Taking Innovative Casting Technology To Your Bottom Line

Graphicast Advantage
- Better Material Process Parts
- Lower Total Acquisition Cost
Services
Resources
- Estimator
- Case Studies
About
News
- Trade Shows
- Viewpoint
Applications
- Graphicast Specializes in Supporting Medical Equipment Manufacturers
Contact Us
ZA-12 Info
- ZA-12 Alloy – Material Properties
- ZA-12 Alloy – Safety Data Sheet

603-532-4481 We're Hiring!

Employment Form

Graphicast Employment Form

Please fill in all the information below.

Employment Form

APPLICANT INFORMATION

Last Name(Required)

First Name(Required)

M.I.

Date

MM slash DD slash YYYY

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

How would you like to be contacted?

Phone

Email

Either is fine

Date Available(Required)

Desired Salary(Required)

Are you a United States citizen?(Required)

YES

NO

If NO, are you authorized to work in the U.S.?

YES

NO

Have you ever worked for this company?(Required)

YES

NO

If yes, when?

Have you ever been convicted of a felony?(Required)

YES

NO

If yes, explain:

EDUCATION

High School:

Address:

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Did you graduate?

YES

NO

Diploma:

College:

Address:

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Did you graduate?

YES

NO

Degree:

Other:

Address:

From:

MM slash DD slash YYYY

To:

MM slash DD slash YYYY

Did you graduate?

YES

NO

Degree:

REFERENCES

Full Name

Relationship

Company

Phone

Address

Full Name

Relationship

Company

Phone

Address:

Full Name

Relationship

Company

Phone

Address:

PREVIOUS EMPLOYMENT

Company:

Phone

Address:

Supervisor:

Job title:

Starting Salary:

Ending Salary:

Responsibilities

From

MM slash DD slash YYYY

To

MM slash DD slash YYYY

Reason for leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone

Address:

Supervisor:

Job title:

Starting Salary:

Ending Salary:

Responsibilities

From

MM slash DD slash YYYY

To

MM slash DD slash YYYY

Reason for leaving:

May we contact your previous supervisor for a reference?

YES

NO

Company:

Phone

Address:

Supervisor:

Job title:

Starting Salary:

Ending Salary:

Responsibilities

From

MM slash DD slash YYYY

To

MM slash DD slash YYYY

Reason for leaving:

May we contact your previous supervisor for a reference?

YES

NO

MILITARY SERVICE

Branch:

From

MM slash DD slash YYYY

To

MM slash DD slash YYYY

Rank at discharge:

Type of discharge:

If other than honorable, please explain:

DISCLAIMER

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature

Date

MM slash DD slash YYYY

Δ

PO Box 430 36 Knight Street, Jaffrey, NH 03452
Phone: 603-532-4481 • fax: 603-532-4261

Graphicast Advantage
- Better Material Process Parts
- Lower Total Acquisition Cost
Services
- Secondary Machining & Finishing
- Custom Metal Castings
Resources
- Case Studies
- Estimator
About
- Certifications and Awards
News
- Trade Show
Applications
Contact Us

MENU

Graphicast Advantage
- Better Material Process Parts
- Lower Total Acquisition Cost
Services
Resources
- Estimator
- Case Studies
About
News
- Trade Shows
- Viewpoint
Applications
- Graphicast Specializes in Supporting Medical Equipment Manufacturers
Contact Us
ZA-12 Info
- ZA-12 Alloy – Material Properties
- ZA-12 Alloy – Safety Data Sheet