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Application
ANGOLA WIRE PRODUCTS, INC. APPLICATION
Internet Version
Fax to (866) 609-0178
Print this form by clicking on the print button of your browser.
Fill out the information and then fax to the above number.
Personal
Name _________________________________ Address _____________________________________________________________ City ______________________________ State _______ Zip Code __________ Phone _________________________________ Referred by:___________________ Position desired _______________________________ Salary desired __________ Date you can start _________ Ever applied to this company before? _________ Are you employed? _______ If so, may we inquire your present employer? ________
Education
High school name/location ______________________________________________ Years attended ______ Did you graduate? ______ Subject studied ______________ College name/location __________________________________________________ Years attended ______ Did you graduate? ______ Subject studied _______________ Trade school name/location ______________________________________________ Years attended ______ Did you graduate? ______ Subject studied _______________ Subjects of special study/skills ____________________________________________ US Military _____________________________________ Rank _________________Former employers (start with last one first)
| Date Worked From / To | Name & Address Of Employer | Salary (upon Leaving) | Position | Reason For Leaving |
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References
| Name | Address | Phone | Relationship | Length Of Relationship |
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Authorization
"I authorize investigation on all statements contained in this application. I understand and agree that my employment is for no definite period and may be terminated at any time without case and without previous notice. Further, I understand that misrepresentation of the information provided in this application is cause for immediate dismissal."
Signature: _______________________________Date: ____________
In order to preserve the applicants' privacy, we have omitted the social security number field from this form. Be aware that for legal purposes, the applicant will be required to provide such information prior to employment.
EMPLOYMENT/EDUCATION
VERIFICATION RELEASE FORM
AUTHORIZATION TO OBTAIN AN EMPLOYMENT/EDUCATION VERIFICATION
In connection with my application for employment, I understand that an inquiry may include, but is not limited to:
* Employment Verification - employer name and address, dates of employment, position held, salary, and contact name of employer's staff member who reported information.
* Education Verification - name of school/university attended, dates of attendance, major, degree (s) earned, and name of school/university staff who reported information.
Name of Authorizing Consumer:__________________________________________________________________
(Please Print)
Date:______________________
Signature of Authorizing Consumer:_______________________________________________________________
