Quality Manufacturing Corporation

PERSONAL DATA

First Name *

Middle Name

Last Name *

Cell Phone *

Home Phone

Email *

Street *

City *

State *

ZIP *

Position(s) Applying For *

Shift Preference *

Employment Type *

Preferred Salary

How did you learn of this position? *

Referral Name

If Other, please list

Have you ever been employed by Quality Manufacturing Corporation? *

Yes No

Dates of Employment/Position? *

Do you have any relatives who work for Quality Manufacturinig Corporation?

Yes No

Please list:

Are you at least 18 years of age?

Yes No

Date available for work

EDUCATION

High School/GED/Equivalency

Name and Location

Graduated

Yes No

College

Name and Location

Degree or Major

Graduated

Yes No

Graduate

Name and Location

Degree or Major

Graduated

Yes No

Other

Name and Location

Degree or Major

Graduated

Yes No

List any other training, certifications, or licenses

List your career objectives or qualifications for employment

MILITARY

Service Branch

Year Entered

Year Discharged

Rank at Discharge

Duties

EMPLOYMENT

1. Most Recent Employer

Name *

Telephone

Start Date *

End Date

Your Position *

Reason for Leaving *

Duties *

2. Previous Employer

Name

Telephone

Start Date

End Date

Your Position

Reason for Leaving

Duties

3. Previous Employer

Name

Telephone

Start Date

End Date

Your Position

Reason for Leaving

Duties

4. Previous Employer

Name

Telephone

Start Date

End Date

Your Position

Reason for Leaving

Duties

5. Previous Employer

Name

Telephone

Start Date

End Date

Your Position

Reason for Leaving

Duties

Please explain any gaps in your Employment History

Resume

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Equal Employment Opportunity

At Quality Manufacturing Corporation, we are committed to providing an environment of mutual respect where equal opportunities are available to all applicants and employees, regardless of race, color, religion, sex, pregnancy, national origin, sexual orientation and/or gender identity, age, disability, marital status, or protected veteran status. We believe that diversity and inclusion among our employees is critical to our success as a company, and we recruit, develop, and retain the most talented people from a diverse candidate pool.

We are an affirmative action and Equal Opportunity Employer and E-verify participant. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, national origin, sexual orientation and/or gender identity, age, disability, marital status, or protected veteran status and will not be discriminated against on the basis of disability. All employment is decided on the basis of qualifications, merit, and business need.

In compliance with federal law, all person hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire.

Voluntary self-identification of ethnicity

Voluntary self-identification of veteran status

Voluntary self-identification of disability

Gender:

Male

Female

Non-binary

I don't wish to answer

Ethnicity:

White (not Hispanic or Latino)

Hisapanic or Latino

Black or African American

Native Hawaiian or Other Pacific Islander

Asian

American Indian or Alaskan Native

I don't wish to answer

Other

If Other, please list

Are you a Protected Veteran:

No, I am not a Protected Veteran

Yes, I identify as one or more of the classifications of Protected Veteran

Yes, but I choose not to self-identify the classification to which I belong

I don't wish to answer

Do you have a disability:

Yes, I have a disability or have a history/record of having a disability

No, I do not have a disability, or a history/record of having a disability

I don't wish to answer

SIGNATURE

Quality Manufacturing is an Equal Opportunity Employer (EOE). Accordingly, we promote equal opportunity in the areas of recruitment, employment, training, development, transfer and promotion. Our employment practices are without unlawful regard to race, color, religion, creed, sex, age, pregnancy, disability, marital status, national origin, veteran status, sexual orientation, gender identity or genetic information and all other categories protected by federal, state and local anti-discrimination laws. Applicants requiring disability related accommodations for interviews are asked to provide advanced notice.

Employment at Quality Manufacturing Corporation (hereinafter "Quality Manufacturing" or "Company") is at-will, which means at the will of Quality Manufacturing and at the will of the employee. Both Quality Manufacturing and the employee have the right to terminate the employment relationship at any time, with or without cause for any lawful reason. Employment is for no definite period.

I hereby certify that the answers given and the facts set forth in the above employment application are true and complete and no attempt has been made by me to conceal pertinent information. I acknowledge that all facts and statements are subject to investigation by Quality Manufacturing Corporation and that if through investigation, at any time during employment, any fact or misleading information is found to exist in this application, I understand I will be subject to discharge from employment.

Quality Manufacturing Corporation desires a drug free workplace, a drug test may be part of pre-employment testing.

Signature *

Date *

SUCCESS

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Application

PERSONAL DATA

EDUCATION

High School/GED/Equivalency

College

Graduate

Other

MILITARY

EMPLOYMENT

1. Most Recent Employer

2. Previous Employer

3. Previous Employer

4. Previous Employer

5. Previous Employer

Equal Employment Opportunity

SIGNATURE

SUCCESS