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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?*

Yes
No

Are you employed now?*

Yes
No

May we inquire of your present employer?*

Yes
No

Position applied for*

Rate of pay/salary expected*

Other position(s) qualified for*

Are you legally eligible for employment in the United States?*

Yes
No

Select shift*

Full Time
Part Time

Select available shift time*

Day
Evening

Do you have a Valid Driver’s License?*

Yes
No

If so, What Class*

Special Licenses or Certifications*

Have you been convicted of and/or plead guilty to a Felony or Misdemeanor?*

Yes
No

If 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.)*

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).

Have you ever been employed by Square Deal Machining, Inc.?*

Yes
No

Application for Employment

Step 1 of 5

Previous Addresses:

If yes...

Education:

Employment Record

References