Apply - NHI

Indicates required information

Applicant Information

Last name:

First name:

MI:

Street Address:

Apt-Unit#:

City:

State:

ZIP:

Phone:

Email:

Date Available:

Desired Salary:

Position Desired:

Availability: Part-TimeFull-TimeTemporary

Shifts available: FirstSecondWeekend

Are you under 18 years of age? yesno

Are you a citizen of the United States? yesno

Are you authorized to work in the US? yesno

Have you ever been employed by NHI? yesno

If so, when?

Have you ever been convicted of or pleaded no contest to a crime which has not been annulled by a court? yesno

If yes, indicate where, for what, and date: (conviction of a criminal offense will not automatically bar employment opportunities with NHI):

Education

High School:

Address:

From:

To:

Did you graduate? yesno

College:

Address:

From:

To:

Did you graduate? yesno

Degree:

Other:

Address:

From:

To:

Did you graduate? yesno

Degree:

Previous Employment (Include Military)
1. Company	Phone
Address	Supervisor
Job Title	Starting salary	Ending salary
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor for a reference?yesno
2. Company	Phone
Address	Supervisor
Job Title	Starting salary	Ending salary
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor for a reference?yesno
3. Company	Phone
Address	Supervisor
Job Title	Starting salary	Ending salary
Responsibilities
From	To	Reason for leaving
May we contact your previous supervisor for a reference?yesno

MACHINING/MECHANICAL SKILLS
Describe mechanical or machining skills, if any:

REFERENCES
Please list three references.
1. Full Name:	Relationship:
Company:	Phone:
Address:
2. Full Name:	Relationship:
Company:	Phone:
Address:
3. Full Name:	Relationship:
Company:	Phone:
Address:

Are you related to anyone at NHI? yesno	Name and relationship:

If referred by an NHI employee, please list their name here:

DISCLAIMER / ACCEPTANCE
I have carefully read the foregoing application and I understand its contents. I certify that the above statements are true and complete to the best of my knowledge. I voluntarily give New Hampshire Industries the right to make a thorough investigation of my past employment, my educational records, other employment-related activities and any criminal conviction records concerning me. I agree to cooperate in such investigations and do hereby release from all liability or responsibility all persons, educational institutions and systems, law enforcement agencies, companies or corporations supplying such information. The Immigration Reform and Control Act of 1986 prohibits the employment of unauthorized aliens, and employers are required to verify the employment eligibility of all new employees. Any offer of employment with New Hampshire Industries will be made conditional based on my providing the documentation required by law as evidence of my personal identity and my authorization to work in the United States. Any offer of employment is conditioned upon the successful completion of a physical examination, which includes a drug screen. I agree to wear or use protective clothing or devices as required by New Hampshire Industries to comply with safety rules. If employed by New Hampshire Industries, I agree to accept assignments to any shifts or overtime as required. If employed by New Hampshire Industries, I agree to conform to the rules and regulations of New Hampshire Industries with the understanding that they may be changed. I understand that any false answers or statements made by in on this application or on any supplement thereto, or physical examination form, or in connection with the above mentioned investigation will be sufficient grounds for immediate discharge. If employed by New Hampshire Industries, I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time at the option of either New Hampshire Industries or myself. I understand that no supervisor, manager or other representative of New Hampshire Industries has any authority to enter into any agreement that would limit The Company’s right to terminate my employment at any time with or without cause. If applicant is not hired within 60 days, this application will expire.
Check here if you accept these terms. Then, attach a resume, check the "i am not a robot" box and click submit to send your application.

DISCLAIMER / ACCEPTANCE

I have carefully read the foregoing application and I understand its contents. I certify that the above statements are true and complete to the best of my knowledge.

I voluntarily give New Hampshire Industries the right to make a thorough investigation of my past employment, my educational records, other employment-related activities and any criminal conviction records concerning me. I agree to cooperate in such investigations and do hereby release from all liability or responsibility all persons, educational institutions and systems, law enforcement agencies, companies or corporations supplying such information.

The Immigration Reform and Control Act of 1986 prohibits the employment of unauthorized aliens, and employers are required to verify the employment eligibility of all new employees. Any offer of employment with New Hampshire Industries will be made conditional based on my providing the documentation required by law as evidence of my personal identity and my authorization to work in the United States.

Any offer of employment is conditioned upon the successful completion of a physical examination, which includes a drug screen. I agree to wear or use protective clothing or devices as required by New Hampshire Industries to comply with safety rules.

If employed by New Hampshire Industries, I agree to accept assignments to any shifts or overtime as required.

If employed by New Hampshire Industries, I agree to conform to the rules and regulations of New Hampshire Industries with the understanding that they may be changed.

I understand that any false answers or statements made by in on this application or on any supplement thereto, or physical examination form, or in connection with the above mentioned investigation will be sufficient grounds for immediate discharge.

If employed by New Hampshire Industries, I agree that my employment and compensation can be terminated with or without cause, and with or without notice, at any time at the option of either New Hampshire Industries or myself. I understand that no supervisor, manager or other representative of New Hampshire Industries has any authority to enter into any agreement that would limit The Company’s right to terminate my employment at any time with or without cause.

If applicant is not hired within 60 days, this application will expire.

Check here if you accept these terms. Then, attach a resume, check the "i am not a robot" box and click submit to send your application.

Application For Employment