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APPLICATION FOR EMPLOYMENT

Please print legibly and complete all items. If an item does not apply to you, please enter N/A. Make sure that you provide telephone number(s) for contact.

1. POSITION YOU ARE APPLYING FOR (production, office, etc.)

2. WAS THIS POSITION ADVERTISED?

YES

IF YES, WHAT AD ARE YOU RESPONDING TO? (Job Service, CharKoosta News, Leader, Advertiser, etc.)

3. Name

First Middle Last

OTHER NAMES USED

(maiden, former married, etc.)

4. MAILING ADDRESS

City State ZIP Code

5. HOME TELEPHONE

(Include Area Code if not Montana.)

WORK

MESSAGE

CELL

EMAIL ADDRESS

6. HAVE YOU EVER WORKED FOR S&K ELECTRONICS?

YES

IF YES, WHEN, IN WHAT JOB AND FOR HOW LONG?

7. ARE YOU AN ENROLLED MEMBER OF THE CS&K TRIBES?

YES

ENROLLMENT #

8. ARE YOU A DIRECT DESCENDANT OF AN ENROLLED MEMBER OF THE CS&K TRIBES?

YES

IF YES, NAME OF ENROLLED PARENT

9. ARE YOU AN ENROLLED MEMBER OF ANOTHER TRIBE?

YES

IF YES, NAME OF TRIBE

& ENROLLMENT #

10. IF MARRIED, IS YOUR SPOUSE AN ENROLLED MEMBER OF THE CS&K TRIBES?

YES

IF YES, SPOUSE’S NAME

& ENROLLMENT #

11. HAVE YOU BEEN CONVICTED OF A FELONY?

YES

IF YES, PLEASE EXPLAIN INCLUDING OFFENSE, DATE AND DISPOSITION

12. WHAT IS THE LOWEST RATE OF PAY YOU WILL ACCEPT? $

PER

(hr, wk, mo, yr)

13. ARE YOU WILLING TO WORK MORE THAN 40 HOURS PER WEEK?

14. ARE YOU WILLING TO WORK LESS THAN 40 HOURS PER WEEK?

YES

15. IF HIRED WOULD YOU BE AVAILABLE TO WORK EITHER DAY OR SWING SHIFT?

YES

IF NO, WHAT SHIFT WOULD YOU BE AVAILABLE TO WORK?

DAY

SWING

16. IF OFFERED EMPLOYMENT, WHAT IS THE EARLIEST DATE YOU WOULD BE AVAILABLE TO START WORK?

(Example: Two weeks from date of offer, as soon as possible, etc.)

17. HAVE YOU BEEN FIRED OR RELIEVED FROM A JOB IN THE PAST 5 YRS?

YES

IF YES, PLEASE EXPLAIN

18. FIRST AND LAST NAME OF PERSON TO NOTIFY IN CASE OF EMERGENCY

HOME PHONE

WORK PHONE

CELL

EDUCATION AND TRAINING

(Applicants may be asked to provide proof of highest education level completed.)

19. In the table below, please Circle either Yes or No for each level of school you attended. Leave blank or enter N/A if you did not attend school at that level.

Grade School

Graduated?

YES

High School

Diploma?

YES

College

Degree?

YES

Graduate School

Degree?

YES

20. HIGH SCHOOL NAME

CITY & STATE

21. IF YOU DID NOT COMPLETE HIGH SCHOOL, DO YOU HAVE A GED?

YES

IF YES, NAME OF SCHOOL

and CITY AND STATE WHERE YOU RECEIVED YOUR GED

22. COLLEGE NAME

CITY & STATE

MAJOR

MINOR

DEGREE

23. GRADUATE SCHOOL

MAJOR

MINOR

24. OTHER EDUCATION OR TRAINING (vo-tech, apprenticeship, military, etc.) (Include school name, city and state where acquired)

25. ARE YOU CLAIMING VETERAN’S PREFERENCE?

YES

IF YES, PLEASE ATTACH A CERTIFIED COPY OF YOUR DD FORM 214 TO THIS APPLICATION TO VERIFY YOUR SERVICE.

Max. file size: 100 MB.

EMPLOYMENT

(Present or most recent employer first) (Include Area Code if employer is not located in Montana.)

26. PRESENT OR MOST RECENT EMPLOYER

MAILING ADDRESS

TELEPHONE

SUPERVISOR

YOUR JOB TITLE

DUTIES

FROM

(month & year)

REASON LEFT OR IF STILL EMPLOYED, REASON YOU WANT TO LEAVE

27. NEXT PREVIOUS EMPLOYER

MAILING ADDRESS

TELEPHONE

SUPERVISOR

YOUR JOB TITLE

DUTIES

FROM

(month & year)

REASON LEFT

28. NEXT PREVIOUS EMPLOYER

MAILING ADDRESS

TELEPHONE

SUPERVISOR

YOUR JOB TITLE

DUTIES

FROM

(month & year)

REASON LEFT

29. NEXT PREVIOUS EMPLOYER

MAILING ADDRESS

TELEPHONE

SUPERVISOR

YOUR JOB TITLE

DUTIES

FROM

(month & year)

REASON LEFT

30. NEXT PREVIOUS EMPLOYE

MAILING ADDRESS

TELEPHONE

SUPERVISOR

YOUR JOB TITLE

DUTIES

FROM

(month & year)

REASON LEFT

(Continue Employment History on page 4 or attach additional sheets or résumé if necessary. Be sure you include all requested information for each period of employment.)

SKILLS AND ABILITIES

PLEASE LIST DEMONSTRABLE SKILLS AND ABILITIES THAT YOU BELIEVE QUALIFY YOU FOR EMPLOYMENT WITH S&K ELECTRONICS IN THE KIND OF POSITION FOR WHICH YOU ARE APPLYING (FOR EXAMPLE, SKILL IN USING ELECTRONIC TEST EQUIPMENT, MANUAL DEXTERITY IN ASSEMBLING, INVENTORY CONTROL, SOLDERING, QUALITY ASSURANCE, MAINTENANCE, KEYBOARDING, WRITING ABILITY, ETC.). LIST THESE SKILLS IN ORDER FROM MOST PROFICIENT TO LEAST PROFICIENT AND INDICATE THE LENGTH OF TIME YOU PRACTICED EACH. TAKE SOME TIME WITH THESE ITEMS; THEY CAN BE IMPORTANT FACTORS IN OUR SCREENING AND SELECTION PROCESS. IF SOLDER CERTIFIED, INCLUDE LEVEL AND DATE OF CERTIFICATION AND PROVIDE COPY OF CERTIFICATE.

31. SKILLS (Please indicate where and when you acquired these skills and how long you practiced them.)

32. ABILITIES (Please indicate where and when you acquired these abilities and how long you practiced them.)

REFERENCES

PLEASE BE PREPARED TO PROVIDE A LIST OF AT LEAST THREE (3) PERSONS [full name, mailing address, phone number with area code and that person’s relationship to you (ex: supervisor, co-worker, department manager, etc.)] WHO HAVE PERSONAL KNOWLEDGE OF YOUR WORK ABILITY, ATTITUDE, SENSE OF RESPONSIBILITY, AND/OR GENERAL CHARACTER. DO NOT LIST RELATIVES OR FRIENDS UNLESS THEY HAVE FORMALLY EMPLOYED YOU FOR PAY.

CONTINUATION ITEM NUMBER

PLEASE REVIEW THIS APPLICATION TO BE SURE THAT YOU ANSWERED EVERY ITEM COMPLETELY AND CORRECTLY. FAILURE TO COMPLETE ALL ITEMS MAY AFFECT CONSIDERATION FOR EMPLOYMENT. INTERVIEW SELECTIONS AND HIRING DECISIONS ARE BASED ON THE INFORMATION PROVIDED IN YOUR APPLICATION PACKET.

CAREFULLY READ THE FOLLOWING BEFORE SIGNING.

I HEREBY AUTHORIZE S&K ELECTRONICS, INC. TO CONDUCT WHATEVER INVESTIGATIONS IT DEEMS NECESSARY TO VERIFY INFORMATION PROVIDED BY ME ON THIS APPLICATION. I RELEASE FROM LIABILITY ALL PERSONS AND ORGANIZATIONS WHO SUPPLY INFORMATION PURSUANT TO SUCH INVESTIGATIONS.
I UNDERSTAND THAT ANY FALSE INFORMATION OR MISREPRESENTATION THAT I MIGHT MAKE IN THIS APPLICATION OR IN ANY OTHER ATTACHED OR RELATED DOCUMENTS WILL BE SUFFICIENT CAUSE FOR DENIAL OF EMPLOYMENT OR IF SUBSEQUENTLY EMPLOYED BY S&K ELECTRONICS, FOR DISMISSAL AT ANY TIME IN THE FUTURE WHEN FALSE INFORMATION OR MISREPRESENTATION IS REVEALED.
I ALSO UNDERSTAND THAT NOTHING CONTAINED IN THIS APPLICATION OR IN THE GRANTING OF AN INTERVIEW IS INTENDED TO CREATE OR IMPLY A CONTRACT FOR EMPLOYMENT OR FOR ANY BENEFIT BETWEEN S&K ELECTRONICS, INC. AND MYSELF. I HAVE RECEIVED NO PROMISES REGARDING EMPLOYMENT OR DURATION OF EMPLOYMENT.

Date

APPLICANT’S SIGNATURE

NOTE: THIS APPLICATION WILL BE KEPT IN OUR ACTIVE FILES FOR CONSIDERATION FOR NO LESS THAN 45 DAYS FROM DATE OF RECEIPT. IF YOU WISH TO EXTEND CONSIDERATION BEYOND THAT TIME, YOU MUST CONTACT S&K ELECTRONICS PRIOR TO THE END OF THAT PERIOD. IT IS YOUR RESPONSIBILITY TO INFORM S&K ELECTRONICS OF ANY CHANGES IN YOUR CONTACT INFORMATION.

Name

This field is for validation purposes and should be left unchanged.