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Please, be sure that your application is complete and error-free. Remember to take your time and to be thorough. Do not skip or leave any requested information blank. Always carefully check your entries for proper grammar and proper spelling. Lemac is not responsible for the security of any computer or device in which transmits information to and from this form.

If you DO NOT feel comfortable filling out your information online, feel free to download a job application.
Click HERE to download a copy.
Fax or email your completed job application form to us or deliver it yourself in person.

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Verify Age

...VERIFY YOUR AGE... Over 18 years old Under 18 years old

Date Of Birth
(ONLY IF UNDER 18)

Month ...DOB MONTH... JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC Day ...DOB DAY... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year ...DOB YEAR... 1993 1994 1995 1996 1997 1998 1999 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2014 2015

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Contact Information

PREFIX: ...SELECT PREFIX... MR MRS MISS MS MASTER REV FR DR ATTY PROF OFC PVT CPL SGT MAJ CAPT CMDR LT LT COL COL GEN OTHER FIRST NAME: (legal name) MIDDLE NAME: (legal name) LAST NAME: (legal name) SUFFIX: ...SELECT SUFFIX... NONE JR SR I II III IV V VI VII STREET ADDRESS: PO BOX: (if applicable) CITY/STATE: ZIP CODE: HOME NUMBER: MOBILE NUMBER: (optional) FAX NUMBER: (optional) E-MAIL: (optional)

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Desired Position

...SELECT JOB... Machinist Welder

Desired Position Type
...SELECT POSITION TYPE... FULL-TIME PART-TIME TEMPORARY SUMMER OTHER

Expected Pay: $(per hour)

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Relocation/Travel

Willing To Relocate?
...RELOCATE... YES NO

Willing To Travel?
...TRAVEL... YES NO

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How were you referred to Lemac?

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Are you willing to take a physical exam at our expense if the nature of the job requires one?
...Physical Exam... YES NO

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Criminal Record

Have you ever been convicted of a crime (misdemeanor or felony)?
...Criminal History... YES NO

If Yes... Record #1 Where: When: Charged: Sentenced: Explanation: Record #2 Where: When: Charged: Sentenced: Explanation:

Disclosure of a criminal record will not necessarily disqualify you for employment.
Each conviction will be evaluated on its own merits.
(time, circumstances, and seriousness in relation to the job for which you are applying)

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Educational History

High School (Last Attended)

School Name: Attended From:(Month/Year) To: (Month/Year) Graduated Year: Diploma/Degree: Fields of Study:

College

School Name: Attended From:(Month/Year) To: (Month/Year) Graduated Year: Diploma/Degree: Fields of Study:

Graduate School

School Name: Attended From:(Month/Year) To: (Month/Year) Graduated Year: Diploma/Degree: Fields of Study:

Technical/Other School/Training

School Name: Attended From:(Month/Year) To: (Month/Year) Graduated Year: Diploma/Degree: Fields of Study:

List clubs, organiztions, societies, or professional groups to which you belong.




List hobbies or interests related to job being applied for.





List special skills or abilities related to job being applied for.

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Driving History

Do you currently possess a valid United States driver's license? ...VALID DRIVER'S LICENSE... YES NO

If Yes...
For what state? ...LICENSED STATE... VA OTHER US STATE

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Military History

Have you ever been a member of the Armed Forces of the United States of America? ...Military Service... YES NO

If Yes...
List special skills or abilities developed while in military service related to job being applied for.




List awards or special achievements acquired while in military service.

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Employment History

Experience #1 (Most Recent)

Employer: Phone Number: Supervisor Name: Employed From:(Month/Year) To: (Month/Year) Starting Position: Ending Position: Starting Salary: Ending Salary: Reason for Leaving:

Experience #2

Employer: Phone Number: Supervisor Name: Employed From:(Month/Year) To: (Month/Year) Starting Position: Ending Position: Starting Salary: Ending Salary: Reason for Leaving:

Experience #3

Employer: Phone Number: Supervisor Name: Employed From:(Month/Year) To: (Month/Year) Starting Position: Ending Position: Starting Salary: Ending Salary: Reason for Leaving:

Experience #4

Employer: Phone Number: Supervisor Name: Employed From:(Month/Year) To: (Month/Year) Starting Position: Ending Position: Starting Salary: Ending Salary: Reason for Leaving:

May we contact these previous employers listed above? ...CONTACT EMPLOYERS... YES NO

If No...
Which ones?





Why not?






Describe any previous work history or additional information
which you feel may be relevant to the job you are applying for.

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Would you like to submit a resume?
(If Not, Skip To "Final Step")

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-FINAL STEP-

...SUBMIT JOB APPLICATION...

JOB APPLICATION WILL NOT BE SUBMITTED
UNTIL YOU CLICK SUBMIT BUTTON BELOW!

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