Superior Welding & Manufacturing, Inc. 5521 Railroad Ave. Hermansville, MI 49847 Position Applied for: How did you learn about Superior Welding? Worked for Superior previously Michigan Works MI Talent Advertisement Current Employee Friend Just walked in Other Referred by: Last Name: First Name: Middle Initial: Address: City: State: Zip: Email address: Primary contact numbers: type of phone: cell land-line type of phone: cell land-line type of phone: cell land-line You are available to work (check all that apply): Full-Time Part-Time Temporary What hours are you available to work? If under 18 years of age, can you provide required proof of your eligibility to work? select: Yes No Have you ever submitted an application with Superior Welding before? select: Yes No Are you currently employed? select: Yes No Are you legally qualified to work in the United States? select: Yes No (Proof of citizenship or immigration status will be required upon employment) On what date would you be available for work? Employment Experience Start with your present or most recent position. Employer: Address: Contact number: Base pay: Job title: Supervisor: Dates employed: Work performed: Reason for leaving: Employer: Address: Contact number: Base pay: Job title: Supervisor: Dates employed: Work performed: Reason for leaving: Employer: Address: Contact number: Base pay: Job title: Supervisor: Dates employed: Work performed: Reason for leaving: Special Skills and Qualifications Summarize special job-related skills and qualifications acquired from employment, school, or other experience. Have you ever had any job-related training in the United States military? select: Yes No Are you able to perform the essential requirements of the job? select: Yes No State any additional information you feel may be helpful in considering your application. Education High School: School name: Years completed: Diploma? select: Yes No Major course(s) of study: Technical School: School name: Years completed: Degree? select: Yes No Major course(s) of study: College: School name: Years completed: Degree? select: Yes No Major course(s) of study: Other: School name: Years completed: Degree? select: Yes No Major course(s) of study: Summarize special skills and training not listed above. Honors received: List professional, trade, business, school, or community activities. You may exclude memberships that reveal sex, race, relations, national origin, age, disability, or other protected status: References Give name, address, and telephone number of three professional references who are not related to you. I certify that the answers given herein are true and complete to the best of my knowledge. I also authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of Superior Welding & Manufacturing, Inc. You may upload a resumé: Please make sure the filename is short and simple, with no special characters, or else it won't work.