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American Products Inc.

An Electronic Contract Manufacturing Company

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API Employment Form

An Equal Opportunity Employer

We are an equal opportunity employer, and we do not and will not discriminate on the basis of race, religion, national origin, sex, age, handicap, marital status, or status as a disabled veteran. Information provided on this application will not be used for any discriminatory purpose.

Provide all information requested

Your complete application form will be maintained in our active files for six (6) months from the date of application. You may submit a new application at any time.

Date of Application

Name *

Street Address

City

State

ZIP

Home Phone

Cell Phone

Email

Type(s) of work desired

How were you referred to API? (Pick Only One)AdvertisementWalk InSchoolBy an employee

If so, give name

Pick a ShiftDesire 1st ShiftDesire 2nd ShiftNo Shift Preference

Employment Record

Starting with present or most recent, list all previous employers. Include self-employment and summer and part-time jobs. If more space is required, please continue on a separate sheet. You may attach a resume, but complete this application as well.

Last or Present Company

Type of Business

Type or Classification of Job

Street Address

City

State

ZIP

Supervisor’s Name

Phone Number

Brief Description of Job Duties

Base Salary

Dates Worked

From

To

Reason for Leaving

Last or Present Company

Type of Business

Type or Classification of Job

Street Address

City

State

ZIP

Supervisor’s Name

Phone Number

Brief Description of Job Duties

Base Salary

Dates Worked

From

To

Reason for Leaving

Educational History

High School

City

State

Major Course or Subject

Dates Attended

From

To

GraduatedYesNo

Degree

Technical/Trade (After High School)

City

State

Major Course or Subject

Dates Attended

From

To

GraduatedYesNo

Degree

College

City

State

Major Course or Subject

Dates Attended

From

To

GraduatedYesNo

Degree

Other Education/Training

City

State

Major Course or Subject

Dates Attended

From

To

GraduatedYesNo

Degree

Outside Activities

(Exclude those indicating race, color, religion, sex, national origin, age, or handicap.)

Professional Memberships, Certificates, or Licenses Held

Past and Present Civic or Cultural Activities — Include Offices Held

Principal Hobbies

Special Skills

To be completed by applicant for office/clerical work

TypingYesNo

Words Per Minute

DictationYesNo

TypingYesNo

Words Per Minute

Computer SkillsHardwareSoftware

Please list other skills and/or equipment/language experience you have acquired

Type of Machines Operated

Years Experience

List other shop/production skills

Served ApprenticeshipYesNo

Type

Military Record

Branch of Service

From

To

Present Military AffiliationNoneReserve (Active)Reserve (Inactive)

Kinds of training and duty while in service

Professional/Work References

List two past supervisors and one person who is not related to you who have knowledge of your qualifications for the position for which you are applying

Name

Title/Relationship

Street Address

City

State

ZIP

Phone Number (Include Area Code)

Occupation

Name

Title/Relationship

Street Address

City

State

ZIP

Phone Number (Include Area Code)

Occupation

Name

Title/Relationship

Street Address

City

State

ZIP

Phone Number (Include Area Code)

Occupation

May we contact your present employer?YesNo

Wage or Salary Required *

Date Available *

Yes, the information provided is correct.

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Contact Information

American Products Inc.
45 Leigh Drive, York, PA 17406

800-486-2741
717-767-6510

717-767-6510

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