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 RepairerPaint Department(blaster & painter positions require an applicant to pass a post-offer pre-employment respirator fit physical)Clean Facility(tank car cleaner requires an applicant to pass a post-offer pre-employment respirator fit physical)Other(specify custodian, mechanic, office support staff:)

First Name *

Last Name *

Middle Initial

Date

Address *

City *

State *

Zip *

Phone *

Email *

Are you 18 years of age or older? * YesNo


Are you legally eligible for employment in the United States? * YesNo


Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment) * YesNo

If yes, please explain


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

Name of website or friend/relative


Have you ever been employed with us before? * YesNo

If yes, please list dates employed


Have you ever been discharged or asked to resign from a position? * YesNo

If yes, please explain:


Do you have a reliable means of transportation to and from work? * YesNo


Education

High School

Name of High School *

Location of High School *

Did you graduate? *
YesNo

Degree from High School *
DiplomaGED

College

Name of College

Location of College

Did you graduate?
YesNo

Degree from College

Trade, Business or Other

Name of Trade or Business School

Location of School

Did you graduate?
YesNo

Degree from School


References

Please list 2 professional references

Reference 1

Full Name *

Company

Relationship

Phone



Reference 2

Full Name *

Company

Relationship

Phone

Work Experience

Please begin with most recent job held. Give Company name if self employed. Include an explanation for any gaps in employment.

Experience 1

Name of Employer *

Address

City

State

Zip

Phone

Name of Supervisor*

Employed Start Date *

Employed End Date *

Salary Start

Salary Final

Reason for Leaving *

Position title and Duties, Skills *

May we contact Employer? *YesNo



Experience 2

Name of Employer

Address

City

State

Zip

Phone

Name of Supervisor

Employed Start Date

Employed End Date

Salary Start

Salary Final

Reason for Leaving

Position title and Duties, Skills

May we contact Employer? YesNo



Experience 3

Name of Employer

Address

City

State

Zip

Phone

Name of Supervisor

Employed Start Date

Employed End Date

Salary Start

Salary Final

Reason for Leaving

Position title and Duties, Skills

May we contact Employer? YesNo



Experience 4

Name of Employer

Address

City

State

Zip

Phone

Name of Supervisor

Employed Start Date

Employed End Date

Salary Start

Salary Final

Reason for Leaving

Position title and Duties, Skills

May we contact Employer? YesNo


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. Any gaps in employment may be explained here.


Questionnaire

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


Welding

Cutting Torch NoneSomeSkilled Heating Torch NoneSomeSkilled
Air Arc Gouge NoneSomeSkilled Plasma Cutter NoneSomeSkilled
Stick Welding NoneSomeSkilled Flux Core Welding NoneSomeSkilled
Wire Feed Welding NoneSomeSkilled Aluminum Welding NoneSomeSkilled
Do you have any experience with LN25 and/or Miller Welders? YesNo


Hand Tools

Sockets & Wrenches NoneSomeSkilled Air/Electric Impacts NoneSomeSkilled
Torque Wrench NoneSomeSkilled Step Jacks NoneSomeSkilled
Hydraulic Jacks NoneSomeSkilled Chain Hoists NoneSomeSkilled
Magnetic Sluggers NoneSomeSkilled Huck Equipment NoneSomeSkilled
Electric Reamers NoneSomeSkilled Porta Powers NoneSomeSkilled
Grinders NoneSomeSkilled Grinding Wheels NoneSomeSkilled
Chop Saws NoneSomeSkilled Jack Hammers NoneSomeSkilled


Heavy Equipment Operation

Bobcat NoneSomeSkilled Forklift(all-terrain) NoneSomeSkilled
Crane NoneSomeSkilled Track Mobile NoneSomeSkilled


Carpentry Tools

Wood Chisels NoneSomeSkilled Hand Saws NoneSomeSkilled
Hammer NoneSomeSkilled Measuring NoneSomeSkilled
Table Saw NoneSomeSkilled Skill Saw NoneSomeSkilled
Jig Saw NoneSomeSkilled Air Nailer/Stapler NoneSomeSkilled
Drills NoneSomeSkilled


Painting/Blasting

Masking NoneSomeSkilled Paint Pumps NoneSomeSkilled
What type of Paint Pump?
Orbital Sanders NoneSomeSkilled 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 contractsexpands
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 NoneSomeSkilled
Computer Knowledge NoneSomeSkilled
Computer Programs Used
Can you work at heights of 14 feet or more? *YesNo
Are you claustrophobic or uncomfortable working in confined spaces? *YesNo


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.

Enter full name for signature *

Today's date *