260.483.7085

TECHNICAL

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 :
Check any items that you own :
Check any that pertain to your current work conditions :
EMPLOYMENT HISTORY

Current or most recent employer:
Job title :
Start date:
End date:
Reason for leaving? :
Starting Salary:
Ending Salary:
Description of your duties:
Name of Supervisor :
Phone # for Supervisor :
-
May we contact them?:
Next most recent employer:
Job title:
Starting date:
Ending date:
Reason for leaving?:
Starting Salary :
Ending Salary :
Description of your duties :
Name of Supervisor:
Phone # for Supervisor:
-
May we contact them? :
NUMBER OF YEAR EXPERIENCE (NUMBERS ONLY, PLEASE)
MATERIALS
Buyer / Purchaser :
Material Control Expeditor :
Scheduler / General :
Material Control Scheduler :
BASIC ELECTRONICS
Boards - Drilling :
Boards - Double Sided :
Boards - Reworking :
Chassis Wiring Wrap :
De - Solder :
Reads Assembly Drawing :
Work from Kits Electronic :
Word from Open Bins :
Stereo / Audio Electronics :
12 - Volt Exp :
Point to Point Wiring :
Removing IC's :
Solder - Drag :
Drafting - Electronic :
Hand Wire Winder :
Reads Blue Prints :
Show Resister Tolerance :
Solder - Hand :
Solder - Wave :
Standard Color Code :
Knows Electronic Tools :
Reads Schematics :
DESIGNER / DRAFTER
Designer - Checker :
Designer - Electrical :
Designer - Electro / Mach :
Designer - Mechanical :
Graphic Artist :
Word from Eco's / Schematic :
Drafting - Architectural :
Drafting - Civil Detail :
Drafting - Board / Manual :
Detailer :
Drafting - Structural :
Drafting - Electro / Mech :
Drafting - Electrical :
Designer - Packaging :
Drafting - Mechanical :
Drafting - Sheetmetal :
Drafting - CAD / CAM :
Drafting - H.V.A.C :
ENGINEERING
Architectural :
Chemical Engineer :
Construction :
Design Engineer :
Process Engineer :
Packaging :
Quality Control :
Electrical Engineer :
Facilities :
H.V.A.C. :
Industrial Engineer :
Mechanical Engineer :
ELECTRONIC ASSEMBLY
Auto Assembly - Electronics :
I.V. Assembly - Electronics :
Operate Ohmmeter :
Sub Assembly Electronics:
PC Board :
Operate Oscilliscope :
PC Connector :
TECHNICIAN
Calibration Tech:
Communication Tech :
Electro / Mechanical :
Technical Writer :
Computer Repair :
SPECIALIZED MISC.
Pipefitter - Journeyman :
Reads Mech Blue Print :
Machinist - Experimental :
Machine Set Up - Automatic :
Tool & Die - Mold Maker :
Machine Set Up - Manual :
Machinist - C.N.C. :
Machinist - Tool Room :
Machinist - General :
Tool & Die - Spec Tool :
Tool & Die - Stamping :
Tool & Die - Cutter / Grind :
Tool & Die -Extrusion :
Tool & Die -Jig / Fixture :
Tool & Die - Journeyman :
Wire Crimp Terminal :
OTHER SKILLED
Auto Mechanic :
Auto Body Education :
Maintenance Mechanic :
Diesel Mechanic :
Auto Body Experience :
MACHINERY REPAIR
Machine Repair - Electronics :
Machine Repair - Mechanical :
Machine Repair - Robotics :
Machine Repair - Welding :
Machine Repair - Pneumatics :
Machine Repair - Hydraulics :
TERMS AND CONDITIONS 
"I understand that if I am offered and accept a job, the companyreserves 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 : *