General Products Machine Shop, Inc.

3661 Pole Line Road – Pocatello, Idaho 83201

An Equal Opportunity Employer
Employment Application
Personal Information:

Name: _____________________________________________________________ SSN: _______-______-_________

Last First Middle

Address: ________________________________________________________________________________________
Street City State Zip Code

Home Phone: ( ) ______________ Work Phone: ( ) ______________ Cell Phone: ( ) __________________

Position Applied For: _________________________ Are you currently employed: _________ Wage: ______________

May we contact your present employer? _______ Contact Name/Number/Position: _____________________________

Education:

a. Check highest grade completed:  8  9  10  11  12

b. If you did not complete high school, do you have a high school equivalency diploma?  yes  no
c. Check number of years of post high school education.  1  2  3  4  5  6 or more

Name and location of Institution Degree Received Major Dates Attended

1. ______________________________________________________________________________________________

2. ______________________________________________________________________________________________

3. ______________________________________________________________________________________________

d. If you expect to complete an educational program in the near future, please indicate what type of degree or program
and expected completion date: _______________________________________________________________________

Experience:

Highlight your knowledge, skills, and abilities which best demonstrate your qualifications for this position.

Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
 Full-time  Part-time Reason for Leaving:

Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
 Full-time  Part-time Reason for Leaving:

Page 1 of 2
 General Products Machine Shop, Inc.
3661 Pole Line Road – Pocatello, Idaho 83201
An Equal Opportunity Employer
Employment Application

Experience (continued):

Job Title:
Employer: Duties Included:
Address:
Phone:
Type of Business:
Immediate Supervisor:
Salary: (start) (finish) Equipment Used:
Dates: (mo/yr) to (mo/yr)
 Full-time  Part-time Reason for Leaving:

Miscellaneous:

a. Check what shift(s) or times you are able to work.  Day  Swing  Night  Weekends
b. Check what job status you would accept.  Full-time  Part-time

c. What are your qualifications, experience, knowledge, skills, and abilities for the position you are applying for?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

d. What else should we know about you (the applicant) which was not mentioned above? List anything that might set
you apart from the other applicants.
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________

e. When will you be available to start work? _____ Month _____ Day _____ Year

References:

Name Phone Number Business /Title Years Known

1.

2.

I hereby certify that all entries on this application are true and complete, and I agree and understand that any
falsification of information herein, regardless of time of discovery, may cause forfeiture on my part to any
employment with General Products Machine Shop, Inc. I understand that all information on this application is
subject to verification.

Date: _____________________ Applicants Signature: __________________________________________________

Page 2 of 2