Job Application


                
                        Personal Information
Name*
                            
                            
                                                    
                                                    First
                                                
                            
                                                    
                                                    Middle Initial
                                                
                            
                                                    
                                                    Last
                                                
                            
                        
Address*    
                    
                         
                                        
                                        Address Line 1
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP
                                
                    
                
Phone*
Email*
                            
                        
General Information
Position Applied For* 
I am Seeking (check only one):*
								
								Full-time
							

								
								Part-time
							

								
								Temporary Employment
							

								
								Internship
							
I am available for:*
								
								Full-time
							

								
								Part-time
							
If Part Time, indicate max hours per week 
Date on which you can start work if hired:*
                            
                            MM slash DD slash YYYY
                        
                        
Are you willing to work overtime?*
								
								Yes
							

								
								No
							
Desired Salary/Hourly Rate* 
Have you previously applied for employment with Control Chief Corporation?*
								
								Yes
							

								
								No
							
If you answered yes to the previous question, when & where did you apply? 
Have you ever been employed with Control Chief Corporation?*
								
								Yes
							

								
								No
							
If you answered yes to the previous question, provide position,  dates of employment & reason for separation from employment.
If hired, can you present evidence of U.S. Citizenship or your legal right to work in this country?*
								
								Yes
							

								
								No
							
Have you ever been convicted of a crime?*
								
								Yes
							

								
								No
							
If yes, describe in full. (include dates and states):
Will you travel if your job requires it?*
								
								Yes
							

								
								No
							
Education
Education History*Education (High School, College, etc.) School Name & Location Graduate? Y or N # of Years Completed Degree/Major  
      
Honors Received
Military Experience
List branch of service, length of service, and.or training received. A copy of your degree and.or certificates will be required upon hire.
Work Experience
Please list the names of your present and/or previous employers in chronological order with present or most recent employer listed first. Provide information for at least the most recent ten (10) year period.   Upload additional sheets if needed.  If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment. Do not answer “see resume.”
Employer*
                            
                            
                                                    
                                                    Name
                                                
                            
                                                    
                                                    Address
                                                
                            
                                                    
                                                    Type of Business
                                                
                            
                        
Phone*
Date*
                            
                            MM slash DD slash YYYY
                        
                        
Date*
                            
                            MM slash DD slash YYYY
                        
                        
Job Title* 
Specific Duties* 
Supervisor's Name* 
May we contact?*
								
								Yes
							

								
								No
							
Last Salary*
Reason for leaving* 
_____________
_____________
Employer
                            
                            
                                                    
                                                    Name
                                                
                            
                                                    
                                                    Address
                                                
                            
                                                    
                                                    Type of Business
                                                
                            
                        
Phone
Date
                            
                            MM slash DD slash YYYY
                        
                        
Date
                            
                            MM slash DD slash YYYY
                        
                        
Job Title 
Specific Duties 
Supervisor's Name 
May we contact?
								
								Yes
							

								
								No
							
Final Salary
Reason for leaving 
_____________
_____________
Employer
                            
                            
                                                    
                                                    Name
                                                
                            
                                                    
                                                    Address
                                                
                            
                                                    
                                                    Type of Business
                                                
                            
                        
Phone
Date
                            
                            MM slash DD slash YYYY
                        
                        
Date
                            
                            MM slash DD slash YYYY
                        
                        
Job Title 
Specific Duties 
Supervisor's Name 
May we contact?
								
								Yes
							

								
								No
							
Last Salary
Reason for leaving 
Special Skills
List any special training, skills, or abilities relevant to the position for which you are applying (e.g. CPR, First Aid Training, Technical Certificates, etc)
Professional References*Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related experiences. 
Name Position Company Work Relationship (i.e., supervisor, co-worker) Telephone  
      
Personal References*Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.
Name Occupation Address Telephone Number Number of Years Known  
      
Resume
You may send resume, or other documentation to hr@controlchief.com
Applicant Certification
I certify information provided is true and complete. I authorize investigation of all statements contained in this application for employment. This application shall be considered active for 90 days after which a new application will be required. I understand an employment relationship with Control Chief Corporation is "at will", which means an Employee may resign at any time and the Employer may discharge Employee at any time without cause. "At Will" employment may not be changed except in writing by the Human Resources Coordinator. I authorize Control Chief Corporation to obtain information from employer(s) and school(s) attended. I authorize employer(s) and school(s) to disclose to Control Chief Corporation such information as may be requested about me, including but not limited to copies of evaluations, transcripts, and any information regarding disciplinary actions and performance. I authorize Control Chief Corporation to conduct background checks including drug screening and criminal background checks. I release Control Chief Corporation and schools and employers from any liability associated with furnishing information as specified above. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge. I understand, also, that I am required to abide by policies, rules, regulations and laws applicable to employment.
Electronic Confirmation
By clicking the "SUBMIT" button below, I confirm that I understand and agree to the Application Certification Terms listed above. I am also affirming that the information I listed on this application is true and correct. 
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Comments
This field is for validation purposes and should be left unchanged.
          
            
            
            
            
            
            
            
            
            
        
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Personal Information

General Information

Education

Work Experience

Special Skills

Resume

Applicant Certification

Electronic Confirmation

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