Employment - Arizona Machinery

Arizona Machinery
Avondale - 623-936-7131 w Buckeye - 623-386-4466 w Chandler - 480-917-1540

If you would like to be a part of a winning team
and believe you have the skills needed for our line of work,
send us some information about yourself!
You may be just the team member we've been looking for!


Name
Present Address
Address (cont.)
City
State/Province
Zip Code
How Long at that Address?
Own or Rent
Home Phone

Previous Address
Address (cont.)
City
State/Province
Zip Code
How Long at that Address?
Own or Rent

Position Desired
Age	(if under 18 or over 64)
Type of Transportation
Make
Model

List any physical conditions which may limit your ability to perform the job you are applying for

Expected Starting Salary
Would you be willing to work part-time?
What date can you start work?
Do you have a farm background?
Have you worked with farm equipment?
Do you have a chauffeur's license?
State, Number, Date Expires


PREVIOUS EMPLOYMENT 1
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 2
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 3
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No

PREVIOUS EMPLOYMENT 4
Name
Address
Supervisor
Phone Number
Employed From
To
Job Description
Pay Rate Starting
Ending
Reason for Leaving
May we contact?	Yes No


PERSONAL REFERENCES 1
Name
Address
Phone
Description of Relationship

PERSONAL REFERENCES 2
Name
Address
Phone
Description of Relationship

PERSONAL REFERENCES 3
Name
Address
Phone
Description of Relationship


EDUCATION Indicate Year Completed

Elementary	5 6 7 8
School Name
School Address

High School	9 10 11 12
School Name
School Address

Other - Specify
School Name
School Address

What qualifications do you feel make you best suited for this job?
Any Additional Skills?


I understand that if I am employed, any false statements made on this application may result in dismissal. Yes, I accept this condition No, I do not accept this condition