• What position are you applying for?    Any Estimator Boring Mill Operator Lathe Operator Electrical Maintenance Mechanical Maintenance Laborer Assembler Inspector Other
         If other, please specify.                
  
• Last Name:   First Name:
• Address:    
• City:                State: AL AZ CA OH PA WV UT     Zip:
• Phone: Social Security No.:
• E-Mail:
• If necessary, best time to call your home is:
• May we contact you at work? Yes    No   Work #:
• If you are under 18, can you furnish a work permit? Yes     No    N/A
• Have you filed an application with us before?  Yes   No     Date:
• Have you ever been employed here before?   Yes   No     Date:
• Are you legally eligible for employment in the U.S.A.?  Yes     No                                                       (Proof of U.S. Citizenship or immigration status will be required upon employment.)
• Date available for work: 
• Type of employment desired:  Full Time   Part Time    Temporary                                                Seasonal   Educational Co-op
• Are you on layoff and subject to recall?  Yes     No
• Will you relocate if job requires it?  Yes     No
• Will you travel if job requires it?      Yes     No
• Are you able to meet the attendance requirements of the position?   Yes    No
• Will you work overtime if required?  Yes    No
• Have you ever been bonded?  Yes       No
• Have you been convicted of a felony in the last seven (7) years?  Yes     No                (Such conviction may be relevant if job related, but does not bar you from employment.)
• If Yes, please explain:
• Employment History:   Please provide in the space below, your employment history starting with your most recent job first. Include Employer, telephone number, address, title, reason for leaving, start and end dates, hourly rate/salary, and a summary of job responsiblilities and nature of work performed.
                                                                      
•  
• Show actual amount of experience you have at each of the following:
•                                      Years      Months                                         Years     Months
• Horizontal Boring Mill            Vertical Boring Mill          
• Engine Lathe                            Turret Lathe                     
• Milling Machine                       Drill Press                         
• Tool & Cutter                          Slotter                              
• Machinery Assembly             Welding                            
• Fabrication Fitter                    Truck Driver                      
• Cylinder Grinder                     Machine Maintenance        
• CNC                                      Draftsman                          
• Shop Maintenance                  Electrical                                                                                                      
• Educational Background.  List last three(3) schools attended, starting with last one. List number or years completed. Indicate degree or diploma earned, if any. Grade point average or Class rank, Major and Minor field of study (if applicable).
•                                                                  
• List any foreign language(s) you know and list your skill level.
  
• References:  List name, telephone number and years known, of three (3) business/work refernces who are not related to you and are not previous supervisors. If not applicable, list three (3) school or personal references who are not related to you.
  
  
  
• List professional, trade, business, or civic associations and any offices held. (Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability or other protected status.)                                                                      
• List special accomplishments, publications, awards. (Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability or other protected status.)                                                
• List any additional information you would like us to consider.                                                                   
• Please read the following:                                                                 Glunt Industries, Inc. is committed to the policy of an equal employment opportunity and to a drug-free work environment. Your job-related experience and other qualifications will be considered without discrimination on grounds of race, color, religion, sex, national origin, age, disibility, veteran status or any other basis protected by applicable federal, state, or local law. I understand that, in the event I am employed by the company, I am employed "at will", which means the term of employment is not definite and my employment may be terminated at any time with or without cause, without any advance notice, by either myself or my employer. The aforementioned constitues the entire agreement between the company and me on the subject or termination, layoff and/or discharge and can only be changed by a written agreement signed and executed by the vice president or Glunt Industries, Inc.
• I have read, understand and agree to the above statements and condition of employment.                              Yes       No

Signature __________________________________      Date __________________________

You may also E-Mail your resume to stuart@glunt.com

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