Military


Did you serve in the U.S. Armed Forces? Yes No*
What branch?

Rank Attained:

Describe any training received in the military relevant to the position for which you are applying:

Employment History


Please give accurate, complete full-time, part-time & unemployment periods. Start with the most recent employer first
Company name:
Address:
Telephone:
Name of Supervisor:
Describe your work:
From: to:
Pay: Starting $ per
Ending $ per
Job Title:
Reason for leaving:
Company name:
Address:
Telephone:
Name of Supervisor:
Describe your work:
From: to:
Pay: Starting $ per
Ending $ per
Job Title:
Reason for leaving:
Company name:
Address:
Telephone:
Name of Supervisor:
Describe your work:
From: to:
Pay: Starting $ per
Ending $ per
Job Title:
Reason for leaving:

Education


School Name & Location Course of Study Years Completed Did you graduate? Degree, Diploma, Certificate
Elementary N/A
High School
Trade/Technical
College
Graduate

I understand and agree that the information provided in this application for Employment is true, correct and complete. I further understand that any false or misleading statements or omissions made by me on this application or on any other Company records may subject me to immediate dismissal at any time during my employment.
I understand that as a condition of employment by Wilkens Manufacturing, Inc., I must submit to a company Medical and Drug/Alcohol Screening prior to my employment, or thereafter as may be required by the Company, and that the results will be used for decision relating to my employment.
I understand and agree that my employment with the Company is entered into voluntarily and does not create a contractual agreement. I may resign at any time and similarly, my employment may be terminated for any reason and at any time without previous notice
I hereby authorize Wilkens Manufacturing, Inc. to make a thorough investigation of my past employment and activities. I agree to cooperate in such investigation and I release Wilkens Manufacturing, Inc. and any person or organization supplying information to Wilkens Manufacturing, Inc. in connection with such investigation, of and from liability in connection with the furnishing or use of information.


You may attach a resume below. Please select file to upload: