Carbon by Design - Carbon Fiber Design & Aerospace Manufacturing

Online Employment Application

APPLICANT INFORMATION

* LAST NAME:

* FIRST NAME:

MIDDLE INITIAL:

* STREET ADDRESS:

APARTMENT / UNIT #

* CITY:

* STATE:

* ZIP:

* PHONE NUMBER:

E_MAIL ADRESS:

* DATE AVAILABLE:

* SOCIAL SECURITY NUMBER:

* DESIRED SALARY:

* POSITION APPLIED FOR:

* ARE YOU A CITIZEN OF THE UNITED STATES?:

YES

NO

IF NO, ARE YOU AUTHORIZED
TO WORK IN THE U.S.?:

YES

NO

HAVE YOU EVER WORKED FOR THIS COMPANY BEFORE?:

YES

NO

IF YES, WHEN?:

* HAVE YOU EVER BEEN CONVICTED OF A FELONY?:

YES

NO

IF YES, EXPLAIN:

EDUCATION

HIGH SCHOOL NAME:

HIGH SCHOOL ADDRESS:

FROM:

TO:

DID YOU GRADUATE?:

YES

NO

HIGH SCHOOL DEGREE:

COLLEGE NAME:

COLLEGE ADDRESS:

FROM:

TO:

DID YOU GRADUATE?:

YES

NO

COLLEGE DEGREE:

OTHER NAME:

OTHER ADDRESS:

FROM:

TO:

DID YOU GRADUATE?:

YES

NO

OTHER DEGREE:

REFERENCES

Please list three professional references.

REFERENCE 1 FULL NAME:

REFERENCE 1 COMPANY:

REFERENCE 1 RELATIONSHIP:

REFERENCE 1 PHONE NUMBER:

REFERENCE 1 ADDRESS:

REFERENCE 2 FULL NAME:

REFERENCE 2 COMPANY:

REFERENCE 2 RELATIONSHIP:

REFERENCE 2 PHONE NUMBER:

REFERENCE 2 ADDRESS:

REFERENCE 3 FULL NAME:

REFERENCE 3 COMPANY:

REFERENCE 3 RELATIONSHIP:

REFERENCE 3 PHONE NUMBER:

REFERENCE 3 ADDRESS:

PREVIOUS EMPLOYMENT

PREVIOUS COMPANY 1
NAME:

PREVIOUS COMPANY 1
PHONE NUMBER:

PREVIOUS COMPANY 1
ADDRESS:

PREVIOUS COMPANY 1
SUPERVISOR:

PREVIOUS COMPANY 1
JOB TITLE:

PREVIOUS COMPANY 1
STARTING SALARY:

PREVIOUS COMPANY 1
ENDING SALARY:

PREVIOUS COMPANY 1
RESPONSIBILITIES:

PREVIOUS COMPANY 1
FROM:

PREVIOUS COMPANY 1
TO:

PREVIOUS COMPANY 1
REASON FOR LEAVING:

MAY WE CONTACT THIS
PREVIOUS EMPLOYER?:

YES

NO

PREVIOUS COMPANY 2
NAME:

PREVIOUS COMPANY 2
PHONE NUMBER:

PREVIOUS COMPANY 2
ADDRESS:

PREVIOUS COMPANY 2
SUPERVISOR:

PREVIOUS COMPANY 2
JOB TITLE:

PREVIOUS COMPANY 2
STARTING SALARY:

PREVIOUS COMPANY 2
ENDING SALARY:

PREVIOUS COMPANY 2
RESPONSIBILITIES:

PREVIOUS COMPANY 2
FROM:

PREVIOUS COMPANY 2
TO:

PREVIOUS COMPANY 2
REASON FOR LEAVING:

MAY WE CONTACT THIS
PREVIOUS EMPLOYER?:

YES

NO

PREVIOUS COMPANY 3
NAME:

PREVIOUS COMPANY 3
PHONE NUMBER:

PREVIOUS COMPANY 3
ADDRESS:

PREVIOUS COMPANY 3
SUPERVISOR:

PREVIOUS COMPANY 3
JOB TITLE:

PREVIOUS COMPANY 3
STARTING SALARY:

PREVIOUS COMPANY 3
ENDING SALARY:

PREVIOUS COMPANY 3
RESPONSIBILITIES:

PREVIOUS COMPANY 3
FROM:

PREVIOUS COMPANY 3
TO:

PREVIOUS COMPANY 3
REASON FOR LEAVING:

MAY WE CONTACT THIS
PREVIOUS EMPLOYER?:

YES

NO

PREVIOUS EMPLOYMENT

MILITARY BRANCH:

FROM:

TO:

RANK AT DISCHARGE:

TYPE OF DISCHARGE:

IF OTHER THAN HONORABLE
PLEASE EXPLAIN:

DISCLAIMER AND ELECTRONIC SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

* I AGREE TO THE
ABOVE TERMS:

YES

NO

FOR VERIFICATION, PLEASE
ENTER THE TEXT BELOW:

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