Employment Opportunities | Fusion Flow Control

Employment Application

PLEASE READ CAREFULLY

Note: Fields marked with a * require an answer. Please use "N/A" for "not applicable" if necessary. Applicants may be required to complete and sign a paper application for employment upon interview.

Attach Resume

Email Address*

Position Applying For

Applicant Information

First Name*

Last Name*

Middle Initial

Address*

City*

State*

Zip*

Phone*

Referred By

Date Available To Start

Salary Expected

I can work:WeekendsEveningsDaytime

U.S. Citizen

If not, are you authorized to work in the U.S.?

Languages Spoken

Have you ever worked for this company?*

If yes, when? (From & To Dates)

Have you ever been convicted of a felony?* (By company policy some misdemeanors may bar employment)

If yes, briefly explain

Education

High School

Address

Graduate

Degree

College

Address

GRADUATE

Degree

Other

Address

Graduate

Degree

References

Name

Occupation / Company

Address

Phone Number

Name

OCCUPATION / COMPANY

ADDRESS

Phone Number

NAME

OCCUPATION / COMPANY

ADDRESS

PHONE NUMBER

Employment History

Company Name

Complete Address

Phone

Supervisor

Job Title

Responsibilities

Starting Salary

Ending Salary

May we contact your previous employer for a reference

Start Date

End Date

Reason for Leaving

COMPANY NAME

COMPLETE ADDRESS

PHONE

SUPERVISOR

JOB TITLE

RESPONSIBILITIES

STARTING SALARY

ENDING SALARY

MAY WE CONTACT YOUR PREVIOUS EMPLOYER FOR A REFERENCE

START DATE

END DATE

REASON FOR LEAVING

COMPANY NAME

COMPLETE ADDRESS

PHONE

SUPERVISOR

JOB TITLE

RESPONSIBILITIES

STARTING SALARY

ENDING SALARY

MAY WE CONTACT YOUR PREVIOUS EMPLOYER FOR A REFERENCE

START DATE

END DATE

REASON FOR LEAVING

Military Service

Start Date

End Date

Branch

Rank at Discharge

Type of Discharge

If other than honorable, explain

Applicant's Statement

Notification and Agreement

I hereby affirm that all information in this application is true and accurate to the best of my knowledge. I understand that the college can obtain criminal history record information on applicants for employment. Pursuant to the requirements of the Fair Credit Reporting Act, notice is given that a consumer report+ may be made in connection with your application for employment. I understand that any misrepresentation or falsification of this record or failure to disclose conviction for a felony or for any offense involving moral turpitude will be considered cause for dismissal.

If you are denied employment, either wholly or partly, because of information contained in a consumer report, a disclosure will be made to you of the name and address of the consumer-reporting agency making such report.

Signature below verifies you have read the above notice and understand what it means.

Signature

Date

Cancel

Career Opportunities

Mailing Address

Minden Field Office

Charlotte Field Office

Palestine Field Office

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