260.483.7085

INDUSTRIAL

Name:*
Address:*
Phone:*
-
Other Phone :*
-
E-mail:*
I have used Tower Staffing, Inc. in the past :
Have you ever been convicted of a crime? :*
If yes, please explain below :
EMPLOYMENT HISTORY

Current or most recent employer:
Job title :
Reason for leaving? :
Job title:
Start date:
Ending date:
Starting Salary :
Ending Salary:
Description of your duties :
Name of Supervisor :
Phone # for Supervisor :
-
May we contact them?:
Next most recent employer:
Starting date:
End date:
Reason for leaving?:
Starting Salary:
Ending Salary :
Description of your duties:
Name of Supervisor:
Phone # for Supervisor:
-
May we contact them? :
Check any items that you own :
Check any that pertain to your current work conditions :
NUMBER OF YEARS EXPERIENCE (NUMBERS ONLY, PLEASE)
BUILDING MAINTENANCE
Buffer Machine:
Floor Stripping :
Maintenance/Janitorial
Hospital Housekeeping :
Waxing Machine :
Carpet Cleaning Machine :
Heating / Cooling :
Handyman / Repair :
Motel / Hotel Housekeeping :
FACTORY WORK
Assembly Line:
Deburring :
Fin Machine Helper :
Glass Worker :
Mechanical Assembly :
Supervisor :
Sewing Experience :
QC - Coord Measuring Mach :
Bench Work :
Hand Grinder :
Soldering - Hand :
General Shop Helper :
Quality Control - Manual :
Quality Control - visual dimension :
Quality Cont-Caliper
Quality Cont-Uses SPC
Foundry Work :
Packing :
Cutting Torch :
Machine Helper :
Tube Pushing :
Quality Control - Caliper SPC :
Tube Bending :
Quality Cont-Visual
Operator Turret Lathe :
Die Casting :
Quality Control - Uses :
Fiber Glass :
QC - Geom Toler :
Soldering Machine :
Quality Control - Micrometer :
Fiberglass
MACHINE OPERATIONS
Operator - Brake Press Extruder :
Operator - Cut Off Saw Machine :
Operator - Punch Press Machine :
Operator - Strippit Machine :
Operator - CNC :
Operator-Brake Machine
Mechanically Inclined
Operator-Manual CNC
Operator - Tappers Machine :
Operator - Lathe Injection Mold :
Operator - Radical Drill :
Operator - Sanding :
Operator - Mill :
Operator-Swiss Mill(1)
Operator-Swiss Mill
Operator-Roto-Molder
Operator - Grinder :
Operator - Screw Machine Press :
Operator - Roll Threader :
Operator Drill Press :
Uses Precision Measuring Inst. :
Operator-Swiss Lathe
Brown & Sharpe Machine
Operator-Plasma
Operator - Brake :
Operator - Stamping :
Operator - Shear Machine :
Operator - Plastic Injection:
Operator-Plastic Extruder
Operator-Mazak
Operator-Lathe
STOCK ROOM
Food Service General :
Salad Prep :
Expeditor :
Kardex Inventory :
Computer Inventory :
Factory Stock Room :
Warehouse Stock Room :
Physical Inventory :
Factory Stock Room
Retail Stock Room :
Know Electrical Component :
FOOD SERVICES
Fast Food :
Cafeteria :
Food Service General
Cook :
Food Server :
Cashier - Food Services :
Hotel Experience :
Forklift Operator Non - Cert. :
Baker :
Dishwasher :
Deli Experience :
Salad Prep
WAREHOUSE
Forklift Operator Cert. :
Standup Forklift Non - Cert :
Pallet Jack Operator :
Material Handler :
Stand Up Forklift Cert :
Warehouse-General
Shrink - Wrap Machine Operator :
Slip Sheet Attachment
WELDING
MIG Welder :
Aluminum :
Tig :
Braze / Solder :
Fluxcore :
Sub - Arc :
Spot Weld :
Burner Operator :
Torch / Cutters :
Code :
Spray Arc :
Heliarc :
Fit - Up :
Stick :
Resistence / Induction :
A.W.S. Certified :
DRIVERS
Bus :
State Chauffer :
Carcass Experience :
Type "A" Semi Truck :
Route Sales :
CDL Class A
Commercial Driver's License :
Over The Road :
Type "B" Straight Truck :
Local :
DOT Certified :
CDL Class B :
SHIPPING & RECEIVING 
UPS Shipping - Online Exp. :
Express Mail Shipping Exp. :
C.R.T. Exp - Lite Typing :
Local Transport Exp. :
Freight Weight Exp. :
International Transport Exp. :
Ship / Receive General :
State Transport Exp. :
Packing / Sorting :
AGRICULTURE
Detassling Experience :
Drive - Farm Equipment :
General Farm Labor :
Livestock :
WOODWORKING
Jack Operator :
Topcoat Sander :
Spraying Stain :
Top Rubber :
Material Handler (woodworking) :
Structural Steel :
Wood Fabricator :
Knows Species of Wood
Whitewood Inspector :
Tenon Machine :
Table Saw :
Drum Sander :
Wiping Stain :
Upholsterer :
Edge Sander :
Spraying Topcoat :
Drill Press :
Mould Sander :
Excavating Eqmnt Operator :
Spraying Sealer :
Packer / Wood :
Top Press :
Sealer Sander :
Install Hardware :
Finish Inspector :
Band Saw :
Plumber - Journeyman :
Offbearer :
CNC Router :
Glue Wheel :
Hand Sander :
Trim Nail Operator :
Screwdriver Operator :
Spraying Lacquer :
PRINTING
Laminate Exp
Typesetter :
Laminating Machine :
Web Press Assistant :
Embroidery Tech :
Digital Equipment
Line Sorting :
Proofreader :
Corrugated Operator
Press Operator / Printing :
Screen Printing :
Folding Machine Oper / Printing :
Cutter / Operator :
Inserter Operator :
Collator Operator :
Estimating
Bulk Sorting :
Press Operator Helper :
2 - Color Process :
Bindery Work :
4 - Color Process :
OTHER SKILLED 
Fleet Machine :
Stationary Engineer :
Electrician - Journeyman :
Equipment Operator :
Plumber :
Overhead Crane Operator
CONSTRUCTION 
Construction - Commercial :
Construction - Industrial :
Fiberglass:
Concrete Worker :
Roofing :
Crew Leader :
Afraid of Heights :
Siding Expereience :
Drywall Experience :
Tower Climbing :
Foundation Experience :
Masonry :
Carpenter :
Construction : Residential :
PAINTER
Dip :
Roller :
Residential :
Brush :
Industrial :
Electro Static :
Spray :
Commerical :
Polish / Buff Finish :
Sandblaster :
Airless Spray :
RETAIL
Cashier-Retail
Inventory-Retail
Sales-Retail
Stocking-Retail
MISC. SKILLS (METALS)
Metal Fabrication
Structural Steel Experience
Cold Roll Steel Experience :
LAWN MAINT.
Fertilized :
General Landscaping :
MAILROOM
Binder Worker
Postage Mach Operator
Folding Machine Operator
Mail-File Sorting
Bulk Mail Sorting
Mail Clerk
Burster Machine Operator
MISC.
Dry Cleaners
Power Tools
Bartender
Electrical Helper
Plumber Helper
Laundry
Security Guard
Greenhouse Worker
Health Care Aid

TERMS AND CONDITIONS 

"I understand that if I am offered and accept a job, the company reserves and retains the right to make such changes in the terms and conditions of my employment as the company determines to be necessary or appropriate."

"I understand and agree that my future employment is not for any guaranteed length of time and that both the company and I have the freedom to terminate the employment relationship whenever either chooses to do so."

APPLICANT'S AUTHORIZATION TO RELEASE INFORMATION

It is important that each item on this application is correctly and completely answered. False information, misrepresentation or omissions of act, with respect to any part of or item on this application, may be cause for rejection, or for dismissal if employed.

While processing my application, I authorize Tower and its Agents to contact schools, employers, references, and organizations to conduct a background investigation, and to obtain a credit report. I further authorize such persons to provide Tower and its Agents with all relevant information necessary to process my application.

By choosing "I Agree" and typing my Initials, I affirm that all statements made are true, and misrepresentation of facts will subject me to immediate rejection, or for dismissal if employed. I also consent to a controlled substance screening test and give my consent for all information obtained as a result of any medical examination and all other relevant medical information to be released to Tower and its Agents for the employer's use only.
I Agree:*
Initials:*