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Employment Application

Complete each section, then review your application before submitting. Required fields are marked with an asterisk.

For your protection, do not enter your Social Security Number in this online application. If that information is needed later, Tri-State Bearing will request it through an appropriate secure process.

Application Progress

Applicant Information

Start with your contact information and the position you are applying for.

First Name *

Middle Initial

Last Name *

Street Address *

Apartment / Unit Number

City *

State *

ZIP Code *

Phone *

Email *

Date Available

Desired Salary

Position Applied For *

Are you a citizen of the United States? *

YesNo

If no, are you authorized to work in the U.S.? *

YesNo

Have you ever worked for this company? *

YesNo

If yes, when?

Have you ever been convicted of a felony? *

YesNo

If yes, explain *

Resume, portfolio, or LinkedIn link

Education

Enter your education history. You may leave sections blank if they do not apply.

High School

School Name

Address

From

Did you graduate?

YesNo

Diploma

College

College Name

Address

From

Did you graduate?

YesNo

Degree

Other Education

School / Program Name

Address

From

Did you graduate?

YesNo

Degree / Certificate

Professional References

Please list professional references if available.

Reference 1

Full Name

Relationship

Company

Phone

Address

Reference 2

Full Name

Relationship

Company

Phone

Address

Reference 3

Full Name

Relationship

Company

Phone

Address

Previous Employment

Enter up to three previous employers.

Previous Employer 1

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact this supervisor for a reference?

YesNo

Previous Employer 2

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact this supervisor for a reference?

YesNo

Previous Employer 3

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

Reason for Leaving

May we contact this supervisor for a reference?

YesNo

Military Service

Complete this section if applicable.

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, explain

Certification and Signature

Read the certification statement and sign electronically.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

I agree that the information provided in this application is true and complete. *

Electronic Signature *

Date *

Review Application

Review the formatted application below. Use the Back button if you need to make changes, then submit when ready.

CAREERS

Join the Tri-State Bearing Team

Employment Application

Applicant Information

Education

High School

College

Other Education

Professional References

Reference 1

Reference 2

Reference 3

Previous Employment

Previous Employer 1

Previous Employer 2

Previous Employer 3

Military Service

Certification and Signature

Review Application

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