General Information

    First Name: *

    Middle Name: *

    Last Name: *

    Address: *

    City: *

    State: *

    Postal Code: *

    Phone: *

    Email Address: *

    How were you referred to McAlvain Companies, Inc.:*

    Applied to McAlvain Before

    Have you ever applied for employment with us: *

    If yes, indicate month, year and location:

    Month:

    Year:

    Location

    Social Security Number:

    Desired Position: *

    Expected Pay: *

    Full Time

    Apart from absence for religious observance, are you available for full-time work: *

    If you are not, specify when you are available:

    Will you work overtime if asked: *

    Are you legally eligible for employment in the United States: *

    When will you be available to begin work: *

    Other special training or skills (languages, machine operations, etc) that are not listed on your resume:

    Education

    Graduate School

    School Name and Location:

    Course of Study:

    Number of Years Completed:

    Did you graduate:

    Degree of Diploma:


    College

    School Name and Location:

    Course of Study:

    Number of Years Completed:

    Did you graduate:

    Degree of Diploma:


    Business/Trade/Technical School

    School Name and Location:

    Course of Study:

    Number of Years Completed:

    Did you graduate:

    Degree of Diploma:


    High School

    School Name and Location:

    Course of Study:

    Number of Years Completed:

    Did you graduate:

    Degree of Diploma:


    Elementary School

    School Name and Location:

    Course of Study:

    Number of Years Completed:

    Did you graduate:

    Degree of Diploma:


    Membership in Professional or Civic Organizations (Exclude those that may disclose your race, color, religion or nationality):

    Employment

    Company One

    Company Name: *

    Telephone: *

    Address: *

    City: *

    State: *

    Zip Code: *

    Employed From - To

    From: *

    To: *

    Name of Supervisor: *

    Weekly Pay

    Start: *

    Last: *

    Job Title: *

    Describe your Work: *

    Reason for Leaving: *


    Company Two

    Company Name:

    Telephone:

    Address:

    City:

    State:

    Zip Code:

    Employed From - To

    From:

    To:

    Name of Supervisor:

    Weekly Pay

    Start:

    Last:

    Job Title:

    Describe your Work:

    Reason for Leaving:


    Company Three

    Company Name:

    Telephone:

    Address:

    City:

    State:

    Zip Code:

    Employed From - To

    From:

    To:

    Name of Supervisor:

    Weekly Pay

    Start:

    Last:

    Job Title:

    Describe your Work:

    Reason for Leaving:

    We may contact the employers listed above unless you indicate those you do not want us to contact. If no, please explain:

    Military

    Did you serve in the U.S. Armed Forces: *

    If yes, in what Branch:

    Describe any training received relevant to the position for which you are applying:

    Other

    Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by a court: *

    If yes, describe in full:

    State names of relatives and friends working for us, other than your spouse:

    I understand that as part of my prospective employment with McAlvain, I will be asked to take a drug and/or alcohol test pursuant to the company's DRUG FREE WORKPLACE Policy: *

    Are you physically capable, with or without accommodation, of performing strenuous work such as lifting, pulling, pushing and/or carrying frequently 25-50 pounds and occasionally up to 80 pounds?: *

    I understand that these tasks requiring this type of conditioning and stamina may be done anywhere from 1 to 20 times per day: *

    I understand that as part of my prospective employment with McAlvain, I will be required to pass a pre-placement physical, at no cost to me, for positions requiring strenuous work as listed above: *

    The information provided in this Application for Employment is true, correct and complete. If you employ me, any misstatement or omission of fact on this application may result in my dismissal: *

    I understand that acceptance of an offer of employment creates no obligation upon you, the employer, to continue to employ me in the future: *

    As part of our Affirmative Action obligations, we request you check the applicable box below. This information is strictly voluntary on your part. Thank you:
    American Indian (including Eskimo)HispanicAsianCaucasianAfrican American

    Applications are retained for consideration for 30 days after date of application.