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ONLINE EMPLOYMENT APPLICATION
REQUIRED INFORMATION IS SHOWN IN BOLD BLUE TYPE
Background Information
Date of application
First Name
Middle Name
Last Name
Home/Cell Phone Number --
Address
City/State/Zipcode
Email Address
How did you hear about RMT? (RMT Employee, Newspaper Ad, etc.)
Are you at least 18 years of age? Yes     No
Are you authorized to work in the United States? Yes     No
Have you used names other than given above? Yes     No
If either of the above questions need further explanation, provide details here:
Have you applied at RMT in the last 6 months? Yes     No
Have you previously been employed by RMT? Yes     No
Prior Address (if applicable)
Prior County of residence (if applicable)
Have you been convicted of any crime within the last 5 years? Yes     No
If yes, list type, county, state and date (List all convictions except moving traffic violations.) RMT may verify via State Court Records.
Have you ever been warned or discharged by an employer for absenteeism, tardiness, failure to notify your employer when absent, or any other attendance problem? Yes     No
If the above question was answered yes, provide details:
Have you ever been warned about or discharged for sexual harassment, fighting, weapons, or related offenses? Yes     No
If the above question was answered yes, provide details:
Have you ever been warned or discharged by a past employer for violating safety rules? Yes     No
If the above question was answered yes, provide details:
Employment Desired
Position for which you are applying:
Available start date (mm/dd/yy)
Preferred employment category:  Day Shift   Night Shift
Full Time (includes overtime) 
Part Time
Seasonal
If part time or seasonal, list preferred hours:
Which plant location are you interested in: Sheldon  Spirit Lake  Either
Do you have any commitments that may make it difficult for you to consistently work full shift hours? If so, please explain.
Education/Training
High School name and location:
Did you graduate from high school? Yes     No
If the answer to the above question is no, indicate highest grade level completed. Also indicate if GED was completed:
College/Technical School name and location:
Course of study/degree obtained:
Years completed:
Did you graduate from college? Yes     No
I am currently enrolled
Employment Experience
1. Most recent employer:
City, state, zip:
Phone number of most recent employer:
Dates of employment (mm/dd/yy): through
Job title and duties:
Supervisor's name:
Wages:
Reason for leaving:
Are you still employed by this employer? Yes     No
May we contact? Yes     No


2. Second most recent employer:
City, state, zip:
Phone number of second most recent employer:
Dates of employment (mm/dd/yy): through
Job title and duties:
Supervisor's name:
Wages:
Reason for leaving:
Are you still employed by this employer? Yes     No
May we contact? Yes     No


3. Third most recent employer:
City, state, zip:
Phone number of third most recent employer:
Dates of employment (mm/dd/yy): through
Job title and duties:
Supervisor's name:
Wages:
Reason for leaving:
Are you still employed by this employer? Yes     No
May we contact? Yes     No
If there are employment gaps of more than three months, please explain here:
Additional related production experience:
Special certifications and/or licenses:
Related skills you would like to highlight:
Business References

Please give the names of two individuals who are familiar with your work skills.
For example co-workers.

Note: Do not list relatives.

1. Name/Address
Phone number:
Years known:
Relationship:


2. Name/Address
Phone number:
Years known:
Relationship:
Certification and Release

I certify that the answers given by me to the foregoing questions and the statements made by me are complete and true to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application may result in rejection of my application or discharge at any time during my employment. I authorize RMT, Inc. and/or its agents, including consumer-reporting bureaus, to verify any of the information I have provided. I authorize all former employers, persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release and hold harmless said persons from any liability for any damage whatsoever for issuing this information. I also understand that the use of controlled substances is prohibited during employment. I am willing to submit to drug/alcohol testing to detect the use of illegal drugs prior to and during employment. I understand that this application or the acceptance of the same does not constitute an employment contract of any kind. I further understand and agree that if employed, employment will be "at will". That is, either Rosenboom Machine & Tool, Inc. or I may end the employment relationship at any time for any reason or for no reason.