Employment Opportunities | Rutt's Machine Inc.

If you are under 18 years of age, can you provide required proof of your eligibility?
Yes No

Have you filed an application with us before?
Yes No

If yes, give date

Are you currently employed?
Yes No

May we contact your present employer?
Yes No

On what date will you be available for work?
Date:

Are you available to work:
Full Time Part Time Temporary

Have you ever been convicted of a crime?
(Conviction will not necessarily disqualify an applicant from employment.)
If yes, explain number of conviction(s), nature of offense(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

Years Completed:
Year Graduated:

Undergraduate College

Years Completed:
Year Graduated:

Graduate/Professional School

Years Completed:
Year Graduated:

EMPLOYMENT EXPERIENCE
Start with your present or last job. You may exclude organization which indicate race, color, religion, gender national origin, disabilities, or other protected status.

Dates Employed From:

Hourly Rate/Salary Starting:

Hourly Rate/Salary Final

Dates Employed From:

Hourly Rate/Salary Starting:

Hourly Rate/Salary Final

Dates Employed From:

Hourly Rate/Salary Starting:

Hourly Rate/Salary Final

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

Do you have a license?
Yes No

Driver's License Number?

What is your means of transportation to work?

Type of License
Operator CDL Chauffeur

If you have had any accidents during the past three years, how many?

If you have had any moving violations during the past three years, how many?

REFERENCES
Please list two references other than relatives or previous employers:

Have you ever been in the Armed Forces?
Yes No

Are you now a member of the National Guard?
Yes No

Specialty Text Area

Date Entered National Guard

Discharge Date from National Guard

CONFIRMATION
By checking below you certify that all of the statements made in this application are true, complete, and correct to the best of my knowledge and belief and are in good faith.*

We adhere to a policy of making employment decisions without regard to race, color, religion, sex, gender, national origin, citizenship, age, disability, marital or veteran status, sexual orientation, or any other legally protected status. We assure you that your opportunity for employment with this Company depends solely on your qualifications.