Apply at New England Wire Products Application for EmploymentFirst Name(Required) Last Name(Required) Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone Number(Required) Email(Required) Are you at least 18 years old?YesNoAre you legally authorized to work in the U.S.?YesNoPosition Desired Location: Leominster, MA Kingfield, ME Greensboro, GA Start date available MM slash DD slash YYYY Do you prefer: 1st Shift 2nd Shift Are you available: Weekends Nights Overtime How did you learn about this opening?Choose one:Employee referralOnlineNewspaperOtherName of person: Tell us where: Have you previously worked for New England Wire Products?YesNoDates of employment with New England Wire ProductsFrom MM slash DD slash YYYY To MM slash DD slash YYYY Reason(s) for leaving: Former supervisor(s) at this company: EducationHigh SchoolYesNoSchool Name Graduated?YesNoCourse of Study Technical SchoolYesNoSchool Name Graduated?YesNoCourse of Study College/UniversityYesNoSchool Name Graduated?YesNoCourse of Study Post-Graduate EducationYesNoSchool Name Graduated?YesNoCourse of Study Production ExperienceAre you experienced in production? Yes No Areas of Experience: Wire Manufacturing Packaging Mlg Welding Paintline Other Please explain: Work ExperiencePlease list all previous employment, beginning with the most recent. Employer Address From To Position Held Reason for leaving Supervisor's Name & Title May we Contact?YesNoDescription of Duties Add another Employer?YesNoEmployer Name Address From To Position Held Reason for leaving Supervisor's Name & Title May we Contact?YesNoDescription of Duties ReferencesIdentify three persons who know your work.Reference 1 Name Phone NumberEmail Relationship Reference 2 Name Phone NumberEmail Relationship Reference 3 Name Phone NumberEmail Relationship Authorization and AcknowledgementsI affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information In this application is grounds for discharge. I authorize the company to verify my references, record of employment, education record, and any other information l have provided, Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, l release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure. Candidate's Name for Authorization Date MM slash DD slash YYYY Applicants for employment at New England Wire Products Company, Inc. ("New England Wire Products") are considered without regard to race, color, religion, sex, sexual orientation, age, genetic information, national origin, status as a Vietnam Era or disabled veteran or membership In the uniformed services, or physical or mental disability. New England Wire Products participates, in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized lo work In the US, Sec attached notice. OUR EMPLOYEES ARE AT THE CENTER OF EVERYTHING WE DOThey are team players tho! love the fast-poced nature of our business.Become a member of the New England Wire Products familyNameThis field is for validation purposes and should be left unchanged.
