WE ARE AN EQUAL OPPORTUNITY EMPLOYER
We consider applicants for all positions without regard to race, color, religion, sex/gender (including pregnancy), national origin, age, veteran status, disability (which can be reasonably accommodated), genetic information or any other legally protected status.




Position Applied For *
 Railcar Repairer Paint Department Clean Facility Other

First Name *

Last Name *

Middle Initial

Address *

City *

State *

Zip *

Phone *

Email *

Are you under the age of 18? *  Yes No


Are you legally eligible for employment in the United States? *  Yes No


Have you been convicted of a felony within the last 7 years? *  Yes No

If yes, please explain


How did you learn about Midwest Railcar Repair, Inc.? *  Website Friend/Relative

Name of Friend/Relative


Have you ever been employed with us before? *  Yes No

If yes, please explain


Are you capable of satisfactorily performing the essential job duties of the position for which you are applying, with or without reasonable accommodation? *  Yes No


Do you have a reliable means of transportation to and from work? *  Yes No


Education

High School

Name of High School *

Location of High School *

Diploma/Degree from High School *

College or Technical School

Name of College/Technical School

Location of College/Technical School

Diploma/Degree from College/Technical School


References

Please list 2 references other than relatives or previous employers

Reference 1

Name *

Address

Phone



Reference 2

Name *

Address

Phone

Work Experience

Please list your previous work experience beginning with your most recent job held. Include explanation for any gaps in employment. If you were self-employed, give firm name.

Experience 1

Name of Employer *

Address

City

State

Zip

Phone

Name of Supervisor

Your Last Job Title

Employed Start Date *

Employed End Date *

Salary Start

Salary Final

Reason for Leaving *

List duties performed, skills used or learned, advancements or promotions while you worked at this company *



Experience 2

Name of Employer

Address

City

State

Zip

Phone

Name of Supervisor

Your Last Job Title

Employed Start Date

Employed End Date

Salary Start

Salary Final

Reason for Leaving

List duties performed, skills used or learned, advancements or promotions while you worked at this company



Experience 3

Name of Employer

Address

City

State

Zip

Phone

Name of Supervisor

Your Last Job Title

Employed Start Date

Employed End Date

Salary Start

Salary Final

Reason for Leaving

List duties performed, skills used or learned, advancements or promotions while you worked at this company

May we contact your present employer? *  Yes No


An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use this space to summarize any additionally information necessary to describe your full qualifications for the specific position for which you are applying.


Questionnaire

Please check the appropriate skill level and answer the questions to the best of your knowledge.


Welding

Cutting Torch  None Some Skilled Heating Torch  None Some Skilled
Air Arc Gouge  None Some Skilled Plasma Cutter  None Some Skilled
Stick Welding  None Some Skilled Flux Core Welding  None Some Skilled
Wire Feed Welding  None Some Skilled Aluminum Welding  None Some Skilled


Hand Tools

Sockets & Wrenches  None Some Skilled Air/Electric Impacts  None Some Skilled
Torque Wrench  None Some Skilled Step Jacks  None Some Skilled
Hydraulic Jacks  None Some Skilled Chain Hoists  None Some Skilled
Magnetic Sluggers  None Some Skilled Huck Equipment  None Some Skilled
Electric Reamers  None Some Skilled Porta Powers  None Some Skilled
Grinders  None Some Skilled Grinding Wheels  None Some Skilled
Chop Saws  None Some Skilled Jack Hammers  None Some Skilled


Heavy Equipment Operation

Bobcat  None Some Skilled Forklift  None Some Skilled
Skid Loaders  None Some Skilled Track Mobile  None Some Skilled
Crane  None Some Skilled Straight Stick Trans  None Some Skilled
Semi-Tractor  None Some Skilled


Carpentry Tools

Wood Chisels  None Some Skilled Hand Saws  None Some Skilled
Hammer  None Some Skilled Measuring  None Some Skilled
Table Saw  None Some Skilled Skill Saw  None Some Skilled
Jig Saw  None Some Skilled Air Nailer/Stapler  None Some Skilled
Drills  None Some Skilled


Painting

Masking  None Some Skilled Paint Pumps  None Some Skilled
What type of Paint Pump?
Orbital Sanders  None Some Skilled What type of blasting equipment?


General Knowlege

Please add the following: 1   1/8  +  1  1/2 =
Please add the following: 1  15/16  +  1   3/8 =
When heat is applied to steel it  contracts expands
When using a number 2 cutting tip on a standard oxy/propane cutting torch, set your oxy around and your propane around
Wire feed welding: What corrections need to be made when your welds have porosity?
Blueprint Reading  None Some Skilled
Computer Knowledge  None Some Skilled
Computer Programs Used
Can you work at heights of 14 feet or more? * Yes No
Are you claustrophobic or uncomfortable working in confined spaces? * Yes No


Applicant's Statement

I certify that answers given in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application or in any interview is sufficient cause for refusal to hire, or dismissal if I have been employed. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at any employment decision. I release from liability any individual or entity involved in such investigation.
This application for employment shall be considered active for one year. Any applicant not hired during this time period must complete a new application to be considered for employment.
I understand that my employment is contingent upon passing a post-offer pre-employment screen for illegal drug usage.
In the event of my employment with the company, I agree to comply with all the company's rules and regulations.
I further understand that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without prior notice, at the option of either myself or the company.
I understand the contents of this applicant's statement and hereby acknowledge receipt of this information.

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