Colorado Railcar Manufacturing, LLC
Employment Application

First job choice:
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Second job choice:
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Third job choice:
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Personal Information:
First Name:
Middle Initial Last Name:
Home Phone (with area code):
Work Phone (with area code):
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Current Address Line 1:
Current Address Line 2:
City State: Zip/Postal Code:
Country:
Prior Address Line 1:
Prior Address Line 2:
City: State: Zip/Postal Code:
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Availability
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Job Related Skills
Yes No If the job requires, do you have the appropriate valid drivers license?
Name on license:
License number:
State of Issue:
Please list any other skills, licenses or certificates that may be job-related or that you feel would be of value to this job or company
Yes No Have you fully read the job description for this position?
Yes No Do you understand these essential functions?
Yes No Can you perform the essential functions of this job with or without reasonable accommodation?
List languages in which you are fluent



Previous Employers:

PLEASE NOTE. Your application will not be considered unless every question in this section is answered. Since we will make every effort to contact previous employers, the correct telephone numbers of past employers are critical. FOR EMPLOYERS OUTSIDE THE U.S., A CURRENT FAX NUMBER IS MANDATORY.


Most Recent Employer
Yes
No
Are you currently working for this employer?
Yes
No
If yes, may we contact?
Phone:
Fax:
Company Name: City: State:
Date Employed: Job Title: Supervisor Name
to
Duties:
Salary: Reason for Leaving:
$ per

Second Most Recent Employer
Phone:
Fax:
Company Name: City: State:
Date Employed: Job Title: Supervisor Name
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Duties:
Salary: Reason for Leaving:
$ per

Third Most Recent Employer
Phone:
Fax:
Company Name: City: State:
Date Employed: Job Title: Supervisor Name
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Duties:
Salary: Reason for Leaving:
$ per

References Include only individuals familiar with your work ability. Do not include relatives.
Name Address Phone Years Known Relationship

Education Note: Do not fill out any part of this section you believe to be non job-related.
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If your school records are under a different name than listed above, please enter that name:
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