Personal Information

Employment Desired

Education

Grammar School

High School

College

Trade, Business or Correspondence School

Skills and Service

*Exclude Organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.

Military

Former Employers

Employer #1

Employer #2

Employer #3

Employer #4

References

Reference #1

Reference #2

Reference #3

Reference #4

Signature Of Applicatant

"I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with our without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with our without cause, and with or without notice, at any time by the company. I understand that no company representative, other than it's president, and then only when in wrong and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or make any agreement contrary to the foregoing."

"I hereby authorize this electronic signature to represent my signature as if it were written."

Thank you for your interest in working with Peerless Manufacturing!
We will review all applications when positions become available.
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