Job Application "*" indicates required fields If you prefer to fill out a paper application and mail it, please click here.Date* MM slash DD slash YYYY Position Applying For* Applicant Name* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Social Security #* Schooling Completed* Can you work in a machine shop environment?* What is your availability for work?* Full time (40 hours) Part time Are you able to work 1st shift/Day Shift hours?* Have you been previously employed with this company?* Yes No If yes, please explain Have you ever been convicted of a felony?* Yes No If yes, describe briefly, including date(s). (Convictions will only be given consideration if the offense is substantially related to the job for which you are applying).EDUCATIONAL DATAName and Address of High School* Graduation Date Name and Address of College Major/Degree Date Name and Address of Grad School Major/Degree Date Name and Address of Tech/Business School Major/Degree Date SKILLSMachines and Work Skills Tool & Die Maker/Journeyman CNC Operator Programmer Punch Press Operator – Progressive Dies Assembly & General Labor Computer Microsoft Word (Specify) Microsoft Skills (if any) WORK HISTORYList below your employment history beginning with your most recent position/employerMay we contact a previous employer?* Employer Name* Dates of Employment* Address*Salary Wage* Type of work* Reason for Leaving*Employer Name Dates of Employment AddressSalary Wage Type of work Reason for LeavingEmployer Name Dates of Employment AddressSalary Wage Type of work Reason for LeavingOTHER SKILLS AND QUALIFICATIONSAstro Tool & Die Co., Inc. is a manufacturer of Metal Stampings. Please describe any other qualifications that might be in our line of work Person to be contacted in case of emergency or for other reasons.Name* Phone #*Astro Tool & Die Co., Inc. - Application AgreementConsent* I agreeAll statements made on this application are accurate and complete. I understand any false statements made on this application or any other employment material would eliminate me from further consideration for employment, or if employed, would be grounds for my termination. My signature below represents my authorization to obtain from my former employer(s), and for my former employers(s) to release, work-related information regarding my qualifications for any employment for which I might be considered. I understand that, if employed, I can resign at any time, for any reason and that this company may release me at any time for any reason.Signature*Name* First Last Please type your first and last nameDate* MM slash DD slash YYYY Upload Resume (if you have one)Max. file size: 2 MB.
