| Employment

- Application for Employment
- Date*
  Date Format: MM slash DD slash YYYY
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Pre-enrollment drug testing is required.
Position Applied For*
How did you hear about us?
- Advertisement
- Employment Agency
- Friend
- Relative
- Other
Referral Other
Last Name*
First Name*
Middle
Address*
Email Address*
City*
State*
Zip*
Telephone*
Cell*
Best time to contact you at home is:
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
Date Format: MM slash DD slash YYYY
Have you ever been employed with us before?
- Yes
- No
If yes, give date
Date Format: MM slash DD slash YYYY
Do any of your friends or relatives, other than spouse, work here?
- Yes
- No
If yes, state name, relationship and location
Are you currently employed?
- Yes
- No
May we contact your employer?
- Yes
- No
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
- Yes
- No
(Proof of citizenship or immigration status will be required upon employment. Superior Gearbox Company is and E-Verifer Employer)
Date available for work
Date Format: MM slash DD slash YYYY
Desired Hourly Rate/Salary Range?
Are you available to work:
- Full Time
- Part Time
- Temporary
If Full time, Indicate Shift
If Part Time, Please indicate
If Temporary, Dates available
Are you currently on "lay-off" status and subject to recall?
- Yes
- No
Can you travel if the job requires it?
- Yes
- No
We Are An Equal Opportunity Employer

Education

List

High School / College / Graduate / Other	School Name / City / State	Course of Study	Years Completed	Degree/Diploma

Work Experience
Begin with current or last job. Include any job-related military service and/or volunteer services. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
First Employer
- Employer
- Address
- Starting & Present Title
- Supervisor
- Reason for Leaving
- EMPLOYED
  From To
- HOURLY RATE / SALARY
  From To
- Describe Type of Work
- May we contact this employer?
  - Yes
  - No
Second Employer
- Employer
- Address
- Starting & Present Title
- Supervisor
- Reason for Leaving
- EMPLOYED
  From To
- HOURLY RATE / SALARY
  From To
- Describe Type of Work
- May we contact this employer?
  - Yes
  - No
Third Employer
- Employer
- Address
- Starting & Present Title
- Supervisor
- Reason for Leaving
- EMPLOYED
  From To
- HOURLY RATE / SALARY
  From To
- Describe Type of Work
- May we contact this employer?
  - Yes
  - No
Forth Employer
- Employer
- Address
- Starting & Present Title
- Supervisor
- Reason for Leaving
- EMPLOYED
  From To
- HOURLY RATE / SALARY
  From To
- Describe Type of Work
- May we contact this employer?
  - Yes
  - No
Please provide your comments and an explanation of any employment gaps

Employment Skills
Please list any specialized training, apprenticeship, skills and extra-curricular activities.
Please list any job-related training received in the United States military.
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)
Other Qualifications (Summarize special job related skills and qualifications acquired from other employment or experience)
Specialized Skills
Specialized Skills
- Word Processing
- Spreadsheet
- Microsoft Word
- Graphics Software
- CAD
- Coding
- PC
- Mac
Machinery Skills (Please List)
Other Skills (please elaborate)
Please provide additional information you feel may be helpful to us in considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HA VE 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? A review of the activities involved in such a job or occupation has been given.
- Yes
- No
Professional & Personal References

List

Name	Phone	Best Time to Call	Occupation

Applicant's Statement
I CERTIFY THAT ANSWERS GIVEN ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED IN THIS APPLICATION FOR THE 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 SUPERIOR GEARBOX COMPANY 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
Signature (By entering my name in this box below I authorize it as my legitimate signature)
Date
Date Format: MM slash DD slash YYYY
Email
This field is for validation purposes and should be left unchanged.

Employment Opportunities

Superior Gearbox Company is a Great Place to Work

CONTACT US

Step 1 of 4

Application for Employment

We Are An Equal Opportunity Employer

Education

Work Experience

First Employer

Second Employer

Third Employer

Forth Employer

Employment Skills

Specialized Skills

Professional & Personal References

Applicant's Statement