Employment Application

Application for Employment

General Information
Position Applying For:*
Application Date*
First Name:*
Last Name:*
Middle Initial:
Address:*
Street Address Address Line 2 City State ZIP Code
Home Phone:*
Cell Phone:
Email Address:
How did you become aware of the job opportunity with Hutchinson Manufacturing, Inc.?*
What is your desired salary or hourly rate?*
Education
Do you have a High School Diploma or GED (Please check)?*
- High School Diploma
- GED
Post-Secondary Degree Completed:
GPA
Name of College or University:
Address / Location:
Additional Comments on your education:
Work History
Please start with your most recent employer first.
Employer:*
Date of Hire:*
Job Title:*
Date of Separation:
Reason For Leaving:
Ending Salary*
Brief Description of Responsibilities:*
Employer:
Date of Hire:
Job Title:
Date of Separation:
Reason For Leaving:
Ending Salary
Brief Description of Responsibilities:
Employer:
Date of Hire:
Job Title:
Date of Separation:
Reason For Leaving:
Ending Salary
Brief Description of Responsibilities:
Additional Comments on your Work Experience:
Additional Information
Will you travel if your job requires it?
- Yes
- No
Are you willing to work overtime?
- Yes
- No
What shift do you prefer?
Do you have a valid driver’s license?
- Yes
- No
Are you legally eligible for employment in this country?*
- Yes
- No
Please complete the requested voluntary information below.
INVITATION TO SELF-IDENTIFY
Hutchinson Manufacturing, Inc. will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. Information you submit will be kept confidential, except that Government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance Programs may be informed. This information provided would be used only in ways that are consistent with Executive Order 11246, as amended, and the Vietnam Era Veterans Readjustment Assistance Act of 1974, as amended.
I IDENTIFY MYSELF AS:
Gender (please choose):
Race/Ethnicity (please choose):
If you mark Not-Hispanic or Latino, please choose from the the following (you may select more than one category):
VETERAN OF THE VIETNAM ERA
A person who: (i) served on active duty in the U.S. military, ground, naval or air service for a period of more than 180 days, and who was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty was performed: (A) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in all other cases; or (ii) was discharged or released from active duty in the U.S. military, ground, naval or air service for a service-connected disability if any part of such active duty was performed (A) in the Republic of Vietnam between February 28, 1961 and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in any other location.
Please Choose
Application Statement
I certify that all information I have provided in order to apply for and secure work with Hutchinson Manufacturing, Inc. is true, complete and correct.

I expressly authorize, without reservation, Hutchinson Manufacturing, Inc., its representative, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and Hutchinson Manufacturing, Inc. reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of Hutchinson Manufacturing, Inc. is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by a Hutchinson Manufacturing, Inc. executive.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from Hutchinson Manufacturing, Inc. service, whenever it is discovered.
I certify that I have read, fully understand and accept all the terms of the foregoing Applicant Statement.*
- Please Check
Please attach resume and/or cover letter to this application.
Hutchinson Manufacturing Inc. requires that you certify your application by submitting an electronic signature. To certify your application, read the text below and provide and electronic signature (type your name) and click Confirm Signature.

I certify that all the information in my application is true and accurate.
Enter Electronic Signature:*
Name
This field is for validation purposes and should be left unchanged.

Application for Employment

General Information

Education

Work History

Additional Information

Please complete the requested voluntary information below.

Application Statement

Hutchinson Manufacturing

Hutchinson Manufacturing

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