"*" indicates required fields Step 1 of 3 33% Are you a current employee of Quest?* Yes No It will take approximately 15 minutes to complete this form. If you cannot finish the form in one sitting, click the “Save and Continue Later” link at the bottom of the page.General InformationFirst Name* Middle Name Last Name* Email* Day PhoneEvening PhoneAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Notify me of future job openings Notify me of future job openings Date of Application* MM slash DD slash YYYY Are you legally authorized to work in the U.S.?*If hired, you will be required to provide proof of work authorization Yes No Are you at least 18 years old?*If not, your employment will be subject to verification that you meet state/federal minimum age requirements for the type of work you are applying for and have obtained a valid work permit Yes No Are there other names under which you have worked or attended school?* Yes No If yes, please list for reference checking purposes* Have you ever been convicted of a crime or pleaded no contest for an offense or violation other than minor traffic violations?* Yes No If yes, explain 1) Nature of Crime, 2) Date of Conviction, and 3) State in Which Convicted* Have you ever applied at this company before?* Yes No If yes, when?* Have you ever worked at this company before?* Yes No If yes, when?* How were you referred to us?* Facebook Window Sticker Sponsorship Employee Employment Agency Government Agency Newspaper Recruiter School / College State Job Service Temporary Agency Walk-In Other Employee Name Newspaper Name Other Name Position Applying ForProduction Build/Assembly 1 (Entry Level) Edgeband Operator Machine Operator 1 (Entry Level) Materials Handler 2 Manufacturing Support Project Manager Assistant Project Manager CDL Driver (Class A & B) Administration Accounting Specialist Logistics Manager Inside Sales / Customer Service Other Preferred Pay Range* Pay Range Type* Hourly Rate Yearly Salary AvailabilityTime Commitment* Part Time Full Time Shift Preference* Are you available to work overtime?* Yes No Are you available to work weekends, when necessary?* Yes No When can you start?* MM slash DD slash YYYY ExperienceWhat experience within our company has prepared you to assume a new role?What is your proudest accomplishment with the company and how does it demonstrate your readiness for this new role?Have you spoken about this position with your current manager? Do you have their support?Special SkillsIf relevant, please describe computer skills, software knowledgeIf relevant, please describe experience using production machines and equipment EducationPlease fill out all applicable fields.High SchoolName & Location Diploma/Degree & Course of Study Last year completed 9 10 11 12 Graduation date, if applicable MM slash DD slash YYYY UndergraduateName & Location Diploma/Degree & Course of Study Last year completed 1 2 3 4 Graduation date, if applicable MM slash DD slash YYYY GraduateName & Location Diploma/Degree & Course of Study Last year completed 1 2 3 4 Graduation date, if applicable MM slash DD slash YYYY Other (specify)Name & Location Diploma/Degree & Course of Study Last year completed 1 2 3 4 Graduation date, if applicable MM slash DD slash YYYY Employment HistoryPlease supply at least ten years of employment, or all of previous employment, starting with the most recent.Resume (Optional)If you upload a resume, you do not have to complete the Employment History section below.Max. file size: 10 MB.Employer 1Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Employer 2Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Employer 3Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Employer 4Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Employer 5Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Employer 6Name of Employer PhoneAddress Street Address City ZIP / Postal Code Job Title Name of Supervisor Reason for Leaving Hourly Rate / Salary (Start)Hourly Rate / Salary (End)If currently employed, may we contact as a reference? Yes No Start Date MM slash DD slash YYYY End Date MM slash DD slash YYYY ReferencesPlease list four references, who are not related to you, who can provide us with information about your qualifications to perform the job for which you are applying.Reference 1Name Occupation PhoneAddress Street Address City ZIP / Postal Code Relationship How long have you know this individual? Reference 2Name Occupation PhoneAddress Street Address City ZIP / Postal Code Relationship How long have you know this individual? Reference 3Name Occupation PhoneAddress Street Address City ZIP / Postal Code Relationship How long have you know this individual? Reference 4Name Occupation PhoneAddress Street Address City ZIP / Postal Code Relationship How long have you know this individual? Performance AbilityPlease review the job description and physical demands of the job applying for.With respect to this particular job, are you able to perform the tasks outlined in these materials with or without accomodations?* Yes No Are you currently on layoff with another company?* Yes No Please read carefully before signingI understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Quest Engineering, Inc. to hire me. If I am hired, I understand that either Quest Engineering, Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I attest with my signature below that I have given to Quest Engineering, Inc. true and complete information on this application. No requested information has been concealed. I authorize Quest Engineering, Inc. to contact references provided for employment reference checks and to perform background checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.Signature*Entering your name in this field denotes a signature and certifies that your answers are true and complete to the best of your knowledge. Invitation to Indentify for Affirmative Action PurposesOur company is commited to the employment and advancement of minorities, females, individuals with disabilities, and veterans. If you fall into one of these protected classifications, we invite you to identify yourself and receive coverage under our company’s Affirmative Action Plan. You may inform us of your desire to benefit under the program at this time and/or any time in the future. Completion of this form is voluntary and in no way affects the decision regarding your employment opportunity. The information provided will be held in strictest confidence, will be maintained in a separtae file, and will not be used in a manner inconsistent with the Acts.Applicant Name Date MM slash DD slash YYYY Position Applied For Gender Male Female Indicated Appropriate Race/Ethnic Group White Asian Black / African American Native American or other Pacific Islander American Indian or Alaskan Native Hispanic or Latino (White Race Only) Hispanic or Latino (All Races) Hispanic or Latino (All Other Races) How were you referred to us? Facebook Window Sticker Sponsorship Employee Employment Agency Government Agency Newspaper Recruiter School / College State Job Service Temporary Agency Walk-In Other Other NameThis field is for validation purposes and should be left unchanged. 66981
