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    Please check all positions you feel you are qualified to apply for.
  • Please provide your first and last name.
  • Please provide your current address.
  • Please provide your current telephone number.
  • Work History - Please list your last three employers, below.
  • Please provide the name of your most recent (current) employer.
  • Please provide the position you held with your most recent (current) employer.
  • MM slash DD slash YYYY
    Please provide the date you started working for your most recent employer. Please estimate if you do not remember the exact day.
  • MM slash DD slash YYYY
    Please provide the last day you worked for your most recent employer. Please estimate if you do not remember the exact day.
  • Please provide the name of your second most recent employer.
  • Please provide the position you held with your second most recent employer. If you have not had more than one employer, leave this section blank.
  • MM slash DD slash YYYY
    Please provide the date you started working for your second most recent employer. Please estimate if you do not remember the exact day.
  • MM slash DD slash YYYY
    Please provide the last day you worked for your second most recent employer. Please estimate if you do not remember the exact day.
  • Please provide the name of your third most recent employer.
  • Please provide the position you held with your third most recent employer. If you have not had more than two employers, leave this section blank.
  • MM slash DD slash YYYY
    Please provide the date you started working for your third most recent employer. Please estimate if you do not remember the exact day.
  • MM slash DD slash YYYY
    Please provide the last day you worked for your third most recent employer. Please estimate if you do not remember the exact day.
  • Please provide the top 5 skills you believe you possess.
  • References - Please list three references, below.
  • Please provide the first and last name of this first reference.
  • Please provide the telephone number of this first reference.
  • Please tell us how you know this first reference.
  • Please provide the first and last name of this second reference.
  • Please provide the telephone number of this second reference.
  • Please tell us how you know this second reference.
  • Please provide the first and last name of this third reference.
  • Please provide the telephone number of this third reference.
  • Please tell us how you know this third reference.



<em>Oil City Iron Works, Inc. is an Equal Opportunity Employer.</em>

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