Application for Employment - Brandstrom Instruments

*Name:

*Phone 1:

Home Work Cell

Phone 2:

Home Work Cell

*Email Address:

*Address:

*City:

*State: *Zip:

*Are you currently employed?

Yes No

*May we contact your employer?

Yes No

*What department are you applying for?

Assembly Machine Shop Engineering Administration Other

Have you worked with any of these measuring instruments:

Calipers Micrometer Optical Comparator

Do you have experience working with small parts? Explain.

*Work Status:

*Do you have a valid driver`s license?

Yes No

*Desired salary / rate:

*Education:

High School Some College College Graduate

*Have you ever applied to Brandstrom Instruments?

Yes No

*Have you ever worked for Brandstrom Instruments?

Yes No

*Please describe your experience and why it is a good match for Brandstrom Instruments:

*Have you ever been convicted of a felony?

Yes No

If you have one, please upload a resume.

(acceptable formats: .jpg, .jpeg,.pdf)