If you are a human and are seeing this field, please leave it blank. Please complete the following application to be considered for employment with PEKO Precision and subsidiary, Martec Industries. PEKO and subsidiary Martec Industries is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap or veteran status or other protected categories. Applicant Information First Name * Last Name * Date Street Address * Apartment/Unit City * State / Province * Zip / Postal Code * Phone * Email Position Applied For Date Available Desired Salary Type of Employment * Day ShiftNight Shift Are you authorized to work in the U.S.? * YesNo Have you ever worked for this company? YesNo If so, when? Who referred you to our company? AdvertisementFriendRelativeEmployment AgencyWalk-inOther List Other Do you have a resume to upload? Yes No Resume Upload Education High School Address Number of Years Completed Did You Graduate? YesNo Degree College Address Number of Years Completed Did you graduate? Yes No Degree Other Address Number of Years Completed Did you graduate? Yes No Degree Special Qualifications or Skills References Please list two professional references. Full Name Relationship Company Address Phone Full Name Relationship Company Address Phone Previous Employment Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities Dates of Employment Reason for Leaving May we contact your (previous) supervisor for a reference? Yes No Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities Dates of Employment Reason for Leaving May we contact your (previous) supervisor for a reference? Yes No Company Address Phone Supervisor Job Title Starting Salary Ending Salary Responsibilities Dates of Employment Reason for Leaving May we contact your (previous) supervisor for a reference? Yes No Disclaimer By submitting this form, I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize PEKO to verify their accuracy and to obtain reference information on my work performance. I also authorize the release of my educational transcripts for education verification purposes. I hereby release PEKO from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment by PEKO. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or PEKO may terminate my employment at any time with or without notice or cause.
