Application For Employment

Name (Last, First, MI):		SSN:
Present Address:	City:	State:	Zip:
Previous Address: (If at present address less than1 yr)	City:	State:	Zip:
Are you 18 Years or Older?  YesNo		Phone: Including Area Code

Position Desired:		Date you can start:	Salary Desired:
Are you currently employed? YesNo	If so, may we contact your current employer? YesNo
Have you ever applied to CM Manufacturing? YesNo	If so, when?
Who referred you to CM Manufacturing?:

	Name and City	Years Attended	Did you Graduate?	Subjects Studied
High School			YesNo
College			YesNo
Trade. Business or Correspondence School			YesNo

Subjects of Special Study or Research Work

Special Training

Special Skills

Name of Current or Last Employer:
Address:	City:	State:	Zip:
Job Title:	Start Date:	Leave Date:
May we contact your Supervisor?YesNo	Starting Salary:	Ending Salary:
Name of Supervisor:	Title:	Phone:
Description of Duties
Reason For Leaving

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Name Previous Employer:
Address:	City:	State:	Zip:
Job Title:	Start Date:	Leave Date:
May we contact your Supervisor?YesNo	Starting Salary:	Ending Salary:
Name of Supervisor:	Title:	Phone:
Description of Duties
Reason For Leaving

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Name Previous Employer:
Address:	City:	State:	Zip:
Job Title:	Start Date:	Leave Date:
May we contact your Supervisor?YesNo	Starting Salary:	Ending Salary:
Name of Supervisor:	Title:	Phone:
Description of Duties
Reason For Leaving

Name	Contact Information	Business	Years Acquinted

Branch of Service:	Discharge Date:	Rank:
Have you been convicted of a felon in the past 5 years?YesNo
If Yes, Please Explain (This will not necessarily exclude you from consideration)
Additional Information:
AUTHORIZATION: By clicking "I Agree", you are certifying that the facts contained in this application are true and complete to the best of your knowledge and you understand that, if employed, falsified statements on this application shall be grounds for dismissal. Further, you authorize investigation of all statements contained in the application and the references and employers listed in the application to give CM Manufacturing any and all information concerning your previous employment and pertinent information they have, personal or otherwise, and release CM Manufacturing from all liability for any damage that may result from utilization of such information. You also understand and agree that no representative of CM Manufacturing has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

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