Application for Employment
Last Name: First Name: Middle:

Date:

March 11, 2010

Street Address:

Home Phone:
City: State: Zip:   E-mail Address:

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 & Engineering? Yes No
Can you work days, nights & 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 you 18 years old or older? Yes No Do you have a valid drivers license? Yes No
How did you learn about Saginaw Control & Engineering?
SCHOOL NAME & LOCATION OF SCHOOL COURSE OF STUDY DID YOU GRADUATE? DEGREE OR CERTIFICATION
HIGH
COLLEGE
VOCATIONAL & TRADE
OTHER, ISO 9000, ETC.

Work Experience

Company Name Telephone Employed (Month & Year) From
  Until
Address(City & State) Weekly Pay Start
  End
Job Title Supervisor's Name Reason for Leaving
Company Name Telephone Employed (Month & Year) From
  Until
Address(City & State) Weekly Pay Start
  End
Job Title Supervisor's Name Reason for Leaving
Company Name Telephone Employed (Month & Year) From
  Until
Address(City & State) Weekly Pay Start
  End
Job Title Supervisor's Name Reason for Leaving
Company Name Telephone Employed (Month & Year) From
  Until
Address(City & State) Weekly Pay Start
  End
Job Title Supervisor's Name Reason for Leaving

Military
Complete this section if you served in the U.S. Armed Forces

Branch of Service Describe your duties and any special training
Period of Active Duty   From
 Rank at Discharge
To
 Date of Final Discharge

Please complete this section.

Membership in clubs or civic organizations: (Exclude those which may disclose your race, color, religion or national origin)
Why are you currently searching for employment?
Why is employment here important to you?
In your opinion, what are the attributes of a good employee?
Indicate areas of interest such as hobbies, sports activities or recreation:
Describe any special sheet metal fabrication, welding, painting or computer skills you may have:

Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap, weight, arrest record or marital status.

The information provided in this Application for Employment is true, correct and complete.  If employed, any misstatement or omission of fact on this application may result in my discharge.  I am legally eligible for employment in the United States.

I understand accepting of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.  I understand that if I am accepted for employment, I will be an at-will employee, be employed for an indefinite period of time and my employment can be terminated without notice and without cause by either myself or the Company.  I understand that no one at the Company has any authority to enter into any agreement for employment contrary to at-will, unless such agreement is in writing and signed by both myself and the Company President, stating that it alters the at-will relationship.

I authorize my former employers to give any information regarding my employment with them and to furnish any information they have concerning me.  I request that previous employers contacted by SCE in connection with this application fully respond to all inquires concerning previous employment and I waive prior written notice of disclosure of all my personnel record information including disciplinary history.  In consideration of accepting my application, I release and hold harmless SCE and previous employers for and indemnify them against any cost, including legal fees, for any claimed liability arising out of such response and disclosure.

The application will remain active for 90 days.