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Applicant Information

Last Name *

First Name *

M.I.

Date

Street Address *

Apartment/Unit #

City *

State *

ZIP *

Phone *

E-mail Address *

Date Available

Desired Salary

Position Applied For *

Are you legally eligible to work in the U.S.A? *

Yes No

How many hours can you work weekly?

Are you able to provide a valid driver's license? *

Yes No

Have you ever been convicted of a crime? *

Yes No

If yes, explain

Education

High School

From

Address

Degree

Did you graduate?

Yes No

College

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Address

Degree

Did you graduate?

Yes No

Other

From

Address

Degree

Did you graduate?

Yes No

References

Please list three references other than relatives or previous employers.

Reference 1

Full Name

Position

Company

Phone

Address

Reference 2

Full Name

Position

Company

Phone

Address

Reference 3

Full Name

Position

Company

Phone

Address

Previous Employment

Most Recent Employer

Company

Phone

Address

Supervisor

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From (MM/YYYY)

To (MM/YYYY)

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes No

Previous Employer 2

Company

Phone

Address

Supervisor

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From (MM/YYYY)

To (MM/YYYY)

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes No

Previous Employer 3

Company

Phone

Address

Supervisor

Job Title

Starting Salary ($)

Ending Salary ($)

Responsibilities

From (MM/YYYY)

To (MM/YYYY)

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes No

Other Skills

List any other skills, certifications, or qualifications relevant to the position

Military Service

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature *

Date

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ACE Precision Inc.

17 ACE Precision Way, Agawam, MA 01001

Call: (413) 789-7536

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High School

College

Other

Reference 1

Reference 2

Reference 3

Most Recent Employer

Previous Employer 2

Previous Employer 3

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