Employment ApplicationEmployment ApplicationQuick Fabrication, Inc.495 Locust StreetDallastown, PA 17313(717)-366-6631Personal InformationFirst NameLast NameAddressAddress Line 1Address Line 2CityStateZip CodePhone/MobilePreviousNextPosition InformationPosition Applying ForDate You Can StartAre you employed now? Yes NoMay we inquire on your present employer? Yes NoAre you eligible to work in the United States? Yes NoAre you over the age of 18? If not, do you have an employment age certificate? Yes NoHave you ever been convicted of or pleaded no contest to a felony? Yes NoExplain:Do you know anyone presently employed at Debra's Glass? Yes NoWho?Do you have a valid driver's license? Yes NoDriver's License StateDriver's License #PreviousNextEducationHigh School NameDiploma Yes NoCollegeMajorDegree Yes NoTrade, Business, or OtherMajorDegree/Diploma Yes NoSpecial Skills and QualificationsPreviousNextEmployment HistoryStart with the present or last position.Employer #1AddressAddress Line 1CityStateZip CodePhone/MobilePositionFromToSalaryReason For LeavingEmployer #2AddressAddress Line 1CityStateZip CodePhone/MobilePositionFromToSalaryReason For LeavingEmployer #3AddressAddress Line 1CityStateZip CodePhone/MobilePositionFromToSalaryReason For LeavingPreviousNextReferencesMust not be relatives or your former employers.NameAddressAddress Line 1CityStateZip CodePhone/MobileOccupationNameAddressAddress Line 1CityStateZip CodePhone/MobileOccupationNameAddressAddress Line 1CityStateZip CodePhone/MobileOccupationUpload ResumeChoose File PreviousNextAttestationPlease check the box to confirm that you understand the following statements. I certify that information contained in this application is true and complete. I understand that false information may be grounds for not being considered for employment or for immediate termination of employment at any point in the future. I authorize the verification of any or all information listed above. I agreeI understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time without any prior notice. I agreeI understand that if I am offered a position, a pre-employment drug screen and background check will be performed. I agreePreviousSubmit Form
