Thank you for your interest in Grace Machine Inc.Please fill out the following application and we will be in touch with you shortly.Basic InformationFirst Name *Middle NameLast Name *Date of Birth *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Phone Number *Email Address *What position are you applying for?Desired Pay (Per Hour)Are you at least 18 years of age? *YesNoAre you legally eligible for employment in the USA? *YesNoAre you looking to work... *Full timePart timeIf hired, when would you be available to start? *Are there any days or times you are not available to work? *Do you have any special qualifications or skills?Do you have your own tools (calipers, micrometers, etc.)? *YesNoDo you know how to read a micrometer, caliper, and tape measure? *YesNoMilitary ExperienceHave you ever served in the military? *YesNoIf so, what branch?ArmyNavyAir ForceMarine CorpsCoast GuardSpace ForceCriminal RecordHave you ever been convicted of a crime? *YesNoPlease explain the number of conviction(s), nature of offense(s) leading to conviction(s), how many such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. *0 / 1500TransportationWhat is your means of transportation to work? *Please select an optionI drive myselfSomeone drives meOtherDo you have a driver's license? *YesNoDriver's License NumberExpiration Date *Type *StateOperatorCommercialHave you had any accidents during the last three years? *YesNoHow many? *Have you had any moving violations during the last three years? *YesNoHow many? *Medical InformationDo you have any physical or health conditions which may limit your performance for the particular job you are applying for? *YesNoPlease explain. *0 / 1500Who is your family physician?When was the last time you were seen?What were you seen for?0 / 1500EducationHigh SchoolCollegeBusiness/Trade SchoolProfessional SchoolReferencesReference #1Reference #1's First Name *Reference #1's Last Name *How do you know this person? *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Phone Number *Reference #2Reference #2's First Name *Reference #2's Last Name *How do you know this person? *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Phone Number *Employment History (Add Most Recent First)Employment HistoryStart Date *End Date *Employer Name *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal CodeSupervisor's First Name *Supervisor's Last Name *Phone Number *Position and Duties *Starting PayUSDEnding PayUSDReason for leaving?0 / 1500Is it OK for us to contact this employer? *YesNoIf you would like, you can add your resume here.Choose FileNo file chosenDelete uploaded fileConsent *The information provided in the application for employment is true, correct, and complete. If employed, any misstatement of, or omission, of fact on this application may result in dismissal.Date *Send
