First Name (required)
Last Name (required)
Street Address (required)
Birthdate DD/MM (required)
If you are under 18 (and it is required), could you get a Work Permit?
Yes No I'm 18 or older
Have you submitted an application here before?
Have you ever been employed with Powder Cote II, Inc.?
Are you legally eligible for employment in this country?
When are you available to start? (DD/MM)
What shift/days are you available to work?
Days Afternoons Either Shift
Have you been convicted of a crime in the last 7 years?
(A conviction will not necessarily be a bar to employment.)
If you answered Yes to the previous question, please explain:
(Each instance and explanation will be considered in relation to the position for which you are applying.)
Do you have reliable transportation?
Position Applying For:
If you do not have an employment history, please list personal references.
Date Employment Began
Date Employment Ended
Reason Employment Ended:
(leave blank if you are still employed by this employer)
May we contact this employer for a reference?
Please refer to your highest level of education.
School Name & Location
GEDHigh School DiplomaAssociates DegreeBachelors DegreeMasters DegreeDoctoral DegreeHave not graduated / currently attendingDid not graduate
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50 N Rose St
Mt Clemens, MI 48043