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PIA Manufacturing De Mexico S De RL De CV
Employment Application

Personal Information:IMPORTANT!: All information is required to be considered for employment.
Full Name:Street Address:
City: State:
IMPORTANT! Your telephone and email address must be valid, as this is how we will contact you.

Education:Please tell us about your level of education. Please include the name of the High School, and if you graduated with a diploma. Also include any job training or college education.
High School:Graduated? YesNo
Job Training/
Trade School

Employment History:Please tell us about your employment experience, starting with the most recent first. Please include the name of the company you worked for, the dates you worked, and a brief description of your job duties for each employer. List all equipment and tools used at this position. Please list any experience that is relevant to the position you are applying for.
Last Job:
2nd Last Job:
3rd Last Job:

List Health Problems:Please describe any health problems, diseases, or conditions such as a back injury:
Emergency Contact::Please list the name and telephone number of a person to contact in case of an emergency.

Certification:You certify that all of the information you entered in this form is truthful and accurate, and you understand that if hired, you may be terminated from employment for any misleading information.

Enter Security Code 56137 in this Box:

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PIA Manufacturing De Mexico© S De RL De CV
Calle Jose Lopez Portillo 4805
San Luis Rio Colorado, Sonora, 83455 MEXICO
rljones.com             Harvey           Haas Automation