Employment Application


Enter "NA" for any fields that do not apply to you
Present Address *
Present Address
What hours are you available to work? *
What days are you available to work? *
Types of Employment Preferred (Check more than one box if desired) *
Do you have a valid driver’s license? *
Are you over age 18? *
Are you legally eligible for employment in the United States? (If offered employment you will be required to provide documentation to verify eligibility) *
Have you applied for work at DuraTech in the past? *
Have you ever WORKED at DuraTech in the past? *
How did you hear about this Job Opening? *


Please indicate education or training which you believe qualifies you for the position you are seeking.
High School
No. of Yrs Completed
College and/or Vocational School
No. of Yrs Completed
Describe any education or training you have had which is not covered above, such as vocational school, correspondence courses, service schools, in-service training, or volunteer work which you feel is relevant to the job or jobs for which you are applying. Also include relevant licenses or certificates. Be specific. List any organizations you belong to (or have belonged to) and any job-related honors or awards you have received


Provide a complete description. This information will be used to determine if your application is accepted. BE SPECIFIC. Start with your most recent job and attempt to include employment occurring over the past 10 years. BE CERTAIN TO INCLUDE SERVICE IN THE ARMED FORCES. For part-time work, list the average number of hours per month. Indicate any changes in job title under same employer as a separate position. Enter "NA" for any fields that do not apply to you.

Employment History - Click the + button to add additional employers

Click the + button to add additional employers
Type of Employment
Salary Schedule
Have you ever been discharged or asked to resign from a job?
May we communicate with your present employer? *
May we communicate with your past employers? *


Add 3 References

Please read and sign

If employed, I agree to abide by all of the work and safety rules of the company. I understand that this company is committed to maintaining a drug-free workplace. I am aware that the company requires a drug test as part of the hiring process, and may require a drug test if an accident or other performance related incident occurs during employment.

The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me.

Employment at will

Your employment relationship with us is “at will”, which means you enter into employment voluntarily, and you are free to resign at any time for any reason or no reason. Similarly, DuraTech Industries is free to conclude its relationship with any employee at any time for any reason or no reason.

By signing this application, you are certifying that all information contained herein is true, accurate, and no requested information has been concealed.