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Employment Application

APPLICATION FOR EMPLOYMENT

At Quality Fasteners we are an Equal Opportunity Employer and we are always looking for quality individuals to join our professional team.

If you are interested in applying for a position with our company, please fill out our employment request form. We appreciate your interest in our company and look forward to talking with you in the future.

* Denotes required field.

Personal Information

Name

Last 4 of Social Security #

Home Address

City

State

Zip

Phone

Email Address

Position Details

Position Desired

Date you can start

Salary Desired

Employment Type

If Seasonal: Explain Availability

Work Experience

Have you ever applied to our company before?

Yes

No

If yes, when

List former employers – list most recent first. Include current employment if applicable.

Employment Dates

Name of Business

Position

Salary

Responsibilities

Reason for Leaving

Employment Dates

Name of Business

Position

Salary

Responsibilities

Reason for Leaving

Employment Dates

Name of Business

Position

Salary

Responsibilities

Reason for Leaving

Employment Dates

Name of Business

Position

Salary

Responsibilities

Reason for Leaving

Education History

Include College, Trade, Businesses or correspondence schools. Include specialty training or certifications earned related to the job you are applying for.

Name & location of school/training

Dates Attended

Results

Name & location of school/training

Dates Attended

Results

Name & location of school/training

Dates Attended

Results

Name & location of school/training

Dates Attended

Results

Have you served in the US Military service?

Yes

No

Branch

Rank

Years of Service

Branch

Rank

Years of Service

References

(Professional or Business Only)

Name

Relationship

Business

Years Known

Phone #

Name

Relationship

Business

Years Known

Phone #

Name

Relationship

Business

Years Known

Phone #

General Information

How did you hear about Quality Fasteners?

Were you referred? If yes, by who?

Authorization

" I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorized investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from any liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company 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. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities act (ADA) and other relevant federal and state laws."

Date

Name

Remarks

Resume upload