Shumaker Industries is an equal opportunity employer.
    1. Personal Information

    Are You 18 or Older?*
    Are You A US Citizen?*

    If not a U.S. Citizen, give Visa No. and Expiration Date:

    2. Education

    High School:

    Business or Technical School:

    Undergraduate College:

    Graduate School:

    3. Work History (Last 3 jobs, starting with the most recent)

    Employer 1

    Employer 2

    Employer 3

    4. References (If applying for your first job, you may use academic references)

    Reference 1

    Reference 2

    Reference 3

    5. General Questions

    Can lift a 40-pound piece of steel?*

    May we contact your present employer? *

    Are you currently on “lay-off” status and subject to recall?*

    Have you ever served in any branch of the military?*

    Can you travel if a job requires it? *

    Have you been convicted of a felony within the last 7 years?*

    Are you available to work 2nd or 3rd shift?*

    Have you used illegal drugs in the last two years?*

    Can you meet the attendance requirements of this job?*

    6. Please Read and Sign

    THE FACTS SET OUT IN THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND COMPLETE