Titan Employment App

EMPLOYMENT APPLICATION

5/19/2013

Titan Machinery is an Equal Employment Opportunity employer. All applications will be considered without regard to age, color, national origin, religion, disability, sex or other protected status in accordance with applicable federal and state Equal Opportunity laws. Titan Machinery will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of a job.

APPLICANT INFORMATION

Last Name		First Name	M.I.
Street Address			Apartment/Unit #
City		State	ZIP
Phone		Email Address
Date Available		Desired Salary
Position Applied For	(one position per application)
Location	Other:

Are you applying for a position in Minnesota?	Yes	No
What are you available to work?	Full Time	Part Time
Are you authorized to work in the US?	Yes	No
Have you ever worked for this company?	Yes	No	If so, when?
Have you ever been convicted of a felony?	Yes	No	If yes, please explain
If employed and under 18, can you furnish a work permit?	Yes	No
Are you employed now?	Yes	No

EDUCATION

High School		Address
From	To	Did you graduate?	Yes	No	Degree
College		Address
From	To	Did you graduate?	Yes	No	Degree
Other		Address
From	To	Did you graduate?	Yes	No	Degree

SPECIAL SKILLS, QUALIFICATIONS, AND CONSIDERATIONS

PROFESSIONAL REFERENCES

Please list three professional references
Full Name		Relationship
Years Known		Phone

Full Name		Relationship
Years Known		Phone

Full Name		Relationship
Years Known		Phone

PREVIOUS EMPLOYMENT

Company		Phone
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor? Yes No

Company		Phone
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor? Yes No

Company		Phone
Address		Supervisor
Job Title	Starting Salary $	Ending Salary $
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor? Yes No

UPLOAD RESUME

Upload your resume file:

DISCLAIMER AND SIGNATURE

I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions. I understand that any false information will be grounds for refusal to hire or for immediate discharge if I am employed. I authorize any of the persons or organizations named in this application to give you complete information and records regarding my employment, education, character and qualifications.
If hired, I will be responsible for familiarizing myself with all rules and regulations of the Company as they presently exist or are later modified. If hired, I recognize that my employment can be terminated, at the discretion of the Company or at my option, without notice, at any time, except as specifically set forth in writing in a current individual employment agreement.
I also understand that no representative of the Company has an authority to enter into an employment agreement for any specified period of time, or to assure me of any future position, benefits, or terms and conditions of employment, except as specifically stated in a current written agreement signed by the President or CEO.
I understand this application is not an offer of employment and no promises or representations of employment have been made to me at this time. This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed, I will submit a new application.
I have read, understand, and agree with the above statements.
Signature of Applicant	Date: 5/19/2013


How did you hear of this position?
Newspaper or Employment Advertising? Community/Civic Organization Employment Agency or Search Firms State Job Service Current Employee Professional or Business Service Job or Career Fair Internet Placement Job Service Company's Website Educational Institute
Other	Please explain
You should receive a copy of this application to your email

Notice: After clicking "Submit This Form" please be patient while data is being uploaded to the server.