Careers with Electronics Research Inc

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Engineers studying plans for the daily work - Careers with Electronics Research Inc

Engineers studying plans

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If you prefer to apply in person, a paper copy may be obtained at the address below. Or if you would like to submit an application online, please download and complete the form below. Then, mail or email the form to Debbie Linberg or print and mail the form to:

Debbie Linberg
HR Manager
Electronics Research, Inc.
7777 Gardner Road
Chandler, IN 47610

Employment Application

Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Email
Are You 18 years of age or older
- Yes
- No
Desired Position
Date You Can Start
Desired Salary
Are You Currently Employed
- Yes
- No
May we contact your present employer
- Yes
- No
Ever applied to ERI before?
- Yes
- No
Where?
When?
Ever worked for ERI before?
- Yes
- No
Where?
When?
Reason for leaving.
Name of Last Supervisor at ERI
Who referred you to this company?
- Employment Agency
- Newspaper Adverstising
- Friend
- State Employment Office
- College Placement Service
- Walk-in
- Other
Education History
Name of School
Number of Years Completed
Subjects Studied
Did you graduate?
- Yes
- No
Name of School
Number of Years Completed
Subjects Studied
Did you graduate?
- Yes
- No
Name of School
Number of Years Completed
Subjects Studied
Did you graduate?
- Yes
- No
Other skills, training or specialties
Employment History
List Below Three Employers, Starting With The Most Recent
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Start Date
End Date
Weekly Starting Salary
Weekly Final Salary
May We Contact Your Supervisor?
- Yes
- No
Name of Supervisor
Supervisor Title
Supervisor Phone
Description of Work
Reason for Leaving
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Start Date
End Date
Weekly Starting Salary
Weekly Final Salary
May We Contact Your Supervisor?
- Yes
- No
Name of Supervisor
Supervisor Title
Supervisor Phone
Description of Work
Reason for Leaving
Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Job Title
Start Date
End Date
Weekly Starting Salary
Weekly Final Salary
May We Contact Your Supervisor?
- Yes
- No
Name of Supervisor
Supervisor Title
Supervisor Phone
Description of Work
Reason for Leaving
References
Below, Give The Names Of Three Persons You Are Not Related To, Whom You Have Known At Least One Year.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company
Years Acquainted
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company
Years Acquainted
Military Service Record
Branch of Service
Rank
Discharge Date
Date Format: MM slash DD slash YYYY
Have You Been Convicted Of A Felony Within The Last 5 Years?
- Yes
- No
If Yes, Explain (Will not necessarily exclude you from consideration)
Training Assessment
Please answer the following questions to help us have a starting point for training for mechanical and soft skills.
Are you comfortable using a tape measure?
- Yes
- No
Can you operate and read dial calipers?
- Yes
- No
Can you read and interpret mechanical drawings?
- Yes
- No
Do you have any experience with hand tools?
- Yes
- No
If yes, please tell us a little about it. Is the experience in past jobs or home use? What types of tools are you familiar with?
Do you have basic knowledge of nuts & bolts?
- Yes
- No
Have you any experience operating fork trucks?
- Yes
- No
Have you any experience operating overhead cranes?
- Yes
- No
Do you have dependable transportation?
- Yes
- No
Can you work 5 days a week from 5:30 am to 4:00 pm?
- Yes
- No
How would you rate your past attendance to work/school?
- Fair
- Good
- Excellent
Do you consider yourself a self-starter?
- Yes
- No
How would you rate your attention to detail?
- Fair
- Good
- Excellent
Do you work best:
- Alone
- As a part of a team
Do you take direction well?
- Yes
- No
How would you rate your communication skills?
- Fair
- Good
- Excellent
Attachments
Drop files here or
Authorization
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.” Entering your name, email address, and the date below constitutes you acceptance of the above.
Name*
First Last
Email*
Date*
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Download: Employment Application.

Careers

Careers with Electronics Research Inc

Employment Application

Education History

Employment History

References

Military Service Record

Training Assessment

Authorization

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