APPLICATION FOR EMPLOYMENT
Crary Industries is an equal opportunity employer, dedicated to non-discrimination in employment on any
basis including race, color, gender, age, religion, national origin, disability, marital or veteran status, lawful off-
duty activities, or any other legally protected status. Applicants requiring reasonable accommodation to the application
and/or interview process should notify the Human Resources Manager at Crary Industries..
Last Name
First Name
Middle
Date
Street/Mailing Address Home Telephone
City, State, Zip Other Telephone
Have you ever applied for employment with Crary?
__Yes __No
Are you available to work:
__Temporary __Full-time __Part-time E-Mail Address
Position Desired
Shift Preferred:
__Day (6:00 am-4:30 pm M-Th) __Night (5:30 pm-4:00 am M-Th)
Overtime may be available. Are you able to work overtime hours?__Yes __No
Are you legally eligible for employment in the United States?
__Yes __No
Proof of citizenship or immigration status will be required upon employment.
Date you are available to begin work
Pay Expected
How did you learn about this job?
__Employee Referral (Name of employee:
) __Newspaper Ad
__Walk-in __Employment Agency __Relative/Friend __Other
Are you currently employed?
__Yes __No
May we contact your current employer?
__Yes __No
EDUCATION
School
High School
Name & Location
Course of Study
Years Completed
Did you graduate?
__Yes __No
Trade/Business __Yes __No
College __Yes __No
Other (Please
Specify) __Yes __No
Degree/Diploma
SKILLS
Please list the equipment, computer software, machinery, and tools that you know how to use and any additional
information that relates to the position you are applying for. Include professional, training, licenses, organizational and/or
certificates. Exclude those that disclose race, color, national origin, or any other protected status groups.