Astec Mobile Screens - KPI-JCI

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From To Employer Telephone Job Title Address City State Zip Immediate supervisor & title Summarize the nature of work performed and job responsibilities: ____________________________________________________________________________ ____________________________________________________________________________ Hourly rate/ salary: Start $______per_______ Final $_____per______ Reason for leaving: What did you like most about your job? What did you like least about your job? Explain any periods between jobs: From To Employer Telephone Job Title Address City State Zip Immediate supervisor & title Summarize the nature of work performed and job responsibilities: ___________________________________________________________________________ ___________________________________________________________________________ Hourly rate/ salary: Start $_____per_____ Final $_____per_______ Reason for leaving: What did you like most about your job? What did you like least about your job? Explain any periods between job: From To Employer Telephone Job Title Address City State Zip Immediate supervisor & title Summarize the nature of work performed and job responsibilities: ____________________________________________________________________________ ____________________________________________________________________________ Hourly rate/ salary: Start $______per_____ Final $______per______ Reason for leaving: What did you like most about your job? What did you like least about your job? Explain any periods between jobs:
Supplemental Information 1. We are committed to being the best value in the industry. How do you feel you can contribute to our goals? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 2. Why do you want this job and how does it fit in with your future plans? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 3. What did you like best about your last job? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 4. What did you like least about your last job? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 5. Think back to the supervisors that you have had in the past. Which one did you like the best and why? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 6. Which supervisor did you dislike, and why? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 7. What upsets you? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 8. Who is primarily responsible for your safety? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 9. What area of your skills/ professional development needs improvement and how will this be accomplished? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 10. What do you think should be done about an employee who is not doing a fair share of the work? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 11. How would you define a productive work atmosphere? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ 12. Describe the work environment you are looking for: _____________________________________________________________________________________________________________ Education School Name, City, State of School Major subject Check last year attended Graduated Degree High school ______________________________ ______________________________ ______________________________ 1 2 3 4 Yes No College ______________________________ ______________________________ ______________________________ 1 2 3 4 Yes No Graduate School ______________________________ ______________________________ ______________________________ 1 2 3 4 Yes No Business, trade, other ______________________________ ______________________________ ______________________________ 1 2 3 4 Yes No Other training, apprentice ______________________________ ______________________________ ______________________________ 1 2 3 4 Yes No
Page 1: Astec Mobile Screens, Inc. 2704 W.
Page 5 and 6: Applicant Authorization for Release

Astec Mobile Screens - KPI-JCI

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