Employment Application

Applicant Information

Full name

Email

Phone number

Street address

City

State

ZIP

Are you 18 years old or older?YesNo

Do you have a valid MI driver's license?YesNo

Are you a citizen of the United States?YesNo

If no, are you authorized to work in the U.S.?YesNo

Have you ever been convicted of a felony?YesNo

If yes, explain:

Upload Resume

Note: if you choose to upload your resume, you may scroll to the bottom and submit the form without filling out the below information.

Employment Desired

Position

Hours desired:Full timePart time

Date available to start

Salary desired

Are you currently employed?YesNo

If yes, may we contact your current employer?YesNo

Do you have friends or family currently employed at Argonics?YesNo

If yes, state name and relationship

Have you ever applied at Argonics before?YesNo

If yes, when?

How did you hear about Argonics?

Education

High School

Address

Number of years attended

Did you graduate?YesNo

Degree

College

Address

Number of years attended

Did you graduate?YesNo

Degree

Trade School

Address

Number of years attended

Did you graduate?YesNo

Degree

Subject of special study or research work

Special Skills

U.S. Military or Naval Service

Rank

Present Membership in National Guard or Reserves

Employment History

Previous Position 1

Date range employed - please list month and year
e.g. 5/2020 - 12/2022

Name and Address

Position

Reason for Leaving

Previous Position 2

Date range employed - please list month and year
e.g. 5/2020 - 12/2022

Name and Address

Position

Reason for Leaving

Previous Position 3

Date range employed - please list month and year
e.g. 5/2020 - 12/2022

Name and Address

Position

Reason for Leaving

Which position did you like best?

What did you like best about this position?

References

Reference 1

Name and Job Title

Phone Number

Business

Years Acquainted

Reference 2

Name and Job Title

Phone Number

Business

Years Acquainted

Reference 3

Name and Job Title

Phone Number

Business

Years Acquainted

I certify that all the information submitted by me on this application is true and complete. I understand that if any false information, omissions or misrepresentations are discovered my application may be rejected and if I am employed, my employment may be terminated for falsification of documents.

In consideration of my employment, I agree to conform to the company’s rules and regulations, and agree that the company can terminate with or without cause and with or without notice my employment and compensation at any time. I understand that no Argonics representative, other than its President/CEO, and then only when in writing and signed by the President/CEO, has any authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing.

I authorize all parties listed on this application to give information concerning my previous employment, education and/or any other relevant information that may be required for potential employment purposes. I release all such parties form all liability that may results from furnishing such information to Argonics, Inc. I authorize Argonics, Inc. to request and receive such information. I understand that this information will be held in strict confidence.

I acknowledge that this application will remain active for 180 days from the date it was signed.

Signature - please type your name

Date