APPLICATION FOR EMPLOYMENT
Prospective employees will receive consideration without discrimination because of race, creed, color, religion, sex, age, national origin, disability, marital status, or any other legally protected category which the company is obligated to recognize.
SJE-Rhombus
P.O. Box 1708
Detroit Lakes, MN 56502-1708
PERSONAL - Application should be fully completed for consideration
First Name
 		 Middle Initial
 Last Name
Date
 
Street Address
 
Home Phone
 Business Phone
City
 		 State
 		 Zip Code
 
Cellular Phone
How Long At Present Address?
 		 E-Mail Address
Position Desired
 
Have you ever applied for employment with us?
No Yes  If Yes: Month/Year
Pay Expected
  Per 
Are you legally authorized to work in the United States?
No Yes
Are you available for full-time work?
Yes No
If not, what hours can you work?
Have you been convicted of a felony or gross misdemeanor within the past five years?  No Yes
(Past conviction is not an absolute bar to employment)
Will you work overtime if asked?
No Yes
When will you be available to work?
How did you learn of our organization?  Job Service  Forum  Mpls Star Tribune
Becker County Record  St. Cloud Times  Placement Office  Internet
SJE Employee (who)   Other (explain)

EDUCATION
SCHOOL SCHOOL NAME
LOCATION		 COURSE OF
STUDY		 NO. OF
YEARS		 DID YOU
GRADUATE?		 DEGREE/
DIPLOMA
College/
University		 Yes  No
In Progress
Business/
Trade/
Technical
School		 Yes  No
In Progress
High School Yes  No
In Progress
Other Yes  No
In Progress

MEMBERSHIP IN PROFESSIONAL OR CIVIC ORGANIZATIONS
(Exclude those which may disclose your race, color, religion or national origin)

EMPLOYMENT RECORD
Please give accurate, complete full-time and part-time employment record.
Start with present or most recent employer.
Company Name
 Telephone
Address, City, State, Zip
 Employed (month and year)
From To
Name and Title of Supervisor
 State your Job Title
 Salary
Start Last
Describe Your Duties and Responsibilities
 Reason For Leaving
 
Company Name
 Telephone
Address, City, State, Zip
 Employed (month and year)
From To
Name and Title of Supervisor
 State your Job Title
 Salary
Start Last
Describe Your Duties and Responsibilities
 Reason For Leaving
 
Company Name
 Telephone
Address, City, State, Zip
 Employed (month and year)
From To
Name and Title of Supervisor
 State your Job Title
 Salary
Start Last
Describe Your Duties and Responsibilities
 Reason For Leaving
 
Company Name
 Telephone
Address, City, State, Zip
 Employed (month and year)
From To
Name and Title of Supervisor
 State your Job Title
 Salary
Start Last
Describe Your Duties and Responsibilities
 Reason For Leaving

RESUME
Attach your resume here (Word, text or html formats only) : 

I certify that the answers given herein (and in the accompanying resume, if any) are true and complete to the best of my knowledge and that I have not omitted any information. I further understand that false, misleading, or omitted information in my application form, interview(s) or resume (if any) may disqualify me from further consideration for employment or result in immediate discharge, if discovered at a later date. I also understand that S.J. Electro Systems reserves the right to withdraw any job offer at any time with or without notice.
I authorize the schools, references, and my prior employers listed above to provide my record, reason for leaving, and all other information they may have concerning me and I release all parties from any and all liability or claims for damage whatsoever that may result therefrom. I understand that in processing my application, an investigation may be made in which information is obtained regarding my past employment and education, criminal records, credit history, motor vehicle records, personal references and other job related data. I authorize the appropriate individuals, companies, institutions or agencies to release information, and I release them from any liability as a result of such inquiries or disclosures.
I understand that neither this document nor any offer of employment from S.J. Electro Systems, Inc. constitutes an employment contract. If employed by the company, I understand that my status is that of an at-will employee who can quit or be terminated from work at any time for any reason with or without notice.