Type of employment desired:    Full-time   Part-time

Name:    *(First): *Min 3 Char.    (Middle):     *(Last): *Min 3 Char.

Address 1:       Address 2:

*Primary Phone: *      Secondary Phone:      Email Address:

*Are you 18 years of age or over?    Yes   No Required

*Are you legally eligible for employment in the U.S.?    Yes   No Required

*Have you ever been an employee of this organization in the past?    Yes   No Required      Date available to work:

Who referred you to us, or how did you know of an opening in this company?

Are you currently employed?    Yes   No           May we contact your present employer?    Yes   No

Are you able to perform the essential functions of the job for which you are applying?    Yes   No

Employment History - List your last three (3) employers, assignments, volunteer activities, and military service starting with the most recent.

Educational Background

Personal History - List three (3) character references (other than relatives).

If yes, explain:

List any equipment/machinery/presses on which you have experience, and, or specific skills you possess which would assist us in assessing your qualifications (machine operation, typing or other clerical skills, mechanical ability, computer literacy, etc.):

List any specific classes which would further qualify you for employment with our company:

Employment Application Agreement

I hereby certify that the information supplied on this application is correct to the best of my knowledge. I understand any misrepresentation or omission will be sufficient cause for cancellation of this application and may result in dismissal if I have been employed.

In consideration of my employment, I agree to abide by the rules and regulations, and I understand that these rules and regulations, as well as any personnel manual, do not constitute a contract of employment of the Company. I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the Company or myself. I further understand that no representative of Specialty Finishing has any authority to make any assurances to the contrary.

I give Specialty Finishing the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability Specialty Finishing and its representatives for seeking such information and all other persons, corporations, or organizations for furnishing such information.

I understand that Specialty Finishing is an equal opportunity employer and will not tolerate any form of discrimination because of race, religion, color, marital status, sex, age, disability or national origin. I also understand that my application will receive proper consideration for the same reason.

I understand that any offer of employment with the company is contingent upon passing any required physical examinations, including drug tests.

* I Agree   I DO NOT Agree Required