Employment

Washington Tool and Machine

Plant: 1 South Baird Avenue
Washington, PA 15301

Mail: PO Box 873
Washington, PA 15301

Phone: 724-225-7470

Fax: 724-225-7484

Application for Employment

We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status.

Date of Application:
Position(s) applied for:
Attach a copy of your resume:


First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone:
Email:

If you are under 18 years of age, can you provide required proof of your eligibility to work?		Yes No
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Have you ever filed an application with us before?		Yes No
	If yes, give date:
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Have you ever been employed with us before?		Yes No
	If yes, give date:
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Do any of your friends or relatives, other than spouse, work here?		Yes No
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Are you currently employed?		Yes No
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May we contact your present employer?		Yes No
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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
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Date available to work:
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What is your desired salary range?
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What are you available to work?		Part-Time Full-Time
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Are you currently on "lay-off" status and subject to recall?		Yes No
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Can you travel if a job requires it?		Yes No
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Do you have a valid Driver License?		Yes No
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Have you been convicted of a felony within the last five years? (A criminal record does not constitute an automatic bar to employment and will be considered only as it relates to the job in question.)		Yes No
WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Education

Education	Did you graduate	Degree / Subject Studied
________________________________________________________________________________________________

High School	Yes No
________________________________________________________________________________________________

College	Yes No
________________________________________________________________________________________________

Trade, Business or Corresponding School	Yes No

Employment History

Employer #1
Employer:		Date Employed
Address:		From:
Telephone #:		To:
Job Title:		Hourly Rate / Salary
Supervisor:		Starting:
Reason for Leaving:		Final:
Work Performed:

______________________________________________________________________

Employer #2
Employer:		Date Employed
Address:		From:
Telephone #:		To:
Job Title:		Hourly Rate / Salary
Supervisor:		Starting:
Reason for Leaving:		Final:
Work Performed:

______________________________________________________________________

Employer #3
Employer:		Date Employed
Address:		From:
Telephone #:		To:
Job Title:		Hourly Rate / Salary
Supervisor:		Starting:
Reason for Leaving:		Final:
Work Performed:

______________________________________________________________________

Employer #4
Employer:		Date Employed
Address:		From:
Telephone #:		To:
Job Title:		Hourly Rate / Salary
Supervisor:		Starting:
Reason for Leaving:		Final:
Work Performed:

References

Reference #1
Full Name:		Phone:
Address:
_______________________________________________________________________
Reference #2
Full Name:		Phone:
Address:
_______________________________________________________________________
Reference #3
Full Name:		Phone:
Address:

Applicant's Statement

I certify that answers given herein are true and complete.
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 that 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 informationgiven 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.

I have read and understand the above statement.