Career

PERSONAL INFORMATION

* First Name

Middle

* Last Name

* Social Security

* Present Address

* City

* State

* Zip Code

Present Address 02

City 02

State 02

Zip Code 02

* Phone Number

* Email Address

Referred By

EMPLOYMENT DESIRED

* Position

* Date You Can Start

* Salary Desired

Are You Currently Employed? Yes No

If So May We Contact Them? Yes No

Have You Ever Applied For This Company Before? Yes No

Where?

When?

EDUCATION

Grammer Of School

Years Attended

Did You Graduate? Yes No

Degree

High School

Years Attended

Did You Graduate? Yes No

Degree

College School

Years Attended

Did You Graduate? Yes No

Degree

Trade School

Years Attended

Did You Graduate? Yes No

Degree

MILITARY

U.S. Military Service? Yes No

Which Branch Of Service?

What Rank?

Date Of Service?

GENERAL

Subjects Of Special Study/Research Work Or Special Training/Skills:

Hobbies

PERSONAL REFERENCES (PERSONS NOT RELATED TO YOU AND NOT FORMER SUPERVISORS WHOM YOU HAVE KNOWN FOR AT LEAST 1 YEAR.)

Name

Address

Phone

Business

Years Known

Name

Address

Phone

Business

Years Known

Name

Address

Phone

Business

Years Known

EMPLOYMENT HISTORY (PROVIDE THE FOLLOWING INFORMATION FOR YOUR PAST FOUR (4) EMPLOYERS. START WITH THE MOST RECENT:)

* Date Started

* Date Ended

* Employer

* Phone Number

* Job Title

* City

* State

* Zip Code

* Supervisor & Title

* Summarize The Nature Of The Work & Job Responsibilities

* Reasons For Leaving

* Hourly Rate/Salery

* Start Wages Per. Hour

* Ending Wages Per. Hour

EMPLOYMENT HISTORY 02

Date Started

Date Ended

Employer

Phone Number

Job Title

City

State

Zip Code

Supervisor & Title

Summarize The Nature Of The Work & Job Responsibilities

Reasons For Leaving

Hourly Rate/Salery

Start Wages Per. Hour

Ending Wages Per. Hour

EMPLOYMENT HISTORY 03

Date Started

Date Ended

Employer

Phone Number

Job Title

City

State

Zip Code

Supervisor & Title

Summarize The Nature Of The Work & Job Responsibilities

Reasons For Leaving

Hourly Rate/Salery

Start Wages Per. Hour

Ending Wages Per. Hour

EMPLOYMENT HISTORY 04

Date Started

Date Ended

Employer

Phone Number

Job Title

City

State

Zip Code

Supervisor & Title

Summarize The Nature Of The Work & Job Responsibilities

Reasons For Leaving

Hourly Rate/Salery

Start Wages Per. Hour

Ending Wages Per. Hour

AUTHORIZATION

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 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.

I Agree to the terms

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Working with EDM has been a pleasure. They are very proactive about addressing possible manufacturability issues. This includes recommendations that can improve product reliability and reduce time to market.

Electrical Engineer

Consumer Electronics

12202 Cary Circle

La Vista, NE 68128

Phone: 402.334.8120

Fax: 402.334.0726