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Dixie MetalCraft would like to hear from you. Please fill out as much information as you can. Thanks!
Personal Information
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Zip Code
*
Phone
*
Email Address
*
Are you legally authorized to work in the United States?
*
Yes
No
Position
Desired Salary
*
Availability
Days Available
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Shift preference:
Days
Swing (3pm-midnight)
Night (12-9am)
Any
Employment History
Employer 1
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 2
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 3
Company Name
Address
Phone
Start Date
+
End Date
+
Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
References
Reference 1
Name
Title
Email Address
Phone
Reference 2
Name
Title
Email Address
Phone
Reference 3
Name
Title
Email Address
Phone
Additional Skills
List any additional skills that you would like to mention.
Please submit a copy of your resume.
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