Application For Employment

300 Dura Drive • Howard Lake, Minnesota 55349 • Phone (320) 543-3872 • www.durasupreme.com

Position Information

Personal Information

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Job Specific Questions

(Proof of U.S. citizenship or immigration status will be required upon employment)

Educational Background

References

Employment History

List your current and previous employers, assignments or volunteer activities, starting with the most recent including military experience.  Please explain any gaps in employment in the comment section below.

Job 1

Job 2

Job 3

Skills and Qualifications

Employee Statement

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed. Furthermore, I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

The Employer is an equal opportunity employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excluding any applicant’s consideration for employment on a basis prohibited by local, state or federal law.

The application is current for only (90) days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary for me to fill out a new application.