Midwest Railcar Repair, Inc. is an equal employment opportunity employer and does not discriminate against employees or job applicants on the basis of race, color, religion, creed, ancestry, sex/gender (including pregnancy), sexual orientation, gender identity, national origin, disability, age, genetic information, military status, or any other status or condition protected by applicable state or federal laws, except where a bona fide occupational qualification applies.

Application

    Position Applied For *

    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 the 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.

    Applicant's Statement

    I certify that the 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 *