All qualified applicants will receive consideration without regard to race, color, creed, religion, national origin, age, disability, sex, or any other characteristic protected by State or Federal law 

Personal

First Name

Middle Initial

Last Name

Address

City

State Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code

Home Phone

Cell Phone

Email

What is the best way to contact you

How long have you resided at your present address?

What is your former address?

How long at former address?

Have you ever applied for employment with us?

Month and Year of application

Have you ever been employed by Sukup Manufacturing Co.?

Month and Year of employment

Position Desired

Desired Location

Pay expected per week?

Overtime if Asked

Date when able to start work

Are you able to work

Do you smoke?

Are you legally eligible for employment in the United States?

If hired, can you provide proof that you are 18 years of age?

Special training or skills

Are you capable of performing necessary assignments in a safe manner

List any professional, trade, or service organizations in which you are a member

Do you have any relatives already employed by this company? If yes, please name them:

How did you learn about our company?

Personal Referral Name

Other Referral Name

Education

List your academic, vocational, or professional education, and the public and private schools you attended.

Education

Name and Location of School	Course of Study	# of Years Completed	Did You Graduate	Degree or Diploma
					x

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Employment Record

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.

Previous Employer

Name	Address	Name of Supervisor	Job Title	Description of Work	Telephone	Employed From	Employed To	Reason for Leaving
									x

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Do Not Contact

We may contact the employers listed above unless you indicate those you do not want us to contact.

Do Not contact

Employer Numbers	Reason
		x

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Military

Complete this section if you served in the US Armed Forces

Describe your duties and any special training relevant to position applied for:

Branch of service

Period of active duty from and to

Date of final discharge

Rank at discharge

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Personal References

Name and Occupation	City & State	Phone Number
			x

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The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

Sukup Manufacturing Co. reserves the right to terminate an employee, at will, with or without cause, and an employee has the right to terminate his or her employment with or without cause. 

I hereby consent to drug testing as part of the pre-employment physical, and if employed, to any further legally allowable drug testing. 

I freely give my specific and informed consent to Sukup Manufacturing Co. to process my personal information. I agree that I am 18 years of age or older. I understand that personal information is data that can be used to uniquely identify or contact a single person. The personal information stored and used may include, but is not limited to, the data I have provided above. I understand that the personal information collected by Sukup Manufacturing Co. is processed, stored, and used in processing my employment application. Personal information may be used to send important notices, such as communications about potential employment. For more information on the Sukup Manufacturing Co.’s use of data and cookies, please visit https://www.sukup.com/Privacy. I understand that at any time I have the right to revoke my consent at any time and that I may do so by written document addressed to Sukup Manufacturing Co. at 1555 255^th Street, Sheffield, Iowa or by emailing privacy@sukup.com.