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Employment ApplicationAPPLICANT INFORMATIONPlease provide the information requested below.First Name Middle Name Last Name Date Phone/Mobile Email AddressAddress Line 1 Address Line 2 City State Zip Code Country Select CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSão Tomé and PríncipeSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweFor which position(s) are you applying? MachinistWelder/FabricatorEngineerOffice/AdministrativeAnyDate Available Desired Salary $/yearAre you a citizen of the United States? Yes NoAre you authorized to work in the United States? Yes NoHave you ever worked for this company? Yes NoWhen did you last work for this company? Have you ever been convicted of a felony? Yes NoIf you answered "Yes" to the previous question, please explain. PreviousNextEDUCATIONPlease provide this information regarding your education.Name of High School City State From To Did you graduate? Yes NoName of College City State From To Did you graduate? Yes NoDegree Other Education City State From To Did you graduate? Yes NoDegree PreviousNextREFERENCESPlease list three professional references.Full Name of 1st professional reference Relationship Company Phone Address Full Name of 2nd professional reference Relationship Company Phone Address Full Name of 3rd professional reference Relationship Company Phone Address PreviousNextPREVIOUS EMPLOYMENTPlease provide information regarding your last three jobs.Company name of most recent employer Phone Address Name of Supervisor Job Title Starting Salary $/hrEnding Salary $/hrResponsibilities From To May we contact your previous supervisor for a reference? Yes NoReason for leaving PreviousNextCompany name of second to last employer Phone Address Name of Supervisor Job Title Starting Salary $/hrEnding Salary $/hrResponsibilities From To May we contact your previous supervisor for a reference? Yes NoReason for leaving PreviousNextCompany name of third to last employer Phone Address Name of Supervisor Job Title Starting Salary $/hrEnding Salary $/hrResponsibilities From To May we contact your previous supervisor for a reference? Yes NoReason for leaving PreviousNextCAREER GOALSList three career goals. What are you really good at professionally? What are you not good at or not interested in doing professionally? Do you have a resume you would like to share with us? Upload Resume DISCLAIMER & SIGNATURE This application in not an employment contract. This application will be active for 1 year. Employment with PEARCE Machine LLC is “at will,” meaning it is at the mutual consent of the company and the employee, and either party may terminate the relationship, at any time, with or without cause, consistent with the law. I certify that my answers are true and complete to the best of my knowledge. Previous Submit Application