Application for Employment – Nick – BETA THIS IS NOT A LIVE APPLICATION FORM. PLEASE GO BACK AND USE THE APPLY TO CARNEY OR APPLY TO SEYMOUR APPLICATIONS. General Information Name * First Last Name * Last Email * Phone * Position Applied For * General Labor Diesel Mechanic Trailer Mechanic Maintenance Area Leader Production Supervisor Other Other Position Applying For * Current Address * City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code * If you have lived at the above address for less than 12 months, list the previous address Are you over 18 years of age? * Yes No Minimum Salary Requirement ($/hr) * What shift would you prefer to work? * 1st Shift 2nd Shift 3rd Shift When are you able to start? * Are you looking for full-time work? * Yes No Why are you interested in working for Performance Corporation? * Have you ever applied here before? * Yes No When? * Have you been convicted of any criminal offense within the last 7 years? * Yes No Give the date, place, and nature of each such conviction. (The existence of a conviction will not necessarily preclude you from employment.) * Are you related to anyone who works here? * Yes No Please list the name and relationship of all employees you are related to. * Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment.) * Yes No Where did you hear about this position? * Other FOX11 Online Indeed.com Craigslist Job Center of Wisconsin Radio Newspaper Employee Referral ZipRecruiter Which newspaper? * Which radio station? * Who referred you to this position? * Where did you hear about this position? Please name a specific website or location. * Employment Record (List your last 3 employers starting with the most recent.) Employer 1 Company Name Position Worked Dates Worked Supervisor Employer Phone Number Starting Wage Ending Wage Reason for Leaving? Employer 2 Company Name Position Worked Dates Worked Supervisor Employer Phone Number Starting Wage Ending Wage Reason for Leaving? Employer 3 Company Name Position Worked Dates Worked Supervisor Employer Phone Number Starting Wage Ending Wage Reason for Leaving? General Employment Questions Have you ever been discharged from a job or forced or asked to resign? * Yes No Please explain the circumstances behind the resignation * Make any comments you feel we should know when we contact your previous employer: Have you ever had any woodworking experience? * Yes No Where? * What type? * For how long? * Do you have experience operating any of the following equipment? Circular Saw Forklift Radial Arm Saw Pneumatic Nail Tool Automated Nailing Equipment Saw Mill Equipment Other Please list other equipment used * What relevant experience do you have that would aid you in this position? * At the end of the application process you will be given the option to upload a resume. At the end of the application process you will be required to upload a resume.