R & D Screw Products, Inc. - Screw Machine Specialists

R & D Screw Products, Inc. is always looking for energetic people who would like to be a part of our team. We have career opportunities available in various fields, particularly machinists and shop trainees. If you are interested in employment at R & D, please mail, fax or email your resume to us or fill out our Online Application.

Personal Information

Name (Last, First, Middle):

E-Mail Address:

Phone Number:

Social Security Number:

Present Address:

Street:

City, State, ZIP:

Permanent Address:

Street:

City, State, ZIP:

Are you 18 years or older?
Yes
No

Are you either a U.S. citizen or an alien authorized to work in the United States?
Yes
No

Employment Desired

Position:

Date You Can Start:

(MM-DD-YYYY)

Salary Desired:

Are you employed now?
Yes
No

If so, may we inquire of your present employer?
Yes
No

Have you ever applied to this company before?

Yes
No

If so, where?:

When?:

Referred By:

Education

High School:

Name & location:

No. years attended * :

Did you graduate? *

Yes

Subjects Studied:

College:

Name & location:

No. years attended * :

Did you graduate? *

Yes

Subjects Studied:

Trade, Business, or Correspondence School:	Name & location:
	No. years attended * :	Did you graduate? *	Yes	No
	Subjects Studied:

General

Subjects of Special Study or Research Work

Special Skills

Activities (Civic, Athletic, Etc.) **

** Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color, or nation of origin of its members.

U.S. Military or Naval Service:

Rank:

Present Membership in National Guard or Reserves:

Former Employers
List last three employers, starting with last one first.)

Employer 1:

Start Date:

End Date:

(MM-YYYY)

	Name:
	Address:

Salary:

Position:

Reason for Leaving:

Employer 2:

Start Date:

End Date:

(MM-YYYY)

	Name:
	Address:

Salary:

Position:

Reason for Leaving:

Employer 3:

Start Date:

End Date:

(MM-YYYY)

	Name:
	Address:

Salary:

Position:

Reason for Leaving:

Which of these jobs did you like the best?
Employer 1
Employer 2
Employer 3

What did you like most about this job?

References
Give the names of three persons not related to you whom you have known at least one year.

Reference 1:	Name:
	Address:
	Business:

Years Acquainted:

Reference 2:	Name:
	Address:
	Business:

Years Acquainted:

Reference 3:	Name:
	Address:
	Business:

Years Acquainted:

Finalization

Check this box if you live in Maryland or Massachusetts. The following statement applies only in those states:

It is unlawful in the state of to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. (By submitting this form, you acknowledge this fact.)

In case of emergency, notify:

Name:

Address:

City, State, ZIP:

Phone:

Relation:

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause."

Check this box before submitting to indicate that you agree with the above statement.

Today's Date (MM-DD-YYYY):