EmploymentApplicationForm-SierraPrecisionOptics.docVIP

SIERRA PRECISION OPTICS INC. 12830 Earhart Avenue, Auburn, CA 95602 (530) 885-6979 APPLICATION FOR EMPLOYMENT Position Applying For: Date of Application: Salary Desired: $ Per PERSONAL INFORMATION Last Name First Name Middle Initial Home Phone Street Address City State Zip In Case of Emergency, please notify: (Name and phone number) Have you ever been employed at our Company? Yes ? Dates employed: _____________________ No ? Do you have friends or relatives working here? If yes, state name(s) and relationship: Why are you applying for work at Sierra Precision Optics? How were you referred to our Company? Advertisement ? Employee ? Other ? Have you ever applied for employment at our Company? Yes ? Date:___________________ No ? If hired, would you have a reliable means of transportation to and from work? Yes ? No ? If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country? (Proof of identity and legal authority to work in the U.S. is a condition of employment.) Yes ? No ? Are you at least age 18? (If under 18, hire is subject to verification that you are of minimum legal age). Yes ? No ? Are you able to perform the essential functions of the position for which you are applying, either with or without reasonable accommodations? If no, describe the functions that cannot be performed. Yes ? No ? Can you meet the attendance requirements of this job? Yes ? No ? Can you work overtime? Yes ? No ? Have you ever been convicted of a criminal offense, felony or serious misdeme