Isimac Machine Company, Inc.
Excelsior Industrial Park
June Avenue
P.O. Box 259, Blandon, PA 19510
Phone: 610.926.6400 • Fax: 610.926.6387
E-mail:
jgraeff@isimac.com

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::ONLINE APPLICATION::

First name:
••Middle initial:

Last name:


Street address:


City and State:


Zip code:

Phone number:

Alternate phone number:


Email:


Refferal source: (please choose one)
Advertisement Internet Friend Other

Position wanted (please choose from the following)


Type of position you are interested in?

Desired Starting Rate?

When is it best to reach you?

Do you have transportation?

Yes No

If employed and you are under 18, will you furnish a work permit?
Yes No

May me contact your present or most recent employer?

Yes No

What is the first day you would be available for work?



Have you been convicted of a felony within the last 7 years?

Yes No
If Yes, please explain?



All employees must be available for shift work, this is a condition of employment, if you understand and will comply please answer here?

Yes No

Do you have any physical, mental impairment or disability that would limit your job performance for the position for which you are applying?

Yes No

If Yes, please explain?



EDUCATION HISTORY

High School name:
High School Years Completed?
9th 10th 11th 12th

Date Graduated?
Course of study/HS Program?


List any math courses taken while attending HS here?


What was your overall GPA?
A B C D
Higher Education:


Years of College Completed?
Freshman Sophomore Junior Senior

Date Graduated:
What was your overall GPA?


Additional education, technical training or graduate school education that you feel would help to further qualify you for the position?





EMPLOYMENT HISTORY
(STARTING WITH MOST CURRENT EMPLOYER)

Employer #1:

Address #1:



Employers' area code + phone:


Last job title:


What was your reason for leaving?


Dates employed from: to

Starting rate: Ending rate:

What were your responsibilities of this position with Employer #1?


Employer #2:

Address #2:


Employers' area code + phone:


Last job title:

What was your reason for leaving?


Dates employed from: to

Starting rate: Ending rate:

What were your responsibilities of this position with Employer #2


Employer #3:

Address #3:


Employers' area code + phone:


Last job title:


What was your reason for leaving?


Dates employed from: to

Starting rate: Ending rate:

What were your responsibilities of this position with Employer #3


Applications are considered for all positions without regard to race, color, religion, sex, national origin, marital or veteran status, or the presence of a non-job-related medical condition of handicap.



AGREEMENT

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company. I understand and agree that if I am employed by Isimac Machine Co. Inc., such employed shall be employment at will and either I or this company may terminate such employment at any time, with or without cause.


Do you as a candidate for employment understand and agree with the above statements?

Yes No

PLEASE SUBMIT APPLICATION BEFORE CLOSING

You will be contacted or notified of a position we feel you are qualified for because of your education and experience. If you have any questions we will answer them when we contact you. Thank you for your participation.


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We provide the parts TODAY
that drives the technology of TOMORROW.


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