MACK HILS EMPLOYMENT APPLICATION

First Name

Last Name

Home Phone

Cell Phone

Address

City

State

ZIP

Permanent Address (if different than above)

City

State

ZIP

Position Desired

Salary Desired

Other positions for which you are qualified

Availability Date

Enter Dates of Previous Employment(s)

If Referral, please provide name(s)

Employment History

Employment History 1

Name of Present or Last Employer

Phone

Address

Starting Date

Ending Date

State

ZIP

Name and Title of Supervisor

Starting Pay

Ending Pay

Position Held and Description of Duties

Reason for Leaving

Employment History 2

Name of Present or Last Employer

Phone

Address

Starting Date

Ending Date

State

ZIP

Name and Title of Supervisor

Starting Pay

Ending Pay

Position Held and Description of Duties

Reason for Leaving

Employment History 3

Name of Present or Last Employer

Phone

State

ZIP

Name and Title of Supervisor

Starting Pay

Ending Pay

Position Held and Description of Duties

Reason for Leaving

Shop Floor Experience

Please provide a comprehensive list of all the shop floor items with which you are trained or have experience. This includes, but is not limited to, equipment and processes such as Shear, Manual Lathe, CNC Laser, Height Gauge, Forklift operation, Mechanical Punch Press, Powder Coat Application, CNC Turret Punch, CNC Programming, Surface Grinding Machine, Wire EDM, use of Micrometers, MIG Welding, operation of Spot Welding Machines, SS Welding, Hydraulic Press Brake, Manual Milling Machine, CAD Drafting, Heat Treat Oven operations, TIG Welding, CNC Lathe, and CNC Milling Machine.

If you have details related to your EDUCATION, MILITARY SERVICE RECORD, or BUSINESS REFERENCES, please directly email this information to Stephanie at shuntsman@mackhils.com. This includes school information, special training/skills, employment details, military service records, and business references. Your prompt attention to this change is appreciated.

Thank you for your cooperation!

Workplace Skills and Comprehension Assessment

1. Your Supervisor tells you to work on a 500 piece job that usually takes 3 hours to complete. Your shift ends in 90 minutes. What would you do?

2. Enter the correct measurements for each letter below on the measuring tape.

A: (mm)

B: (mm)

C: (mm)

D: (mm)

3. When taking instructions from your Supervisor, if you do not understand, will you try to figure it out on your own or ask for help?

4. Following is a list of part numbers: 3514042C1, L22-1048, 3501441C1, 3-1307-187-01-6, 3-0907-940-01-2, T-3561108C1. Please retype these numbers in the space below.

5. Here is a portion of a company policy listed in the Employee Handbook, what does this section mean to you? "Failure to report an absence or late arrival; excessive absence or lateness."

Applicant's Statement

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I also agree that any false information or omissions will disqualify me from further consideration for employment and may be considered justification for dismissal by Mack Hils, Inc. (MHI) if discovered at a later date.

I authorize and agree to cooperate in any investigation of my past employment, education, and background and relieve from liability Mack Hils, Inc. (MHI), all persons and/or entities requesting or supplying such information.

I understand that any offer of employment is conditioned upon my successful completion of any of Mack Hils, Inc. (MHI), Inc. pre-employment screening processes; including, without limitation, Mack Hils, Inc. (MHI) receiving references that it considers satisfactory, and the satisfactory completion of any pre-employment physical examination the company may require.

I understand that should I accept an offer of employment, that either Mack Hils, Inc. (MHI) or I can terminate my employment at any time for any reason not prohibited by law, that I would be employed at will, that I am not being employed for any specific period of time and that this application does not constitute, nor is to be construed as a contract of employment.

I understand that should I accept an offer of employment, I may be required as a condition of employment, to execute a non-compete agreement and/or confidentiality agreement, in which event, I agree to be bound by the terms of such agreement(s).

I understand any offer of employment is contingent upon my producing documentation to verify my identity and US citizenship, or if an alien, my legal authorization to work in the United States, as required by federal law. Documentation must be provided within three days of hire.

Federal Law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with such laws, the Company must verify the status of every individual offered employment with the Company. In this regard, all offers of employment are subject to verification of the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify identification and employment authorization. I understand that the completion of this application does not establish any obligation of the company to hire me.

First Name

Last Name

Date

DRUG/ALCOHOL TESTING

I understand and agree that as a condition of employment, I will be required to undergo and successfully pass a post offer drug test. I also understand and agree that, if employed, I may be subject to a fitness for duty, post-accident, random, and/or periodic dry and/or alcohol tests.

First Name

Last Name

Date

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, or disability that does not prohibit the performance of essential job functions.

Submit

MACK HILS EMPLOYMENT APPLICATION

Employment History

Shop Floor Experience

Workplace Skills and Comprehension Assessment

1. Your Supervisor tells you to work on a 500 piece job that usually takes 3 hours to complete. Your shift ends in 90 minutes. What would you do?

2. Enter the correct measurements for each letter below on the measuring tape.

3. When taking instructions from your Supervisor, if you do not understand, will you try to figure it out on your own or ask for help?

4. Following is a list of part numbers: 3514042C1, L22-1048, 3501441C1, 3-1307-187-01-6, 3-0907-940-01-2, T-3561108C1. Please retype these numbers in the space below.

5. Here is a portion of a company policy listed in the Employee Handbook, what does this section mean to you? "Failure to report an absence or late arrival; excessive absence or lateness."

Applicant's Statement

DRUG/ALCOHOL TESTING

I understand and agree that as a condition of employment, I will be required to undergo and successfully pass a post offer drug test. I also understand and agree that, if employed, I may be subject to a fitness for duty, post-accident, random, and/or periodic dry and/or alcohol tests.

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