EmailMeForm
Job Application Response Form - Assembler/Tech
Job Seekers who are interested in applying for the advertised "Assembler/Technician" position mostly requiring assembly of Mobile Machinery based at Air Burners, Inc. in Palm City, Florida are invited to complete this INITIAL SHORT RESPONSE FORM. It will be sent to us by secure SSL server. Please, also use the UPLOAD feature at the bottom of this form to send us your Resume (if available - not required).
Thank you for your interest in working for Air Burners, Inc. and we appreciate your completing this form. The information you may provide will be held strictly confidential.
* = required entry
08.20
Your Name
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First
Last
Your Email
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Your Home Phone
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Your Mobile Phone
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Your Address
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Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
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Singapore
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Taiwan
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Marshall Islands
Micronesia
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Samoa
Solomon Islands
Tonga
Tuvalu
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Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Are you an assembler / technician who has several years' experience?
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Yes
No
Do you also have some experience with automotive wiring?
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Yes
No
Are you a US Citizen?
*
Yes
No
If No, please explain why you are eligible to be hired.
Upload (attach) a brief written explanation in MS Word, as txt file or even as a jpg image file.
Have you ever been convicted
of a felony?
*
Yes
No
If Yes, please upload a written explanation
Upload (attach) a brief written explanation in MS Word, as txt file or even as a jpg image file.
If selected for employment, are you willing to take a pre-employment drug screening test?
*
Yes
No
If selected for employment, when could you start?
MM
/
DD
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YYYY
EDUCATION
Please check all that apply and include further details in your Resume
*
High School
Vocational/Tech School
Some College - No Degree
Associate's Degree
EMPLOYMENT
Employer
Dates Employed
(From to)
*
Position Held
Duties Performed
Employer's Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
May we contact your employer?
Yes
No
If we wish to contact you for further information, how do you want us to get in touch with you?
Email
Home Phone
Mobile Phone
US Mail
Upload your Resume
(PDF or MSWord)
Date Form was completed and submitted
*
MM
/
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By typing your name in the text box below you certify that all answers given here and the information in your resume are true and complete to the best of your knowledge, and furthermore that you authorize investigation of all statements contained in this application for employment and the related resume as may be necessary in arriving an employment decision.
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Reference