Online Employment Application
Welcome to Seastrom Manufacturing's online application form. Field descriptions with an asterisk * are required.
   
 
*Required fields
PERSONAL INFORMATION
First Name Middle Initial Last Name  
 
Address City State Zip Code
Daytime Phone Evening Phone Email Address  
 
       
POSITION AND AVAILABILITY
Position Applied For:
Available For:
When would you be available for work?
Are you willing to work different shifts?
  Which Shifts?
Are you willing to work overtime if requested?
       
PERSONAL INFORMATION
Are you legally eligible for employment in the United States?
Are you over 18 years of age?
For driving job only: do you have a valid driver's license?
  If yes, license number and state issued:
Have you worked for us before?
Do you have friends or family who work for us?
  If yes, name(s):
Referred by:     
Have you ever been convicted of a criminal offense?
  If yes, explain:
     
EDUCATION
High School Graduated? GED?  
 
Address City State Zip Code

Technical School/College Years Completed Degree Type  
 
Address City State Zip Code

Technical School/College Years Completed Degree Type  
 
Address City State Zip Code

Certificates & Licenses    
Type: Date:
Type: Date:
Type: Date:

List all significant experience as operator of any machine and/or equipment:
   
EMPLOYMENT HISTORY (Start with your present or last job)
May we contact your current employer?
Job-1      
Name of Employer Phone Number Type of Business:  
 
Address City State Zip Code
Job Title Employed From (MM/YY)

To (MM/YY)

Supervisor's Name
Starting Salary Ending Salary    
   

Job Responsibilities

Reason for Leaving

Job-2      
Name of Employer Phone Number Type of Business:  
 
Address City State Zip Code
Job Title Employed From (MM/YY)

To (MM/YY)

Supervisor's Name
Starting Salary Ending Salary    
   

Job Responsibilities

Reason for Leaving

Job-3      
Name of Employer Phone Number Type of Business:  
 
Address City State Zip Code
Job Title Employed From (MM/YY)

To (MM/YY)

Supervisor's Name
Starting Salary Ending Salary    
   

Job Responsibilities

Reason for Leaving
 
NOTE: If you wish to provide additional Employment History information, please do so by including such information on your attached resume.

Please answer the following questions based on your relevant professional and/or voluntary experience.
Do not provide any specific information that would indicate race, creed, color, religion, sex, age, national origin or disability.
 
1. Give an example of a time when you solved a difficult problem (e.g. at school, in the workplace...).
 
2. Give an example of how you found a win-win solution for a disagreement with a co-worker.
 
REFERENCES
Name Phone Number    
Address City State Zip Code

Name Phone Number  
Address City State Zip Code
       
RESUME AND COVER LETTER
To include your resume and cover letter, please select the "Browse" button provided.
Resume: (We accept only .rtf, .pdf, .doc, and .txt)
Cover Letter: (We accept only .rtf, .pdf, .doc, and .txt)
   
APPLICANT'S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. I authorize Seastrom Manufacturing Co., Inc. to verify their accuracy and to obtain information from my references, prior employers and other sources. I hereby release Seastrom Manufacturing Co., Inc., its subsidiaries, officers, owners, directors and employees from any/all liability of whatever kind and nature which, at any time, that could result from obtaining said information and any employment decision based on such information. I understand that falsified statements of any kind or omissions of facts related to this application or interviews for employment shall be considered sufficient basis for dismissal.

I agree that, if employed, I will fully adhere to the policies, rules and regulations of employment of Seastrom Manufacturing Co., Inc. I understand that statements made during the interview process shall not be deemed to constitute the terms of an implied or expressed employment contract. I understand that any employment offered is for an indefinite duration and that either I or Seastrom Manufacturing Co., Inc. may terminate my employment at any time with or without notice or cause.

 
*