920.426.6080
2100 S. Oakwood Road • Oshkosh, WI 54904

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  1. SMC Metal Fabricators

    Employment Application

    We are an Equal Opportunity Employer
    View our Privacy Policy.

    Please complete the entire application.
  2. Name
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  3. Address (street)
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  4. Address (city, state, zip)
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  5. Email Address
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  6. Phone Number:
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  7. Phone Number:
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  8. Are there other names under which you have worked or attended school?
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  9. If yes, please list for reference checking purposes
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  10. Are you legally authorized to work in the US?
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  11. If hired, you will be required to provide proof of work authorization.
  12. Are you at least 18 years old?
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  13. Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?
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  14. If yes, explain 1) nature of crime, 2) date of conviction, and 3) state in which convicted.
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  15. Do you have any pending criminal charges against you?
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  16. If yes, explain 1) nature of charges, 2) date issued, and 3) county and state where issued.
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  17. Have you ever applied at this company before?
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  18. If yes, when?
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  19. Have you ever worked at this company before?
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  20. If yes, when?
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  21. Position Applying For
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  22. Part-Time or Full-Time Desired
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  23. Salary Preference
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  24. Shifts You Will Work (check all that apply)
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  25. When can you start?

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  26. How were you referred to the company?






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  27. Describe
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  28. Continue to Education and Training Background
  1. Special Skills

  2. Please describe experience using manufacturing machines and equipment and any other manufacturing experience including any additional information necessary to describe your full qualifications.
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  3. Types of computer equipment and software you are familiar with:
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  4. Education

  5. High School Name and Location (city & state)
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  6. Number of Years Attended
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  7. Major Subjects
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  8. Diploma Received?
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  9. College Name and Location (city & state)
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  10. Number of Years Attended
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  11. Major Subjects
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  12. Degree Received?
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  13. Type
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  14. Technical Education Name and Location (city & state)
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  15. Number of Years Attended
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  16. Major Subjects
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  17. Degree Received?
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  18. Type
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  19. Other Education Name and Location (city & state)
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  20. Number of Years Attended
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  21. Major Subjects
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  22. Diploma/Degree Received?
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  23. Type
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  24. Training Courses

    List any relevant training programs completed.
  25. Course/Seminar
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  26. Sponsoring Organization
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  27. Content
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  28. Date(s) Attended
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  29. Any additional training courses you'd like to include in this application?
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  30. Course/Seminar
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  31. Sponsoring Organization
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  32. Content
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  33. Date(s) Attended
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  34. Any additional training courses you'd like to include in this application?
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  35. Course/Seminar
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  36. Sponsoring Organization
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  37. Content
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  38. Date(s) Attended
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  39. Any additional training courses you'd like to include in this application?
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  40. Course/Seminar
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  41. Sponsoring Organization
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  42. Date(s) Attended
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  43. Content
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  44. Required License(s)

  45. Do you have a current driver's license?
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  46. Driver's License #
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  47. State Issued
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  48. Continue to Employment History
  1. Employment History

    Please start with the most recent.
  2. Name of Employer
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  3. Address
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  4. Phone
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  5. Job Title
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  6. Name of Immediate Supervisor
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  7. Employment Dates (month and year)
    From:
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  8. To:
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  9. Description of Duties:
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  10. Salary - start
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  11. Salary - end
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  12. Reason for leaving
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  13. If currently employed, may we contact as a reference?
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  14. Any additional employment?
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  15. Name of Employer
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  16. Address
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  17. Phone
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  18. Job Title
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  19. Name of Immediate Supervisor
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  20. Employment Dates (month and year)
    From:
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  21. To:
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  22. Description of Duties:
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  23. Salary - start
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  24. Salary - end
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  25. Reason for leaving
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  26. Any additional employment?
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  27. Name of Employer
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  28. Address
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  29. Phone
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  30. Job Title
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  31. Name of Immediate Supervisor
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  32. Employment Dates (month and year)
    From:
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  33. To:
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  34. Description of Duties:
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  35. Salary - start
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  36. Salary - end
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  37. Reason for leaving
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  38. Any additional employment?
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  39. Name of Employer
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  40. Address
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  41. Phone
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  42. Job Title
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  43. Name of Immediate Supervisor
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  44. Employment Dates (month and year)
    From:
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  45. To:
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  46. Description of Duties:
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  47. Salary - start
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  48. Salary - end
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  49. Reason for leaving
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  50. References

    List individuals familiar with your job qualifications (no relatives or personal friends).
  51. Reference #1

  52. Name
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  53. Address
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  54. Telephone
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  55. Email Address
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  56. Relationship
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  57. How long known?
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  58. Reference #2

  59. Name
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  60. Address
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  61. Telephone
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  62. Email Address
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  63. Relationship
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  64. How long known?
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  65. Reference #3

  66. Name
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  67. Address
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  68. Telephone
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  69. Email Address
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  70. Relationship
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  71. How long known?
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  72. IN CASE OF EMERGENCY NOTIFY

  73. Name
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  74. Address
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  75. Phone
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  76. Please Read Carefully Before Signing This Form

    1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
    2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information about my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.
    3. I understand that upon receiving a job offer, a physical examination and drug screening will be required.
    4. Regardless of whether or not I become employed by the company, I recognize this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.
  77. I, the applicant for this application form, warrant the truthfulness of the information provided in this application.

    Electronic Signature:(*)
    Please type your full first and last name.
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  78. (*)
    You must check this box to submit this application
  79. Upload your resume - optional
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