Please answer all questions. Incomplete applications will not be given to the interviewer.

POSITION YOU ARE APPLYING FOR? Please choose the position you are applying for.Maintenance Technician – Full Time – Day ShiftComposites Manufacturing Technician - Day ShiftComposites Manufacturing Technician - Night Shift

Basic Information

Name: Date:
Address:
City: State: Zip:
Email: Daytime #:
Desired Position: Desired Wage: Start Date:
Referred by Whom:
Are you 18 or older: YesNo Currently working?: YesNo Can we contact your employer: YesNo

If no, please put N/A in the boxes below

Employer's Phone #: Supervisor's Name:

Schooling and Training

College Name: Subjects: Years attended: Graduated?YesNo
Trade School: Subjects: Years attended: Graduated?YesNo
High School: Interests: Years attended: Graduated?YesNo
Skills:
Equipment and Machinery Experience?:
US Military Branch: Rank: National Guard or Active Duty?:

Other Information Needed

Individuals who suffer from respiratory ailments (including but not limited to allergies and asthma) may
aggravate their condition by being in proximity to certain chemicals and/or the dusts generated in
composite manufacturing.

Are you able to work in this environment without negatively affecting your health? YesNo
Maintenance and production related employees need to be able to physically and safely lift fifty pounds of weight from ground level to shoulder height. Individuals with back problems or other lifting difficulties may not be able to meet this work requirement. Are you able to meet this work requirement? YesNo
Do you smoke, use tobacco products such as cigars, pipes, cigarettes or chewing tobacco or any electronic oral device that provides a vapor of nicotine or other substance; and which simulates smoking through its use or through inhalation of the device? NoYes
Are you able to wear a dust mask/respirator without negatively affecting your health?YesNo
Have you ever been convicted of a felony?NoYes
If yes, please explain, if no, type N/A:

Employment History

Company

Date From: Date To:
Company Name: Phone Number:
Salary: Position:
Reason for leaving:

Company

Date From: Date To:
Company Name: Phone Number:
Salary: Position:
Reason for leaving:

Company

Date From: Date To:
Company Name: Phone Number:
Salary: Position:
Reason for leaving:

Which of these jobs did you like the most and why? Which of these jobs did you like the least and why?

This is a drug and alcohol free workplace. All applicants are subject to drug-screening. This facility is also smoke and tobacco free. Use of any smoke or tobacco products such as cigars, pipes, cigarettes or chewing tobacco or any electronic oral device that provides a vapor of nicotine or other substance; and which simulates smoking through its use or through inhalation of the device is prohibited upon hire and through continued employment.

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 authorize investigation of all statements contained herein. I authorize the employers and references listed herein to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.

Advanced Composites, Inc., is an “at-will” employer. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time without prior notice and without cause. I understand that upon being accepted for a position I am subject to a background check.

You are more than welcome to upload a resume here. It must be in a .doc, .docx or PDF formats. If it's not one of those three, it may lessen your chance of being contacted for an interview.

Upload: (not to exceed 5mb)

The field below constitutes your own personal signature, indicating that you have filled out these questions to the best of your ability and are honest in every answer.

Signature:
Today's Date: