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PERIN MACHINING COMPANY
EMPLOYMENT APPLICATION

Perin Machining Company is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religion, marital status, sexual orientation, political belief or disability. Federal law prohibits the employment of unauthorized aliens. All person hired must submit satisfactory proof of employment authorization and identity within three (3) days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.

A pre-employment physical and drug screening are required.

Personal Data

Name

Street Address

City

State

Zip Code

Home Phone

Daytime Phone Were We May Contact You

Are you 18 years of age or older?

Have you ever been convicted of a crime?

please explain:

Social Security Number

How were you referred to Perin Machining Company? Please Select the number of the most appropriate response.

Please Mention:

Position Preferences

Schedule Desired:

What date could you start work?

What shifts can you work?

Could you work overtime?

Could you travel if required by this position?

% of Time

Education

High School

School Name

City & State

Degree or # of Years Completed

College #1

School Name

City & State

Major or Subject

Degree or # of Years Completed

Grade Point Average

College #2

School Name

City & State

Major or Subject

Degree or # of Years Completed

Grade Point Average

Certificates and/or Additional Training Programs

List any certificates earned or in progress, and/or any additional training programs not included in your formal education.

Professional References

Professional References #1

Name

Title

Company

Phone

Professional Relationship

Professional References #2

Name

Title

Company

Phone

Professional Relationship

Professional References #3

Name

Title

Company

Phone

Professional Relationship

Previous Employment

List your current or most recent employment first. Include work related internships, military and volunteer work.

Current Employer

Employer Name

City/State

May We Contact?

Supervisor Name

Supervisor Title

Supervisor Phone

Position You Held

From

Salary

Reason for Leaving

Previous Employer #1

Employer Name

City/State

May We Contact?

Supervisor Name

Supervisor Title

Supervisor Phone

Position You Held

From

Salary

Reason for Leaving

Previous Employer #2

Employer Name

City/State

May We Contact?

Supervisor Name

Supervisor Title

Supervisor Phone

Position You Held

From

Salary

Reason for Leaving

Previous Employer #3

Employer Name

City/State

May We Contact?

Supervisor Name

Supervisor Title

Supervisor Phone

Position You Held

From

Salary

Reason for Leaving

102 Mackinlay Kantor Drive, Webster City IA, 50595

Careers

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Apply Now

PERIN MACHINING COMPANY
EMPLOYMENT APPLICATION

A pre-employment physical and drug screening are required.

Personal Data

Position Preferences

Education

Certificates and/or Additional Training Programs

Professional References

Previous Employment

Apply Now

PERIN MACHINING COMPANY EMPLOYMENT APPLICATION

A pre-employment physical and drug screening are required.

Personal Data

Position Preferences

Education

Certificates and/or Additional Training Programs

Professional References

Previous Employment

PERIN MACHINING COMPANY
EMPLOYMENT APPLICATION