Personal Data

Last Name*

First Name*

MI

Address	Address (cont)

Home Phone Number*	Cell Phone Number*	Work Phone Number

Email Address	Area of Town Desired
Min. Salary/Hourly Desired	Referred By
Presently Employed	Available
Yes No	ASAP Two weeks

Skills

Please give a summarization of any computer skills and experience you have:

Check the boxes below that you have experience in:
Mechanic	Clerical	Drafting
Automotive / Truck Diesel Aircraft A & P Equipment	Data Entry Accounts Receivable Accounts Payable Bookkeeping Collections	AutoCAD Architectural Graphic Design
Engineering	Forklift	Sales
Civil Electrical Industrial Mechanical	Pallet Jack Stand Up Sit Down Cherry Picker	Inside Outside
Machine Operator	Assembly	Secretarial
Injection Molding Welder Grinder Shear Operator Brake Press Punch Press Lathe Mill	Mechanical Parts Plastics Valve Electronic Bench Soldering / Welding Wiring Cable	Medical Billing Telemarketing Office Management Supervisory Data Processing Credit Collections
Plant Experience	Light Services	Warehouse
Operations Utilities Maintenance Engineering Safety Metal Fabrication Buyer Purchasing Manager Expeditor Quality Control	Truck Helper Lumber Handling Landscaping Food Preparation Furniture Moving Mail Room Route Sales Janitorial Industrial Sewing	Manual Records Computerized Records Shipping Receiving Stocking / Sorting Inventory Issue Purchase Orders Packaging