Application for Employment
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Pre-enrollment drug testing is required.
Position Applied For
How did you hear about us?
Last Name
First Name
Middle
Address
Email Address
City
State
Telephone
Cell
Best time to contact you at home is:
Social Security #
If you are under 18 years of age, can you provide required proof of your eligibility to work?
Have vou ever filed an application with us before?
If yes, give date
Have you ever been employed with us before?
If yes, give date
Do any of your friends or relatives, other than spouse, work here?
If yes, state name, relationship and location
Are you currently employed?
May we contact your employer?
Are you prevented from lawfully becoming employed in this country because of Visa or immigration status?
(Proof of citizenship or immigration status will be required upon employment. Superior Gearbox Company is and E-Verifer Employer)
Date available for work
Are you available to work:
Please indicate
Dates available
Have you ever been convicted of a felony?
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We Are An Equal Opportunity Employer
Date
Advertisement
Employment Agency
Friend
Relative
Other
Zip
Select Time
7am
8am
9am
10am
11am
12pm
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm
10pm
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Desired Hourly Rate/Salary Range?
Full Time
Part Time
Temporary
Morning
Afternoon
Evening
Are you currently on "lay-off" status and subject to recall?
Yes
No
Yes
No