APPLICATION FOR EMPLOYMENT Crary Industries is an equal opportunity employer, dedicated to non-discrimination in employment on any basis including race, color, gender, age, religion, national origin, disability, marital or veteran status, lawful off- duty activities, or any other legally protected status. Applicants requiring reasonable accommodation to the application and/or interview process should notify the Human Resources Manager at Crary Industries.. Last Name First Name Middle Date Street/Mailing Address Home Telephone City, State, Zip Other Telephone Have you ever applied for employment with Crary? __Yes __No Are you available to work: __Temporary __Full-time __Part-time E-Mail Address Position Desired Shift Preferred: __Day (6:00 am-4:30 pm M-Th) __Night (5:30 pm-4:00 am M-Th) Overtime may be available. Are you able to work overtime hours?__Yes __No Are you legally eligible for employment in the United States? __Yes __No Proof of citizenship or immigration status will be required upon employment. Date you are available to begin work Pay Expected How did you learn about this job? __Employee Referral (Name of employee: ) __Newspaper Ad __Walk-in __Employment Agency __Relative/Friend __Other Are you currently employed? __Yes __No May we contact your current employer? __Yes __No EDUCATION School High School Name & Location Course of Study Years Completed Did you graduate? __Yes __No Trade/Business __Yes __No College __Yes __No Other (Please Specify) __Yes __No Degree/Diploma SKILLS Please list the equipment, computer software, machinery, and tools that you know how to use and any additional information that relates to the position you are applying for. Include professional, training, licenses, organizational and/or certificates. Exclude those that disclose race, color, national origin, or any other protected status groups.