Employment

Basic Information

Employment History

Please provide the following information for you employment history beginning with your most recent employer.

Education

Please provide information for education and certifications from accredited institutions.

Military Services

Please provide the following information for all military service.

Skills and Qualifications

Please provide information regarding any other skills and qualifications that may be pertinent to position(s) for which you are applying.

References

Please provide the information for 3 professional references.

Sign and Complete Application

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize the investigation of all statements contained in this application for employment which may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information provided in this application or interview(s) could result in discharge. I also understand that I am required to abide by all rules and regulations of Dubuque Screw Products.

I understand that nothing contained in the application or discussed during an interview, if granted, creates or is intended to create an employment contract between Dubuque Screw Products and myself. 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. I understand that no one, other than an executive officer of Dubuque Screw Products, has the authority to enter into any employment agreement for any specified period of time or make any agreement contrary to the information stated in this application.

I understand that this application will expire in 60 days. After that date, unless otherwise notified, my status as an applicant at Dubuque Screw Products will end. I may re-establish myself as an applicant by completing a new application for employment with Dubuque Screw Products at that time.