Job Application Form - Contact Us

Please fill out this form as fully and appropriately as possible.

*Required Fields

*First Name

Middle Name

*Last Name

*Email

*Home Telephone Number

Cell Phone Number

Present Address

How long have you lived at this address?

Previous Address (if any)

How long there?

Job(s) Applying for:

Expected Pay:

Per:

Can you work the:

Production Shift? (6:30am - 3:30pm)

Administrative Shift? (8:00am - 4:30pm)

Are you able to perform the essential functions of the job for which you are applying?

If not, please describe the functions that cannot be performed:

Are there any experiences, skills, or qualifications which you feel would be beneficial
to not only your work but for Deering Banjo Company?

If hired, on what date can you begin?

Month Day Year

How did you learn of this company/opening?

Do you have any friends or relatives working for us?

Have you worked for us before?

If yes, when?

Month Day Year

*Can you, after employment, submit verification of your legal right to work in the United States?

If hired, do you have a reliable means of transportation to get to work on time?

Have you ever been convicted of a felony?

If yes, state the nature of the crime(s), when and where convicted

Education History:

College Name	Years Attended	Graduated?	Course Or Major
High School Name	Years Attended	Graduated?	Course Or Major
Grammar School Name	Years Attended	Graduated?	Course Or Major
Other Schools	Years Attended	Graduated?	Course Or Major

Employment History

May We Contact These Employers?

Name Of Employer	Telephone Number	Type Of Business	Supervisor's Name
Your Position and Duties
Dates of Employment From:
Month Day Year To Month Day Year
Rate of Pay
Reason for Leaving
Name Of Employer	Telephone Number	Type Of Business	Supervisor's Name
Your Position and Duties
Dates of Employment From:
Month Day Year To Month Day Year
Rate of Pay
Reason for Leaving
Name Of Employer	Telephone Number	Type Of Business	Supervisor's Name
Your Position and Duties
Dates of Employment From: Month Day Year To Month Day Year
Rate of Pay
Reason for Leaving
Name Of Employer	Telephone Number	Type of Business	Supervisor's Name
Your Position and Duties
Dates of Employment From:
Month Day Year To Month Day Year
Rate of Pay
Reason for Leaving
Military Service
Have you ever served in the military?
If yes, what rank did you hold and what was your occupation?
If you served, did you obtain any special skills or abilities as a result of service in the military?
If yes, please describe
Personal References: Give 3 references of persons not related to you, whom have known you at least one year
Reference Name	Phone Number	Address	Years Known

Additional Information

These Questions will give you an opportunity to not only expand on information included in your application, but to provide us with any information not otherwise mentioned.

Tell us what you can without spending to much time on any one question.

1. What kinds of jobs have you had during the last 5 years?

2. What kinds of jobs do you tend to lean towards?

3. What is the longest time you have ever been without work? If for a long period, how did you fill your time?

4. What type of work do you like the best?

5. What type of work do you like the least?

6. Among the previous jobs listed, which one did you enjoy the most and why?

7. Among the previous jobs listed, which one did you enjoy the least and why?

8. What was the most stimulating or interesting part of any job that you have had to date?

9. What was the most monotonous or boring part of any job that you have had to date?

10. What do you consider your most important asset for success to be?

11. How do you like to work? (i.e. alone, as a team, depends on the work, etc)

12. Do you consider yourself to be outgoing or shy around others?

13. When do you feel your best? (i.e. morning, afternoon, evening)

14. If you could have it your way, what would your dream job be?

*Required Fields