Production Associate Application | Electronic Systems, Inc

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Production Associate Application

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Are you 18 yrs old or older?*

Yes

No

Are you eligible to work in the United States?*

Proof of eligibility will be required when/if an offer of employment is made.

Yes

No

Are you able to functionally read and comprehend written English?*

Yes

No

Are you able to effectively speak and fully understand spoken English?*

Yes

No

Have you been convicted of any of the following crimes: Assault, Battery, Affray, Theft of any kind, Robbery, Kidnapping*

Yes

No

If yes, please explain:*

Conviction will not necessarily disqualify applicant from employment. This information will only be used for job-related purposes and only to the extent allowed by law.

Are you able to perform the essential functions of the position, with or without accommodations, for which you are applying?*

Yes

No

If selected for employment are you willing to submit to a pre-employment drug screening test?

Yes

No

Date You Can Start*

MM slash DD slash YYYY

Please indicate the shift(s) you are applying for: (Select one or both)*

Day Shift (Monday - Friday, 6am-3:30pm)

Evening Shift (Monday - Thursday 4pm-2:30am)

Do you have a resume?*

Yes

No

Resume*

Max. file size: 1 GB.

Cover Letter

Max. file size: 1 GB.

Have you previously been employed by Electronic Systems, Inc?*

Yes

No

When was your last date of employment with Electronic Systems, Inc.?

MM slash DD slash YYYY

How many years of experience do you have working in electronics manufacturing?*

1. Employment History

Please provide your three most recent employers, beginning with your current or most recent role.

Employer Name*

Job Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date*

MM slash DD slash YYYY

Are you currently employed at this job?*

Yes

No

End Date

MM slash DD slash YYYY

2. Employment History

Employer Name*

Job Title*

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

3. Employment History

Employment History

Add Additional Employment History

Employer Name*

Job Title*

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

Professional References

Please list three professional references*

A professional reference may be a former supervisor or coworker. Friends or family members are not acceptable as professional references.

First Name

Last Name

Phone Number

Supervisor, Coworker, or Other (if other, please specific)

Education

High School Name*

Did you receive your high school diploma, GED, or equivalent?*

Yes

No

Please indicate the highest grade you completed*

Have you attended a college, university, or trade school?*

Yes

No

Education*

College/University/Program Name

Years Completed

Area of Study/Degree:

Degree/Certificate Earned

How did you hear about us?*

Were you referred by someone?

Please specify:*

State any additional information you feel may be helpful to us in considering your application:

Consent*

By clicking the submit button below, I certify that answers given herein are true and complete to the best of my knowledge and authorize 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 for any damage that may result from furnishing same to you. I understand my employment is conditional upon a satisfactory background report which will include a criminal background check.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may likely result in discharge.

I agree to the consent policy below.

By typing my name below, I acknowledge that this serves as my electronic signature*

Date

MM slash DD slash YYYY

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Contact Info

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Sales

605-575-9155

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General Inquiries

605-338-6868

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Address

600 East 50th Street North
Sioux Falls, SD 57104

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