Apply Application for Employment Step 1 of 5 20% Square Deal Machining, Inc. (employer) subscribes to all Federal and State statutes that prohibit discrimination. We consider all applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital status, sexual orientation, gender identity, transgender status, gender dysphoria, domestic violence victim status, military status, genetic predisposition or carrier status, or any other legally protected class or status. This application must be completed and signed personally by the applicant. Each question must be answered in full. If answer is NO or NONE, indicate same. We appreciate your interest in our company. **Note this application progress includes a mandatory drug screening Name* First Last Social Security Number*Telephone Number*Address* Street Address City State / Province / Region ZIP / Postal Code Previous Addresses:Please include previous temporary and permanent addresses covering the last ten years Please include street, city, state county and Dates (From - To)Are you 18 years or older?*YesNoAre you employed now?*YesNoMay we inquire of your present employer?*YesNoPosition applied for*Rate of pay/salary expected*Other position(s) qualified for*Are you legally eligible for employment in the United States?*YesNoSelect shift* Full Time Part Time Select available shift time* Day Evening Do you have a Valid Driver’s License?*YesNoIf so, What Class*Special Licenses or Certifications*Have you ever been employed by Square Deal Machining, Inc.?*YesNoHave you been convicted of and/or plead guilty to a Felony or Misdemeanor?*YesNoIf yes...Additional information regarding question # 9. Conviction Record. If you answered Yes, and have been convicted of a felony or misdemeanor, or subject to multiple such convictions, please provide additional information about each conviction, such as the date of the offense(s), your age(s) at the time, the location of the Court(s), the disposition you received from the conviction(s) (e.g., incarceration, restitution, probation, etc.), and any rehabilitation or evidence of good conduct.What was the specific conviction?*What happened? (Describe the criminal offense and corresponding events.)*When were you convicted? (Specify the month and year.):*How old were you at the time of the criminal offense?*Location of court where your conviction was rendered?*What was the disposition of your conviction? (Describe whether you received a fine, probation, community service, incarceration, etc.)*What was the disposition of your conviction? (Describe whether you received a fine, probation, community service, incarceration, etc.)*Please Provide Any Evidence of Rehabilitation & Good Conduct:*Please Provide Any Additional Information You Wish to Share:*(Please note: A conviction record will not necessarily be a bar to employment. Factors such as seriousness and nature of the violation and rehabilitation will be taken into account). Education:Select the Highest Grade School Year Completed:12345678Select the Highest High School Year Completed:9101112Select the Highest College Year Completed:1234Select the Highest Graduate Year Completed:1234High SchoolProvide Address, Course, and Degree in descriptionCollegeProvide Address, Course, and Degree in descriptionOther Graduate, Business or Vocational School, or Other Training SkillsMilitary Service Branch:Provide years served and rank in the description Employment RecordList most recent firstName of Employer*Address*Phone*Dates of Employment*Salary Start*Salary Last*Type of Business*Your Position/Title*Supervisor*Reason for Leaving*Briefly Describe Your Duties and Responsibilities:*Name of EmployerAddressPhoneDates of EmploymentSalary StartSalary LastType of BusinessYour Position/TitleSupervisorReason for LeavingBriefly Describe Your Duties and Responsibilities:Name of EmployerAddressPhoneDates of EmploymentSalary StartSalary LastType of BusinessYour Position/TitleSupervisorReason for LeavingBriefly Describe Your Duties and Responsibilities: References(Other than relatives ) (List Three)Reference #1*Provide Name, Complete Address, Phone, Occupation, Years KnownReference #2*Provide Name, Complete Address, Phone, Occupation, Years KnownReference #3*Provide Name, Complete Address, Phone, Occupation, Years Known I authorize investigation of any information provided on this application and authorize investigation of my employment record and references. I hereby release from liability the employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information. I understand that any misrepresentation, falsification, or omission is cause for voiding this application or termination of employment if hired. I understand and agree that, if hired, my employment is at-will and for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time without any prior notice.Date* Signature of Applicant* Full Name