Application for Employment
Select a Company for Employment
Swanson Industries, Inc. Morgantown Technical Services, Inc. Morgantown Machine & Hydraulics of PA, Inc.
Swanson Plating Company, Inc. Mid-Atlantic Manufacturing & Hydraulics, Inc. Morgantown Machine & Hydraulics of UT, Inc.
CWS Company Morgantown Machine & Hydraulics of WV, Inc. Morgantown Machine & Hydraulics of WY, Inc.
Laser Processing, Inc. Morgantown Machine & Hydraulics of OH, Inc. Any Swanson Industries Company
Position(s) Applied for
Type of employment desired Full-Time Part-Time Temporary Seasonal Education Co-op

Have you ever been employed by Swanson Industries or any of it's subsidiaries? Yes No
If yes, when? FROM TO What Company?

Date Available for Work:    If you are under 18, can you furnish a work permit? Yes No

Personal Information
NAME: Last First Middle
ADDRESS: Street City State Zip
TELEPHONE: SOCIAL SECURITY NUMBER:
Are you legally eligible for employment in this country?
(Proof of U.S. citizenship or immigration status will be required upon employment.)		 Yes No
Have you been convicted of a felony in the last seven (7) years?
(Such conviction may be relevant if job-related, but does not bar you from employment.)		 Yes No
If yes, please explain.
Driver's license number (If required by job) State

Employment History
List your last four (4) Employments, assignments or volunteer activities, starting with the most recent, including military experience.
FROM TO JOB TITLE
Employment TELEPHONE:
ADDRESS
IMMEDIATE SUPERVISOR TITLE
SUMMARIZE THE NATURE OF WORK PERFORMED, AND JOB RESPONSIBILITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
START $ PER   FINAL $ PER
FROM TO JOB TITLE
Employment TELEPHONE:
ADDRESS
IMMEDIATE SUPERVISOR TITLE
SUMMARIZE THE NATURE OF WORK PERFORMED, AND JOB RESPONSIBILITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
START $ PER   FINAL $ PER
FROM TO JOB TITLE
Employment TELEPHONE:
ADDRESS
IMMEDIATE SUPERVISOR TITLE
SUMMARIZE THE NATURE OF WORK PERFORMED, AND JOB RESPONSIBILITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
START $ PER   FINAL $ PER
FROM TO JOB TITLE
Employment TELEPHONE:
ADDRESS
IMMEDIATE SUPERVISOR TITLE
SUMMARIZE THE NATURE OF WORK PERFORMED, AND JOB RESPONSIBILITIES
REASON FOR LEAVING
HOURLY RATE/SALARY
START $ PER   FINAL $ PER

Skills and Qualifications
SUMMARIZE SPECIAL SKILLS AND QUALIFICATIONS ACQUIRED FROM EMPLOYMENT OR OTHER EXPERIENCES THAT MAY QUALIFY YOU FOR WORK WITH OUR COMPANY.

Educational Background
NAME AND LOCATION
YEARS COMPLETED
DID YOU GRADUATE?
COURSE OF STUDY
HIGH SCHOOL
COLLEGE
MAJOR
DEGREE
OTHER

Business References (Non-Family Members)
NAME
TELEPHONE
YEARS KNOWN

Please take a moment to review your information, and print a copy for your records.
Then read the statement below, initial, and date.
It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. Furthermore, I understand that I am an "at will" employee, meaning that I am free to resign at any time, and the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.
By typing your initials and dating this form you hereby agree to the above statement.
ENTER YOUR INITIALS HERE
DATE OF COMPLETION