DSM DSM Manufacturing Company, precision sheet metal products
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DSM employeesWe appreciate your interest in joining our team. Your answers will be treated with the utmost confidentiality and care.

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DSM employment application

A. Name
    First:
    Middle:
    Last:
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B. Present address
    Street:
    City:
    State:
    Zip:
    Phone:
    Fax:
    E-mail:
    Notify by:
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C: Interest
1.Which Department would you prefer?
2.Which shift would you prefer?
3.Are you willing to work overtime? Yes No
lineIF NO, PLEASE EXPLAIN
4.When would you be able to
start employment with DSM?
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D: Qualifications
1.Are you legally eligible for employment in the U.S.A.?
(If yes, verification will be required.)
Yes No
2.Are you of legal age (at least 18) to be employed?
(If yes, verification will be required.)
Yes No
3.Will you be able to present your original Social Security Card when required? Yes No
4.Have you been employed by DSM before? Yes No
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5.Do you have reliable transportation to and from work? Yes No
6.DSM expects perfect attendance during the first 3 months of employment. Can you meet this standard? Yes No
7.Have you had First Aid training? Yes No
If yes, what and when?
8.What is the highest level of education that you completed?
9.Diplomas, licenses, training certificates:
10.What experience, skills, hobbies or other qualifications do you have?
(THE APPLICANT SHOULD NOT LIST ANY INFORMATION INDICATING RACE, CREED, COLOR, GENDER, AGE, DISABILITY, NATIONAL ORIGIN, OR OTHER PROTECTED GROUP.)
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E. References

You may list personal references. This is optional:

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F. Employment history

List present and past employment, beginning with your most recent:

    Employer:
    Telephone:
    Supervisor:
    Position held:
    Dates employment started: ended:
    Wages started: $ ended: $
    Reason for leaving:
    May we contact this employer? Yes No
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    Employer:
    Telephone:
    Supervisor:
    Position held:
    Dates employment started: ended:
    Wages started: $ ended: $
    Reason for leaving:
    May we contact this employer? Yes No
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    Employer:
    Telephone:
    Supervisor:
    Position held:
    Dates employment started: ended:
    Wages started: $ ended: $
    Reason for leaving:
    May we contact this employer? Yes No
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G: Read each of the following statements. When you appear in person for an interview, your signature will be required to indicate that you have read them and that you understand them.
  • I understand that either I or the Company may terminate my employment at any time for any reason.
  • I understand that this application is not a contract of employment and does not obligate the employer to provide any benefit.
  • I understand that the granting of interviews does not obligate the employer to provide any benefit or guarantee.
  • I authorize the company to investigate thoroughly my work and personal history and verify all data given. In return for being considered for employment, I release the company from any liability which might arise from such an investigation.
  • I authorize all individuals, schools, and firms named on this application, except my present employer if so noted, to provide any information requested about me, and I release them from any liability for damage in providing this information.
  • I understand that any falsification or willful omission may result in dismissal or refusal of employment.

Have you read the above statements? Yes No
Do you understand what they mean? Yes No
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H: Comments

Thank you! We appreciate your time and patience in completing this.

When you are done...
If you want to start over...
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Talk to us! 1(800) 886-6376

Copyright 2004 DSM Manufacturing Co.