Careers Application for Employment Personal Information:Date MM slash DD slash YYYY Name:* First Middle Last Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone Number:*Are you 18 Years or Older?:* Yes No Employment Desired:Position:*Date You Can Start:* MM slash DD slash YYYY Salary Desired:*Fondy Auto Electric Location Desired: Fond du Lac? Yes No Fondy Auto Electric Location Desired: Appleton? Yes No Are you employed now?* Yes No If so, may we contact your present employer?* Yes No Education:Grammer School - Name and Location:*High School - Name and Location:*High School - Number of Years Attended:*High School - Did you graduate? List year:*College - Name and Location:*College - Number of Years Attended:*College - Did you graduate? List year:*Business or Technical - Name and Location:*Business or Technical - Number of Years Attended:*Business or Technical - Did you graduate? List year:*General:Education, Experience, or Skills that qualify you for this position:Military:U.S. Military or Naval Service:Rank:Present Membership in National Guard or Reserves:Work History - List your last four jobs starting with the most recent (at least one is required):*Date - Month and Year (Start and End Dates)Name, Address, and Phone Number of EmployerSalaryPositionReason for Leaving References:NameAddressBusinessYears Acquainted Physical Record:Do you have any physical limitations that preclude you from performing any work for which you are being considered?* Yes No If yes, what can be done to accommodate your limitation?I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise, and release all parties from all liability from any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any prior notice. Agree
