Application for Employment

Last Name: 

First Name: 

Middle Initial: 

Phone: 

E-mail Address: 

Street Address: 

Address Cont: 

City: 

State: 

Zip: 

Position Desired: 

Pay Desired: 

Have you ever applied for employment with us?

Yes No

If yes, month and year:

If yes, were you employed by Saginaw Control and Engineering?

YesNo

Can you work days, nights and weekends?

Yes No

If no, what hours can you work?

Will you work overtime if asked?

Yes No

Have you ever been convicted of a crime?

Yes No

If yes, felony and/or misdemeanor?

Felony Misdemeanor

Are there felony charges pending against you?

Yes No

Are you 18 years old or older?

Yes No

Do you have a valid drivers license?

Yes No

How did you learn about Saginaw Control and Engineering?

Branch of Service

Describe your duties and any special training

Period of Active Duty

From
--Month--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember--Year--20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900

Rank at Discharge

To
--Month--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember--Year--20122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900

Date of Final Discharge (mm/dd/yyyy)

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