Employment Opportunities

You must complete entire application.

Personal Information

Email Address (required)

Are there other names under which you have worked or attended school?YesNo
If yes, please list for reference checking purposes.

Are you legally authorized to work in the U.S.? (If hired, you will be required to provide proof of work authorization.)YesNo

Are you at least 18 years old? (If not, your employment will be subject to verification that you meet state and federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit.)YesNo

Have you ever applied at this company before?YesNo
If Yes, when?

Have you ever worked at this company before?YesNo
If Yes, when?

Employment Information

Position for which you are applying
Part-Time or Full-Time Desired
When can you report for work?
How were you referred to the company?
AgencyWebsiteFriendRelativeSocial MediaSchoolOther

If relevant, please describe computer proficiency, software knowledge, and office equipment experience.
If relevant, please describe experience using manufacturing machines and equipment.

Education

• High School Name
  Location
  Major Subjects
  Number of Years Attended
  Diploma or Degree Received?YesNo

• College Name
  Location
  Major Subjects
  Number of Years Attended

  Diploma or Degree Received?YesNo

  Diploma Type

• Graduate School Name
  Location
  Major Subjects
  Number of Years Attended

  Diploma or Degree Received?YesNo

  Diploma Type

• Other School Name
  Location
  Major Subjects
  Number of Years Attended

  Diploma or Degree Received?YesNo

  Diploma Type

Training Courses

List any relevant training programs completed.

• Course/Seminar

  Sponsoring Organization

  Content

  Date(s) attended

• Course or Seminar

  Sponsoring Organization

  Content

  Date(s) attended

• Course or Seminar

  Sponsoring Organization

  Content

  Date(s) attended

• Course or Seminar

  Sponsoring Organization

  Content

  Date(s) attended

Required License(s)

If required to drive a motor vehicle for the job applying for, state your:

Are you licensed with any group, association or society relating to the job for which you are applying?YesNo

Employment History

(start with most recent)

1. Name of Employer
   Address (Include City, State, Zip)

   Telephone

   Dates (Start Month/Year - End Month/Year)

   Job Title

   Immediate Supervisor Name

   Description of Duties
   Reason for Leaving
   If currently employed, may we contact as a reference?YesNo

2. Name of Employer
   Address (Include City, State, Zip)

   Telephone

   Dates (Start Month/Year - End Month/Year)

   Job Title

   Immediate Supervisor Name

   Description of Duties
   Reason for Leaving

3. Name of Employer
   Address (Include City, State, Zip)

   Telephone

   Dates (Start Month/Year - End Month/Year)

   Job Title

   Immediate Supervisor Name

   Description of Duties
   Reason for Leaving

4. Name of Employer
   Address (Include City, State, Zip)

   Telephone

   Dates (Start Month/Year - End Month/Year)

   Job Title

   Immediate Supervisor Name

   Description of Duties
   Reason for Leaving

References

List individuals familiar with your job qualifications (no relatives or personal friends).

1. Full NameAddress (Include City, State, Zip)

   Phone

   Email

   Relationship

   How long known?

2. Full NameAddress (Include City, State, Zip)

   Phone

   Email

   Relationship

   How long known?

3. Full NameAddress (Include City, State, Zip)

   Phone

   Email

   Relationship

   How long known?

Resume Upload

You may include a resume to be attached along with your application submission (.pdf, .doc(x) and .txt accepted - 4MB Limit).

Authorization and Submission (Required)

By submitting your online application you agree to the terms listed below.

Please Read Carefully Before Submitting This Form

1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.

2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information about my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.

3. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

4. Regardless of whether or not I become employed by the company, I recognize this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.

I agree to the terms listed.
Please leave this field empty.

Thank you for your interest in Sterling Systems & Controls.