Application

Online Employement Application

Welcome... and thank you for your interest in joining Industrial Resources Inc. We are delighted that you are considering us as your employment partner.

At Industrial Resources Inc., employees are the organization's most valuable resources.


* indicates required fields

*Name:
Social Security Number:
*Address Line 1:
Address Line 2:
*City:
*State:
Zip Code:
*Telephone Number:
Alternative Telephone Number:
Email:
*Are you at least 18 years old? Yes  No
Positon Applied For:
*Date Available:
Salary Expected:
Do You Prefer:
What Shift Do You Prefer?:
How did you become aware of this position?
*Do you have the legal right to be employed in the United States? Yes  No
Do you possess a valid, current drivers license? Yes  No    Expiration date:
GED: Date Recieved:
City:  State:
Your name at the time:
High School: High School:
City:  State:
Your name at the time:
Did you graduate?Yes  No  Last year attended:
Technical School: School Name:
From:  To:
Did you graduate?Yes  No
Dipolma or Degree Recieved:
Major Studies:
College/University: School Name:
From:  To:
Did you graduate?Yes  No
Dipolma or Degree Recieved:
Major Studies:
Have you ever been discharged from any position? Yes  No  If yes, explain:
Have you ever been convicted of a felony? Yes  No  If yes, explain:
Do you have any criminal charges pending? Yes  No
If yes explanation of charges:
No applications or employment will necessarily be rejected of a criminal offense, or pending charge.

Employment History

This section must be an accurate and complete employment record. Start with your current employer (or most recent employer) and accout for all periods of unemployment.

Most recent job: Company Name:
Position:  From:  To:  
Type of business:
Address:
City:  State:  Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
If still employed, may we contact your present employer?Yes  No
Second most recent job: Company Name:
Position:  From:  To:  
Type of business:
Address:
City:  State:  Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
Third most recent job: Company Name:
Position:  From:  To:  
Type of business:
Address:
City:  State:  Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
Professional Reference (Non-Relative) Name:
Address:
City, State, Zip:
Phone:  Years Known:
Professional Reference (Non-Relative) Name:
Address:
City, State, Zip:
Phone:  Years Known:
List any Professional License or Group Association: Name of Group:
Registration:
State:
Date of Expiration:

List any experiences, skills and qualifications relative to this job:

List any Academic Awards, Honor Societies, and Distinctions:

Additional Comments:


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