Employment Application

Candidate Intake Worksheet

To the Applicant: We appreciate your interest in our Company and assure you that we are interested in your qualifications. The Candidate Intake Worksheet will provide us with a clear understanding of; your background, work history, shift preference, skills and experience and will aid us in seeking to place you in a position which, in our judgment, best meets your qualifications. You may show this Candidate Intake Worksheet to any person of your choice. We are an equal opportunity employer and will not unlawfully discriminate on the bases of; race, color, sex, religion, national origin, age, veteran status, gender, the presence of medical condition or disability, height, weight or any other protected class.
Name
MM slash DD slash YYYY
Time
:

General Employment Details

Have you ever worked for PSM either Direct or through a Staffing company?
MM slash DD slash YYYY
MM slash DD slash YYYY
How did you hear about us
approximate minutes
What is your preferred shift?
Are you flexible to other shifts?
What other shifts are you flexible to?
Are you available for overtime including weekend?
Are you able to work an 8 hour shift with 1-10 and 1-20min paid break?
Are you able to work in a non-climate controlled facility?
Are you willing to complete a drug screen?
Have you been convicted of a felony?
If yes, you will be asked to disclose during your interview
Will you allow PSM to conduct a criminal background check?
May we contact your employment reference(s) and previous employers?
Are you 18 years of age?
Do you have the proof of identity and authorization to work in the United States necessary to complete Form I-9?
Will you allow Production Saw & Machine to verify your I-9 information with the appropriate agency?
MM slash DD slash YYYY

EMPLOYMENT HISTORY

Please provide us with your most recent employment history first.
Most recent
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY

INDUSTRIAL SKILLS CHECKLIST

Production Saw & Machine understands that Candidates bring more knowledge, skills and experience than their resume or application can possibly share. To help us learn more about your experience please check those skills that apply to you and how many years or months of experience you have for each. If there are additional skills that you have and they are not listed on the worksheet, please feel free to add them in the space provided.
WAREHOUSE
MAINTENANCE
CNC MACHINING
QUALITY
MISCELLANEOUS
MACHINIST
COMPUTER SOFTWARE

LETS LEARN MORE ABOUT YOU!

This is to help us better understand you and where you would be a good match in our Company.
We feel it is important to know what gives you Job Satisfaction. Please select all those things the do give you Job Satisfaction.
Please tell us how you best learn new things.
(Examples: Candy Crush, Call of Duty, Solitaire, Soduko)
My signature below is acknowledgment that the information I have provided on this document is accurate.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.