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LEWIS CRANE & HOIST, INC. considers all applicants for positions without regard to race, color, religion, creed, gender,
national origin, age, disability, marital or veteran status, sexual orientation or any other legally protected status. |
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Personal Information |
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*indicates required field |
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Position Applied For:
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Application Date:
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Name: *Last:
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*First:
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Middle:
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Address: Number:
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Street:
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Apt:
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City:
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State:
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Zip Code:
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*License: Class:
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*Number:
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*State:
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Phone:
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Cell:
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*Email:
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Emg Contact: Name:
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Emg Phone:
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Emg Cell:
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If you are under 18 years of age, can you provide reqired proof of your eligibility to work? |
Yes
No |
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Have you ever filed an application with Lewis Crane & Hoist before?
If yes, give date:
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Yes
No |
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Have you ever been employed by Lewis Crane & Hoist before ?
If yes, give date:
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Yes
No |
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Are you currently employed? |
Yes
No |
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May we contact your present employer? |
Yes
No |
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Are you prevented from lawfully becoming employed in this country because of Visa or Immigration status? Proof of citizenship or Immigration status will be required upon employment. |
Yes
No |
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On what date would you be available to work:
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Are you available to work:
Full-Time
Part-Time
Shift Work |
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Are you currently on "lay-off" stutus and subject to recall? |
Yes
No |
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Can you travel if a job requires it? |
Yes
No |
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Have you ever been convicted of a felony?
If yes, explain:
(Conviction will not necessarily disqualify an applicant from employment) |
Yes
No |
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How did you learn about us?
Walk-In
Friend
Employment Agency
Advertisement
Other
Describe:
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Employment History |
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List most recent employer first: |
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Work Performed: |
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Employer One:
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Dates Employed
(From / To) |
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Address:
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Telephone:
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Job Title:
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Hourly Rate/Salary (Begin / End) |
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Supervisor Name:
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Reason You Left:
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Work Performed: |
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Employer Two:
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Dates Employed
(From / To) |
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Address:
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Telephone:
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Job Title:
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Hourly Rate/Salary (Begin / End) |
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Supervisor Name:
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Reason You Left:
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Work Performed: |
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Employer Three:
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Dates Employed
(From / To) |
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Address:
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Telephone:
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Job Title:
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Hourly Rate/Salary (Begin / End) |
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Supervisor Name:
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Reason You Left:
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Work Performed: |
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Employer Four:
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Dates Employed
(From / To) |
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Address:
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Telephone:
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Job Title:
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Hourly Rate/Salary (Begin / End) |
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Supervisor Name:
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Reason You Left:
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Foreign Languages |
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Languages Spoken |
Fluent |
Good |
Fair |
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First:
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Second:
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Third:
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Fourth:
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Specialized Training |
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Describe any specialized training, apprenticeship, skills and extracurricular activities: |
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Describe any job-related training received in the United States Military: |
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Activities |
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List professional, trade, business or civic activities and offices held: |
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Personal References |
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List three (3) personal references: |
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Name:
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Phone:
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Name:
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Phone:
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Name:
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Phone:
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Additional Information |
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State any additional information you feel may be helpful to us in considering your application: |
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Authorization |
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I certify that answers given herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with Lewis Crane & Hoist, Inc. is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized
executive of Lewis Crane & Hoist, Inc.
In the event of employment, I understand that false or misleading information given in my application or interviews(s)
may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Lewis Crane & Hoist, Inc.
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*Required fields |
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Our Location
2214 HWY. 1187 Bldg. 1
Phone Number
