Date* MM slash DD slash YYYY I. GENERALA. NamePlease Print*Last*First*Middle*Telephone*B. Present AddressNo. & Street*City*State*Zip Code*C.Job applied for*Minimum weekly salary required*D. How did you become interested in Allied?:Want adsRelative or friendPerson at AlliedHighway signOther sourceE. If you were known by another name at another place of employment, provide that name and dates usedF. Do you have transportation to and from Allied-Locke? Yes No G. Were you ever interviewed at Allied-Locke? Yes No By whom? Personnel Director Foreman Other ExplainH. Date available for employment MM slash DD slash YYYY II. PERSONALA. Are you? Over 18 Under 18 B. Are you legally able to work in the U.S.A.? Yes No Green Card No.C. Is there a person with whom we could leave a telephone message in the event of a future employment opportunity?NameNumberD. Do you have any job or career goals which might be of interest to our company?E. Do you anticipate anything interfering with your regular attendance as a full-time employee here?F. Are you now or do you expect to be engaged in any other business or employment? Yes No If so, explainG. List any awards, achievements, patents, publications, leadership positions, etc., with which you have been creditedEMPLOYMENT RECORDA. Were you ever employed by Allied-Locke Industries? Yes No If so, whenDepartmentReason for leavingB. Employment historyEMPLOYMENT (PRINT)DESCRIBE WORK YOU DID (INCLUDE RESPONSIBILITIES, SUPERVISORY DUTIES, ETC.)1. Present or most recent employerNameCity & StateTelephone No.Title of Position HeldReason for leavingStarting date MM slash DD slash YYYY Ending date MM slash DD slash YYYY Average Number of work days missed per month: One or fewer 2-4 days 5 or more 2. Next previous employerNameCity & StateTelephone No.Title of Position HeldReason for LeavingStarting date MM slash DD slash YYYY Ending date MM slash DD slash YYYY Average Number of work days missed per month: One or fewer 2-4 days 5 or more 3. Next previous employerNameCity & StateTelephone No.Title of Position HeldReason for LeavingStarting date MM slash DD slash YYYY Ending date MM slash DD slash YYYY Average Number of work days missed per month: One or fewer 2-4 days 5 or more 4. Next previous employerNameCity & StateTelephone No.Title of Position HeldReason for LeavingStarting date MM slash DD slash YYYY Ending date MM slash DD slash YYYY Average Number of work days missed per month: One or fewer 2-4 days 5 or more EDUCATION AND EXPERIENCEA. What education or training have you had for the job you are applying for? (please list)B. Have you had any other education or training which might be important if you were considered for other positions with Allied-Locke? High school College Other If so, please list all relevant courses or training completed:C. Have you had any job experience or otherwise possess any of the job skills listed below? If so, please use the appropriate spaces to estimate the number of full-time months you have worked at similar positions. (for example: welding 6 months) NOTE: Not all of these skills are required of applicants for any particular position, but our awareness of your background will aid us in placing you in a job most advantageous to you and to the company.GENERAL FACTORYAgricultural chain assemblyIf so, please specify positionsGeneral factory workSmall piece assemblyLarge assemblyFurnace, heat-treatRiveting machineWeldingMigTigStickOperator of other machineryIf so, please specifyMAINTENANCEMachine repair, maintenanceDiagnosed trouble on machinesMachine set-upIf so, indicate type of machinesHydraulic installation or repairElectrical installation 110 220 440 Electrical repairElectronicsHeating systemsAir-conditioning systemsPlumbingPaintingWork at heights, on laddersPUNCH PRESSES, STAMPING MACHINESManual punch pressAutomatic pressProgressive-die pressPunch press set-upProgressive-die set-upOTHER MECHANICAL SKILLSFarmingAutomotive engine repairOther engine repairOther - specifyPRODUCTION TURNING & MILLINGCNC LatheCNC MillCNC VTLCNC Flame CutCNC Plasma CutSHIPPING/RECEIVINGShipping, warehouseMaterial handlingFork-lift drivingTOOL ROOMOperated latheOperated millOperated grinderOperated boring machineOperated drill pressOtherRead blueprintsUsed gauges/measuring instrumentsSUPERVISORY SKILLSInspection, quality controlGroup leader, assistant foremanOther supervisory position (list, specify no. of people)D. Have you served in the U.S. Armed Forces? Yes No BranchFromToStarting rankEndingService schools or special experienceIf you have taken any training under the G.I. Bill of Rights, please describeE. Do you have any special interests or hobbies in the areas of Electronics Metal Work Mechanics Other ExplainF. Use this space to tell us any additional information about yourself:PERSONAL REFERENCES (Not former employers or relatives)ReferencesNameAddressPhoneRelationship to you Δ
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