Fill out the form below to apply for employment at Accu-Precision. Personal InformationFirst Name* Middle Name* Last Name* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Are you 18 Years or Older?* Yes No Desired EmploymentPosition Desired* Date you can Start* Desired Salary* How did you learn about Accu-Precision?Reason for interest in this position?EducationSchool Level*High SchoolCollegeTrade SchoolName of School & Location* Years Attended* Subject Studied* Did you graduate?* Yes No School LevelHigh SchoolCollegeTrade SchoolName of School & Location Years Attended Subject Studied Did you graduate? Yes No School LevelHigh SchoolCollegeTrade SchoolName of School & Location Years Attended Subject Studied Did you graduate? Yes No ReferencesProvide three references, unrelated to you, whom you have known for at least one year.Name* Phone*Business* Years Acquainted* Name* Phone*Business* Years Acquainted* Name* Phone*Business* Years Acquainted* Yes No Questions for operating positions, such as Machinists and InspectorsAre flexible working hours important to you?* Yes No Are you willing to work overtime?* Yes No Are you O.K. with fixed starting and stopping times?* Yes No Are you O.K. working a 2nd shift from 3:00 pm to 1:00 am Monday - Thursday?* Yes No Are you O.K. working a Weekend shift from 6:00 am to 6:30 pm Friday – Sunday?* Yes No Do you like production jobs?* Yes No Do you like prototype jobs?* Yes No Select all machines/activities that you have mastered and can execute independently: Manual Mill Manual Lathe Manual Drill Press Manual Surface Grinder Manual O.D. Grinder Manual I.D. Grinder Vertical 3 axis CNC mill Vertical 4 axis CNC mill Vertical 5 axis CNC mill Horizontal CNC mill CNC mill with pallet changer 2 Axis CNC lathe CNC lathe with live tooling 3 Axis CNC Lathe Conversational Programming Fanuc Programming Programming with Software Micrometers Height Gauge Bore Gauge Tri-Mics Optical Comparator CMM Rivet Inspection Hi-Lok Inspection Thread over wires Rivet Squeeze Bucking Rivets Press – 12 ft. Punch Laser Shear Roll Forming Mechanical Assembly Automotive Rebuild Hard Turning Hard Milling A2 Machining M2 Machining Plastic Machining Aluminum Machining Inconel Machining Hastiloy Machining Monel Machining Stainless Steel Machining Chrome Moly Machining Carbon Steel Machining List any competitive activities that you are or have been involved in:(Examples: High School Sports, Design Competitions, Debate, 5K or 10K Races etc.)Activity Accomplishments Activity Accomplishments Activity Accomplishments Other InformationAdditional InformationPlease provide any additional information, accomplishments, or certifications that might be applicable to your ability or interest in performing the duties associated with the position.Former EmployersList below your last three employers, starting with the most recentName of Employer* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Starting Date* Ending Date* Job Title* May we contact your supervisor? Yes No Name of Supervisor* Title* Phone*Description of Work*Reason for Leaving*Name of Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Starting Date Ending Date Job Title May we contact your supervisor? Yes No Name of Supervisor Title Phone Description of WorkReason for LeavingName of Employer Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Starting Date Ending Date Job Title May we contact your supervisor? Yes No Name of Supervisor Title PhoneDescription of WorkReason for LeavingAuthorizationAuthorization* “I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE AND I UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE 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 ALL 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.” Date* MM slash DD slash YYYY Signature* Accu-Precision is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.CommentsThis field is for validation purposes and should be left unchanged. Δ