HOME CAPABILITIES & SERVICES FACILITIES HISTORY RESOURCES CONTACT US EMPLOYMENT APPLICATION Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap. For a printable version of this application, please click here To send us your resume or appication, please email us Applicant Information Fields designated with an asterisk (*) are required: Postion(s) Applied For: * Name: * First Name Last Name Address: * Address 1 Address 2 City State/Province Zip/Postal Code Country Email Address: Telephone * (###) ### #### Additional Applicant Information Give name, address, and telephone number of two references whoa re not related to you and are not previous employees: Referral Source: Ad Agency Friend Relative Walk-In Other Friend/Relative employed by Select Industries Corp. (if applicable): First Name Last Name Have you ever been employed here previously? Yes No Date of previous employment with company (if applicable): MM DD YYYY Are you currently employed? Yes No May we contact your current employer? Yes No Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration will be required upon employment). Yes No Shift availability: Check any box that you are available to work. 1st shift 2nd shift 3rd shift When are you able to begin working? MM DD YYYY Are you on layoff and subject to recall? Yes No Have you ever been convicted of a felony within the last seven (7) years? Yes No If you answered "Yes" to the previous question, please explain (this is requested for informational purposes and will be utilized with applicable law): Are you a veteran of the U.S. Military Service? Yes No References Please provide name, address, and telephone number for two separate references who are not related to you and are not previous employers: Name Reference 1 First Name Last Name Address Reference 1 Address 1 Address 2 City State/Province Zip/Postal Code Country Telephone Reference 1 (###) ### #### Name Reference 2 First Name Last Name Address Reference 2 Address 1 Address 2 City State/Province Zip/Postal Code Country Telephone Reference 2 (###) ### #### Education Elementary - years completed: 4 5 6 7 8 Elementary - diploma/degree received? Yes No Elementary - describe course of study (if applicable): High School - years completed: 9 10 11 12 High School - diploma/degree received? Yes No High School - describe course of study (if applicable): College - years completed: 1 2 3 4 College - diploma/degree received? Yes No College - describe course of study (if applicable): Post Grad. - years completed: 1 2 3 4 Post Grad. - diploma/degree received? Yes No Post Grad. - describe course of study (if applicable): Describe any specialized training, apprenticeships, skills, and/or extracurricular activities: Describe any honors received: State any additional information you feel may be helpful to us in considering your application: Employment Experience Start with your current or most recent job. Include military service assignments and volunteer activities. Exclude organization names which indicate race, color, sex, or national origin. Company name: Experience 1 Company address: Experience 1 Address 1 Address 2 City State/Province Zip/Postal Code Country Company phone: Experience 1 (###) ### #### Position held: Experience 1 Job duties: Experience 1 Reason for leaving: Experience 1 Starting salary: Experience 1 $ Ending salary: Experience 1 $ Company name: Experience 2 Company address: Experience 2 Address 1 Address 2 City State/Province Zip/Postal Code Country Company phone: Experience 2 (###) ### #### Position held: Experience 2 Job duties: Experience 2 Reason for leaving: Experience 2 Starting salary: Experience 2 $ Ending salary: Experience 2 $ Company name: Experience 3 Company address: Experience 3 Address 1 Address 2 City State/Province Zip/Postal Code Country Company phone: Experience 3 (###) ### #### Position held: Experience 3 Job duties: Experience 3 Reason for leaving: Experience 3 Starting salary: Experience 3 $ Ending salary: Experience 3 $ Special Skills and Qualifications List all skills and qualifications acquired from previous employment below. Special skills and qualifications: Please list any additional seminars, workshops, training, professional licenses, certification registrations, certificate numbers, and/or types of machinery and equipment training below: Assessment Please answer the following questions (if applicable). List total quality management experience: What do you like most about your current or most recent job? What do you like least about your current or most recent job? What job in this company would you choose if you were entirely free to do so? What career goals have you set for yourself? What have you done recently to further the development of your own career? What industry related publications do you regularly read? How do you stay current with new advancements or developments in your field? What are your plans for future training or schooling? Application Agreement The information provided in this application for employment is true, correct, and complete. I agree that, if employed, any false or misleading statements or omissions in this application may result in my dismissal, whenever discovered. I agree that, if hired, my employment is for no definite period and may be terminated at will at any time for any reason by either me or Select International Corp. I agree that this cannot be changed except in writing by the Company President, and that any representations to the contrary are not binding on Select International Corp. I authorize a medical examination, including a drug screen, by an examiner selected by Select International Corp. I understand that the company may obtain or prepare an investigative consumer report in connection with my application. I authorize any reference, school, hospital, doctor, or former employer to disclose to Select International Corp. upon request any information they may have about me and I release them from all liability for disclosing such information to Select International Corp. Electronic Signature: * Please type your First and Last Name Terms of Acceptance and Signature * I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Application Agreement. CAREERS CONTACT US © Copyright 2020 Select Industries Corporation All Rights Reserved.