Gearboxes, Gear Drives, Spindles, Worm Gear Drives

Step 1 of 4

25%

Application for Employment

Date*

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.

Location Applying For*

Position Applied For*

How did you hear about us?

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

Have you ever filed an application with us before?

Yes

If yes, give date

MM slash DD slash YYYY

Have you ever been employed with us before?

Yes

If yes, give date

MM slash DD slash YYYY

Do any of your friends or relatives, other than spouse, work here?

Yes

If yes, state name, relationship and location

Are you currently employed?

Yes

May we contact your employer?

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?

Yes

(Proof of citizenship or immigration status will be required upon employment. Superior Gearbox Company is and E-Verifer Employer)

Date available for work

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

Can you travel if the job requires it?

Yes

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

Describe Type of Work

May we contact this employer?

Yes

Second Employer

Employer

Address

Starting & Present Title

Supervisor

Reason for Leaving

EMPLOYED

From

Describe Type of Work

May we contact this employer?

Yes

Third Employer

Employer

Address

Starting & Present Title

Supervisor

Reason for Leaving

EMPLOYED

From

Describe Type of Work

May we contact this employer?

Yes

Forth Employer

Employer

Address

Starting & Present Title

Supervisor

Reason for Leaving

EMPLOYED

From

Describe Type of Work

May we contact this employer?

Yes

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

Word Processing

Spreadsheet

Microsoft Word

Graphics Software

CAD

Coding

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

Professional & Personal References

List

Name

Phone

Best Time to Call

Occupation

List

Name

Phone

Best Time to Call

Occupation

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

MM slash DD slash YYYY

Comments

This field is for validation purposes and should be left unchanged.

Employment Opportunities

Superior Gearbox Company is a Great Place to Work

CONTACT US

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