On-line Employment Application

Welcome... and thank you for your interest in joining Barber Manufacturing. We are delighted that you are considering us as your employment partner.

At Barber Manufacturing, employees are the organization's most valuable resources.

(* indicates required entry)

Name:*
Social Security Number:
Address line 1:*
Address line 2:
City:*
State:* Zip:
Telephone number:*
Alternative Telephone number:
Email:
Are you at least 18 years old?*
Position applied for:
Date available:
Salary expected:
Do you prefer:
What shift do you prefer?:
How did you become aware of this position?:
Do you have a legal right to be employed in the United States?*
Do you possess a valid, current drivers license?Expiration date:
GED:Date Rec'd:
City: State:
Your name at the time:
High School:High School:
City: State:
Your name at the time:
Did you graduate: Last year attended::
Technical School:School Name:
From: To:
Did you graduate:
Diploma or Degree Received:
Major Studies:
College/University:College Name:
From: To:
Did you graduate:
Diploma or Degree Received:
Major Studies:
Have you ever been discharged from any position?If yes explain:
Have you ever been convicted of a felony?
Do you have any criminal charges pending?If yes explanation of charges

No application for employment will necessarily be rejected because of a criminal offense, or pending charge.
Employment History. This section must be an accurate and complete employment record. Start with your current employer (or most recent employer) and account for all periods of unemployment.
Most recent job:Company Name:
Position: From: To:
Type of Business:
Address:
City:State:Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
If still employed may we contact your present employer?
Second
most recent job:		Company Name:
Position: From: To:
Type of Business:
Address:
City:State:Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
Third
most recent job:		Company Name:
Position: From: To:
Type of Business:
Address:
City:State:Zip:
Name and Title of Supervisor:
Your name at the time:
Responsibilities:
Reason for leaving:
Professional
References
(Not Relatives)		 Name:
Address:
City, State, and Zip:
Phone:Years Known:
Professional
References
(Not Relatives)		 Name:
Address:
City, State, and Zip:
Phone:Years Known:

Additional Comments: