Ace Manufacturing Industries, Inc.
2325 Pamperin Road, Suite 1
Green Bay, WI 54313

Phone: 920-434-7202     Fax: 920-434-7205
APPLICATION FOR EMPLOYMENT
THIS COMPANY IS AN EQUAL OPPORTUNITY EMPLOYER
PLEASE ANSWER ALL QUESTIONS COMPLETELY AND ACCURATELY

NAME


LAST NAME

FIRST NAME

MIDDLE NAME


CURRENT ADDRESS


STREET ADDRESS

CITY

STATE

ZIP CODE
 


PREVIOUS ADDRESS


STREET ADDRESS

CITY

STATE

ZIP CODE
 



TELEPHONE NUMBER

SOCIAL SECURITY NUMBER

POSITION SOUGHT

EMAIL ADDRESS


WAGE / SALARY DESIRED
Full Time 1st Shift
Part Time 2nd Shift
Temporary 3rd Shift
$ /hr
 


Identify relevant skills or training you have or equipment you can operate:


Have you been employeed or applied for employment with Ace Manufacturing before?
Yes No



Are you over age 18?
Yes No
Are you over age 16?
Yes No
Were you referred here?
Yes No
If Yes, Explain


List the names of any friends or relatives who work for Ace Manufacturing:
Name Relationship
Name Relationship


PERSONAL REFERENCES


Name Address & Phone Relationship Occupation


EDUCATION


Institution Address Number of
Years Completed
Degree

High School

College

Graduate Work

Other


Only US Citizens or aliens who have a legal right to work in the US are eligible for employment. Can you, upon employment submit documentation of your identity and your legal right to work in the US?
Yes No


EMPLOYMENT HISTORY

List all positions held starting with the most recent.


Item 1:

Employer Name
Employer Address

Employer Phone Number
Dates Employed
Salary
Title
Duties
Reason you left

Supervisor



Item 2:

Employer Name
Employer Address

Employer Phone Number
Dates Employed
Salary
Title
Duties
Reason you left

Supervisor



Item 3:

Employer Name
Employer Address

Employer Phone Number
Dates Employed
Salary
Title
Duties
Reason you left

Supervisor



Item 4:

Employer Name
Employer Address

Employer Phone Number
Dates Employed
Salary
Title
Duties
Reason you left

Supervisor


Have you ever been a defendant in a civil action for an intentional tort?
Yes No


If Yes, please state the circumstances, including a description of the nature of the intentional tort, the date thaty it was allegedly committed and the disposition of the action:


Have you ever been convicted of a crime, had adjudication withheld, or pled no contest to a crime?
Yes No


If Yes, please state the type of crime and the circumstances with regard to each, including date of conviction or plea and the penalty, if any, imposed by the court:

NOTE: Answering Yes to any of these questions may not necessarily disqualify you from the position you desire. Each action and explanation will be weighed/considered in relationship to the position for which you are applying.
By checking this box, you agree to the following:

I attest to the truthfulness of any and all information and answers provided above. Any false or misleading statements will be grounds for denial of employment or discharge. I understand the company will be checking into my references and employment background. I authorize the Company to do so and release from liability anyone giving or obtaining such background information. This application does not constitute a contract of employment or an indication that any jobs are available. Any employment with the Company is at-will, meaning the employer or employee can end the employment relationship at any time for any or no reason and with or without notice. My signature below verifies that I have read and understand the foregoing statements.

Please verify all information on this application before clicking