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Applicant Information
First Name
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Middle Initial
Last Name
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Date of Birth
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Social Security Number
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Address
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City
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State
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Zip Code
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Phone
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Email
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Date Available
Desired Salary
Position Applying For
Shift Desired
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1st Shift
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Are you a citizen of the United States?
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If no, are you authorized to work in the U.S.?
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Have you ever worked for this company?
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If Yes, when?
Education
High School
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Did you graduate High School
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College
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Did you graduate Other?
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Special Skills or Abilities:
References
Please list three professional references.
Reference #1: Full Name
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Reference #2: Full Name
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Reference #3: Full Name
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Previous Employment
Company Name
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Address (Street Address, Apt#, City, State, Zip)
Supervisor
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May we contact your previous supervisor for a reference?
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Company Name
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Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date
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Reason for Leaving
May we contact your previous supervisor for a reference?
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Company Name
Phone
Address (Street Address, Apt#, City, State, Zip)
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
Start Date
End Date
Reason for Leaving
May we contact your previous supervisor for a reference?
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Military Service
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Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
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Date
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Phone
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68539
67362
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If you have questions or are a job seeker with a disability and require accessibility assistance or reasonable accommodation to apply for an open position, please contact the Human Resources Department.
Contact Us Today!
Action Fabricating, Inc.
1244 Hawk St Detroit Lakes, MN 56501
(218) 847-4034
employment@afi-mmi.com