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It is the policy of BURCO not to discriminate in hiring and employment on the basis of race, color, religion, national origin, sex, disability, age or other protected class as provided by all applicable state and federal laws. It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors.
Answer each question fully and accurately. If you provide false or misleading information during the application process or during your employment with BURCO, this may result in disciplinary action including up to termination of employment or a decision to not consider you further for employment. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information. Interviews are scheduled depending on company needs, time availability and employee qualifications.
General Information
*
Indicates required field
Last Name
*
First Name
*
Middle Initial
*
Date
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Position
Position or Type of Employment Desired
*
Have you ever been employed at Burco before?
*
Yes
No
If yes, when:
*
Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation?
*
Yes
No
Will Accept
*
Part-Time
Full-Time
1st Shift: 8:00am-4:30pm
2nd Shift: 4:00pm-12:30am
3rd Shift: 12:00am-8:30am
Check all that apply.
Date Available
*
Salary Desired
*
Education and Training
High School
Name of School
*
Area of Study
*
Year Graduated
*
College
Name of School
*
Major
*
Year Graduated
*
Degree
*
Other
Name of School
*
Major
*
Year Graduated
*
Degree
*
Special Abilities and Skills
*
Professional Certificates or Licenses Held
*
Extracurricular Activities
*
Present Professional Affiliations
*
Languages Read, Written or Spoken Fluently Other Than English
*
References
Reference 1
Name
*
Position
*
Address
*
Phone Number
*
Reference 2
Name
*
Position
*
Address
*
Phone Number
*
Reference 3
Name
*
Position
*
Address
*
Phone Number
*
Work Experience
Most recent first, include voluntary work and military experience
Employer 1
Employer
*
Address
*
Phone Number
*
Job title
*
Assigned Duties (List at least 5)
*
From (Month/Year)
*
To (Month/Year)
*
Hours Per Week
*
Last Salary
*
Supervisor
*
Reason For Leaving
*
May We Contact This Employer?
*
Yes
No
Employer 2
Employer
*
Address
*
Phone Number
*
Job Title
*
Assigned Duties (List at least 5)
*
From (Month/Year)
*
To (Month/Year)
*
Hours Per Week
*
Last Salary
*
Supervisor
*
Reason For Leaving
*
May We Contact This Employer?
*
Yes
No
Employer 3
Employer
*
Address
*
Phone Number
*
Job Title
*
Assigned Duties (List at least 5)
*
From (Month/Year)
*
Hours Per Week
*
Last Salary
*
Supervisor
*
Reason For Leaving
*
May We Contact This Employer?
*
Yes
No
To (Month/Year)
*
Have you ever been convicted of a felony?
*
Yes
No
If yes, explain:
*
Production Experience (Years and Months)
*
Do you have reliable transportation?
*
Yes
No
Plastic Molding Experience
*
Yes
No
Plastic Molding Experience (Years and Months)
*
Quality Assurance Experience
*
Yes
No
Quality Assurance Experience (Years and Months)
*
I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported
on this application may be considered sufficient cause for dismissal.
Full Name (this will be used as your signature)
*
Submit
Home
Services
Plastic Injection Molding
Design & Engineering
Machine Shop & Tool Room
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Other Services
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Why Burco
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