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Employement Application
Applicant Information
Last Name
First Name M.I.
Street Address
Apartment/Unit #
City
State
ZIP Code
Telephone
E-mail Address
Date Available
Social Security #
Position Applied for
Desired Salary
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?
Yes
No
If so, when?
Have you ever been convicted of a felony?
Yes
No
If so, explain?
Education
High School
From/To
College
From/To
References
Full name
Relationship
Address
Phone Number
Full name
Relationship
Address
Phone Number
Emergency Contact
Full name
Relationship
Address
Phone Number
Previous Employment
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Company
Phone
Address
Supervisor
Job Title
Starting Salary $
Ending Salary $
Responsibilities
From
To
Reason for leaving
May we contact your previous supervisor for a reference?
Yes
No
Submit
Ship To Address
2701 Business Highway 287J E
Wichita Falls, Texas 76308
Mail To Address
P.O. Box 4684
Wichita Falls, TX 76308
Download Application
Download the Employment Application in the following format:
Microsoft Word Format
PDF Format
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Toll Free:
866-763-1528
Phone:
940-763-1528
Fax:
940-763-0402
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Chandler Mfg., LLC