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Last Name
First Name
Middle
Present Address
Address
No. & Street City State Zip Code
Permanent Address (if different from present address)
Address
No. & Street City State Zip Code
Business Phone
Home Phone
Employment Desired
Position applying for:

Personal Information
How did you hear about our company and this job opening?
Have you ever applied to or worked for California Manufacturing & Engineering Co., Inc before?
- Yes
- No
If yes, when?
Why are you applying for work at California Manufacturing & Engineering Co., Inc?
If hired, would you have a reliable means of transportation to and from work?
- Yes
- No
Are you at least 18 years old? (If under 18, hire is subject to verification that you are of minimum legal age.)
- Yes
- No
Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?
- Yes
- No
(Note: We comply with the ADA and consider reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)
If no, describe the functions that cannot be performed.

High School
High School Name
Number of Years Completed
Did you Graduate?
- Yes
- No
Degree or Diploma
High School Address
Street Address City State ZIP Code
College / University
College / University Name
Number of Years Completed
Did you Graduate?
- Yes
- No
Degree or Diploma
College / University Address
Street Address City State ZIP Code
Vocational / Business
Vocational / Business Name
Number of Years Completed
Did you Graduate?
- Yes
- No
Degree or Diploma
Vocational / Business Address
Street Address City State ZIP Code

Employment History & References
Name of Employer
Phone
Type of Business
Your Supervisor's Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Current Employer?
- Yes
- No
Your Position and Duties
Reason For Leaving
May we contact this employer for a reference?
- Yes
- No

Employment History & References Cont.
Name of Employer
Phone
Type of Business
Your Supervisor's Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Current Employer?
- Yes
- No
Your Position and Duties
Reason For Leaving
May we contact this employer for a reference?
- Yes
- No

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Consent
Please Read Carefully, Check Each Paragraph
*
I hereby certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the answers given by me are true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
*
I hereby authorize California Mfg. & Eng. Co., Inc. to thoroughly investigate my references, work record, education and other matters related to my suitability for employment (excluding criminal background information) unless otherwise specified above. I further, authorize the references I have listed to disclose to the company any and all letters, reports and other information related to my work records, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
*
I understand that nothing contained in the application, or conveyed during any interview which may be granted or during my employment, if hired, is intended to create an employment contract between me and the Company. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time, with or without prior notice, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the Company’s designated representative.
*
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.
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Employment Application

Step 1 of 7 – Getting Started

Present Address

Permanent Address (if different from present address)

Employment Desired

Personal Information

High School

College / University

Vocational / Business

Employment History & References

Employment History & References Cont.

Consent