Elexco Employment Application

 

We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any legally protected status. Please note: Any additional information supplied that is not requested within this application will void this application. Application must be filled out in its entirety to be considered for employment.

 

 

 

POSITION APPLIED FOR

In order to ensure effective processing of applications, applicants must apply for a specific position. If an applicant wishes to apply for more than one position, a separate application should be prepared by the applicant for each position desired. General references, such as "any opening" are not acceptable.

 

How did you hear about us? If OTHER, please specify:

 

 

PERSONAL INFORMATION

 

Last Name First Name Middle Initial
Address City State         Zip
   
Phone Best time to call Email
     

If you are under 18 years of age, can you provide required proof of your eligibility to work?


Have you ever filed an application with us before?


If yes, give date:

/ /
(mm / dd / yyyy)

Are you currently employed?


May we contact your present employer?


Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status?

Proof of citizenship or immigration status will be required upon employment.


Available for work:



Date available for work:

/ /
(mm / dd / yyyy)

What is your desired salary range?

Are you currently on a "lay-off" status and subject to recall?


Can you travel if a job requires it?


Have you been convicted of any driving violation that would affect operation of equipment required for this position?


Have you been convicted of a felony within the last 7 years?

Conviction will not necessarily disqualify an applicant from employment.


If yes, please explain:

 

 

EDUCATION HISTORY
   

Name & Location of School

Years Completed

Diploma/Degree

Course of Study

High School

 

 

 

Undergraduate College

 

 

 

Graduate/Profesional

 

 

 

Other (specify)

 

 

 

 

 

WORK HISTORY

 

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities, or other protected status.

 

Current Employer

Employer:

Dates Employed:

 

Work Performed:

Address:

From

To

Telephone:

Present Job Title:

Hourly Rate/Salary:

 

Supervisor:

Starting

Ending

Reason for Leaving:

 

Previous Employer #1

Employer:

Dates Employed:

 

Work Performed:

Address:

From

To

Telephone:

Present Job Title:

Hourly Rate/Salary:

 

Supervisor:

Starting

Ending

Reason for Leaving:

 

Previous Employer #2

Employer:

Dates Employed:

 

Work Performed:

Address:

From

To

Telephone:

Present Job Title:

Hourly Rate/Salary:

 

Supervisor:

Starting

Ending

Reason for Leaving:

 

Previous Employer #3

Employer:

Dates Employed:

 

Work Performed:

Address:

From

To

Telephone:

Present Job Title:

Hourly Rate/Salary:

 

Supervisor:

Starting

Ending

Reason for Leaving:

 

Comments: Include explanation of any gaps in employment.

 

 

ADDITIONAL INFORMATION

Describe any specialized training.

Describe any job-related training received in the military.

List professional, trade, business, or civic activities and offices held.

You may exclude membership which would reveal gender, race, religion, national origin,
age ancestry, disability, or other protected status.

 

Other qualifications:

special job-related skills and qualification acquired from employment or other experience.

Specialized Skills (Check skills/equipment operated)

Class:
Type:

 

State any additional information you feel may be helpful to us in considering your application.

NOTE TO APPLICANTS: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING. Are you capable of performing in a reasonable manner, with or without reasonable accomodation, the activities involved in the job or occupation for which you have applied? A review of the activities involved in such a job or occupation has been given.

 

 

REFERENCES
   

Name

Phone

Best time to call

Occupation

   
   
   

 

 

All applications and interview responses must be truthful. Any applicant who makes a false statement on an application or in an interview will not be hired. If the false statement is not discovered until after the applicant is hired, the applicant will be subject to immediate discharge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applicants are being accepted at that time. All applications shall be retained for a 1 year period of time.

Only original applications will be accepted to assure that there has been no tampering with the application. No photocopies will be accepted.

All applicants are required to complete applications on site and in the presence of an Elexco employee. Reasonable accomodations will be made for all applicants.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause.

I hereby acknowledge it is a requirement, if hired, to adhere to the Company's drug and alcohol policy. All applicants will be required to pass a drug test and physical screening according to job duties. I hereby acknowledge it is a requirement, if hired, to adhere to Elexco's employer notification program with WI DMV and maintain an acceptable driving record.

Except for disabled applicants who require a reasonable accomodation, all applications must be personally signed by the applicant and witnessed by an Elexco, Inc. representative in order to assure that the applicant personally verifies all information in the application.

Final offer of employment is contingent upon applicant passing a physical that will be performed and reviewd by a third party Medical Review Officer to ensure that the applicant is able to meet the physical requirements of the job for which they are applying .

 

 

Attach your resume

 

Attaching your resume is optional. If you attach a resume, please make sure your resume is either a PDF or in Microsoft Word format.

 

 

 

 

 

What Our Employees Say:

 

“Working at Elexco has allowed me to learn jobs I never imagined when I left the technical college.”

 

“I have the right balance of hands-on work and team leadership at Elexco.”