Application-Mechanic-Leipsic -

Personal Information

First Name *

Last Name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Email Address *

Phone *

Are you 18 years of age or older? *YesNo

What position are you applying for? *

Do you have a valid driver's license? *YesNo

Do you have previous experience with forklifts or reach trucks *YesNo

Are You Employed Now? *Option 1Option 2

Can you work some evenings & weekends? *YesNo

What date could you start? (if hired) *

Education

High School

Select Last Year Completed

Did you graduate?YesNo

College

Select Last Year Completed

Did you graduate?YesNo

Trade, Business, or Correspondence School

Select Last Year Completed

Did you graduate?YesNo

Current/Last Employer's Name *

Employment Period: Start *

Job Title *

Employment Period: End (Current) *

Job Responsibilities *

Resume UploadIf available, please upload a current copy of your resume.

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