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Machine Operators Program Application
Machine Operators Program Application
Date of Application
(Required)
First & Last Name
(Required)
Phone Number
(Required)
Address
(Required)
Email
(Required)
Date of Birth
(Required)
Shirt Size
(Required)
Previous Military Experience?
(Required)
Yes
No
Ethnicity
(Required)
White
Hispanic
Black
American Indian
Asian/Pacific Islander
Other
Gender
(Required)
Male
Female
Do you have reliable transportation?
(Required)
Yes
No
Do you require any special accomidations?
(Required)
Yes
No
What Type of Block Machine do you currently work on?
(Required)
What type of batching system are currently working with?
(Required)
What type of pallet handling system are you currently working with?
(Required)
EMPLOYER BACKGROUND PLEASE LIST LAST TWO (2) EMPLOYERS, BEGINNING WITH THE CURRENT OR MOST RECENT FIRST:
Name of Company
(Required)
Starting Date
(Required)
MM slash DD slash YYYY
Finish Date
(Required)
MM slash DD slash YYYY
Company Street Address
(Required)
Job Duties
(Required)
Reason for Leaving
(Required)
Name of Company
(Required)
Starting Date
(Required)
MM slash DD slash YYYY
Finish Date
(Required)
MM slash DD slash YYYY
Company Street Address
(Required)
Job Duties
(Required)
Reason for Leaving
(Required)
Why do you want to be in the machine operators program?
(Required)
Signature
On entering the machine operators program, I agree to observe all the rules of the AMC machine operators program including, but not limited to, their safety guidelines, and to perform satisfactorily such duties as may be assigned to me from time to time. I understand that any continuation of the machine operators training program shall depend upon the satisfactory performance of my job. I hereby authorize AMC to make a thorough investigation of my past employment and activities. I hereby release AMC and its agents from any claims and all liability that might arise from this investigation into my application for the machine operators program. I understand that any false answers or statements made by me on this application or other required documents may be considered sufficient cause for denial of acceptance into the training program. This certifies that this application was completed by me and that all entries and information on it are true and complete to the best of my knowledge.
Signature of Applicant
(Required)
Date of Application
(Required)
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