Central Minnesota Fabricating, Inc. located in Willmar, Minnesota

Central Minnesota Fabricating, Inc.

Toll Free 800.839.8857

Online Employment Application

Position(s) Applied For:
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Street Address		PO Box
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If you are under 18 years of age, can you provide required proof of your eligibility to work?	Yes No
Have you ever filed an application with us before?	Yes No If Yes, give date:
Have you ever been employed with us before?	Yes No If Yes, give date:
Are you currently employed?	Yes No
May we contact your present employer?	Yes No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment	Yes No
On what date would you be available for work?
Are you available to work:	Full Time Part Time Shift Work Temporary
Are you currently on "lay-off" status and subject to recall?	Yes No
Can you travel if a job requires it?	Yes No
Have you been convicted of a felony within the last 7 years? Conviction will not necessarily disqualify an applicant from employment.	Yes No

If Yes, please explain:

Education

	Name and Address of School	Course of Study	Years Completed	Diploma Degree
Elementary School				Yes No
High School				Yes No
Undergraduate College				Yes No
Graduate Professional				Yes No
Other (specify)				Yes No

Indicate any foreign languages you can speak, read and/or write
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Describe any specialized training, apprenticeship, skills and extra-curricular activities:

Describe any job-related training received in the United States military:

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You should exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer

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Work Performed

Address

Telephone Number(s)

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Job Title

Supervisor

Hourly Rate/Salary

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Final

Reason for Leaving

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Employer

Dates Employed

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Job Title

Supervisor

Hourly Rate/Salary

Starting

Final

Reason for Leaving

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Employer

Dates Employed

From

Work Performed

Address

Telephone Number(s)

	->
	->

Job Title

Supervisor

Hourly Rate/Salary

Starting

Final

Reason for Leaving

$ -> $

Employer

Dates Employed

From

Work Performed

Address

Telephone Number(s)

	->
	->

Job Title

Supervisor

Hourly Rate/Salary

Starting

Final

Reason for Leaving

$ -> $

List professional, trade, business, or civic activities and offices held. You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability, or other protected status:

Additional Information

Other Qualifications

Summarize special job-related skills and qualifications acquired from employment or other experience.

Specialized Skills

Check Skills/Equipment Operated

CRT
PC
Calculator
Typewriter

Fax
Lotus 1-2-3
PBX System
Wordperfect

Production/Mobile
Machinery (list):

Other (list):

State any additional information you feel may be helpful to us in considering your application.

Note to Applicants: Do not answer this question unless you have been informed about the requirements of the job for which you are applying.

Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied?

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References

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Applicant's Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at this time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Notice: By submitting this application, you are agreeing with and will be held to the statement above. Please be sure to read the above statement before submitting this application.