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Our employees are our greatest asset.

Employer Application for McPherson Mfg.

Name(last, first, MI)(Required)

Present Address(Required)

Social Security Number(Required)

Phone(Required)

Are you 18 years of age or older(Required)

Yes

Are you a Veteran(Required)

Yes

EDUCATION

Name of High School(Required)

Location of High School(Required)

Graduate?(Required)

Yes

High School GED?(Required)

Yes

College/University

College Graduate?

Yes

If No, years completed

Degree/Major

Other Training(including military or technical school)

EMPLOYMENT

Specific position for which you are applying?(Required)

Wage Expected?(Required)

Shifts Available(Required)

Any

1st

2nd

3rd

Rotating

7 Days Per Week?(Required)

Yes

List special skills and equipment you can operate.

If presently employed, state days and hours you currently work.

EMPLOYMENT RECORD

List employment beginning with present job(include military experience).

Employer

Job Title

Duties

Length of job?

Rate of Pay?

Ending Date?

Reason for leaving?

Employer

Job Title

Duties

Length of job?

Rate of Pay?

Ending Date?

Reason for leaving?

Employer

Job Title

Duties

Length of job?

Rate of Pay?

Ending Date?

Reason for leaving?

May we contact your present employer?

Yes

REFERENCES

List three persons familiar with your work or job related skills.

Name and Occupation

Address

Phone Number

Name and Occupation

Address

Phone Number

Name and Occupation

Address

Phone Number

COMPLETION OF THIS FORM DOES NOT CONSTITUTE REGISTRATION WITH THE STATE EMPLOYMENT SERVICE.

Signature

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Date

Month

Day

Year

McPherson Manufacturing

6 Gill Street

Hazlehurst, GA 31539

info@mcphersonmfg.com

912-375-5494

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