Applicant Data

First Name
Last Name
How were you referred to us
What position are you applying for
Address
City
State
Zip/Postal Code
Phone Number
E-mail
Date available to start
If you're under 18, can you provide a work permit?
 Yes  No
    If no, please explain
Have you ever worked for Rightline Equipment Inc. before?
 Yes  No
    If yes, when
Are you legally allowed to work in the United States?
 Yes  No
Answering no to the preceding questions does not constitute an automatic rejection for employment.
Type of employment desired:
  Full-Time Part-Time
  Temporary Seasonal
Driver's License Number (if applicable)
Driver's License State (if applicable)

Education History

Name & Location of High School
Did you graduate
 Yes  No
Name & Location of College
Years attended
Degrees Completed
Other Subjects Studied
Trade, Business, or Correspondence School
Years attended
Subjects Studied
Did you graduate
 Yes  No
Summarize your special skills or qualifications


Previous Employment

Begin with Most Recent
Employed from
to
Position(s) Held
Company Name
Company Address
City
State
Zip/Postal Code
Phone Number
Supervisor's Name
Job Title
Responsibilities
Starting Salary
Ending Salary
Reason for Leaving
May we contact this employer as a reference
 Yes  No
Employed from
to
Position(s) Held
Company Name
Company Address
City
State
Zip/Postal Code
Phone Number
Supervisor's Name
Job Title
Responsibilities
Starting Salary
Ending Salary
Reason for Leaving
May we contact this employer as a reference
 Yes  No
Employed from
to
Position(s) Held
Company Name
Company Address
City
State
Zip/Postal Code
Phone Number
Supervisor's Name
Job Title
Responsibilities
Starting Salary
Ending Salary
Reason for Leaving
May we contact this employer as a reference
 Yes  No




Pre-employment Quiz

Please respond to math questions with a decimal answer.
50 - 5
56 + 12
.125 + .375
.5625 - .125
9 * 7
16 / 4
.25 * 4
.75 / 2
What measure does the "A" marked on the ruler correspond to
1/2"1/4"
1/8"1"
What measure does the "B" marked on the ruler correspond to
1/2"1-1/2"
1-3/4"2"
What measure does the "C" marked on the ruler correspond to
2-15/16"2"
2-3/8"2-9/16"
What measure does the "D" marked on the ruler correspond to
3"3-1/2"
2-9/16"3-1/4"
What measure does the "E" marked on the ruler correspond to
21/32"21/64"
1/2"3/4"
What measure does the "F" marked on the ruler correspond to
21/64"5/64"
15/64"33/64"
What measure does the "G" marked on the ruler correspond to
4.5"4-3/4"
5"4.3"
What measure does the "H" marked on the ruler correspond to
5.375"5.5"
5.2"5.475"
If a 1-3/4" x 5" x 60" 180 lb. steel bar was falling over, what would you do?
Try to stop the bar from falling.
Place a pad under the bar to cushion the impact.
Let the bar fall, possibly causing serious damage to equipment.
Call for someone to help, waiting for them to decide what to do.
How many millimeters are there in an inch?
100
24.5
110
25.4
You broke a machine while you were working on a part. The machine works fine most of the time, but you know it's broken. You know the repair will cost a lot of money. What do you do?
Don't say anything knowing you might get fired.
Tell your supervisor how it happened and that it needs to be fixed.
Tell your supervisor that you just noticed the machine is not working properly.
Try to fix the machine yourself hoping nobody will notice.
You accidentally dropped a heavy bar on your foot. It hurt really bad for a while but it feels better now. What do you do?
Don't worry about it and continue to work.
Go to the doctor's office after work not telling anyone.
Report the accident to your supervisor.
Leave work and go home to let it get better.
What does MSDS stand for?
Modern Safety Department Standards
Material Standards for Development Systems
Material Safety Data Sheet
Model Solutions for Design Standards
You have a phone call to make during business hours. What do you do?
Make the call when you are in between jobs.
Make the call on your lunch break.
Make the call whenever you fell like it.
Check with your supervisor for the appropriate time.
What is the decimal equivalent of 1/2"?
.050
.250
.500
.375
You are driving a forklift truck and notice the brakes are not working properly. What do you do?
Continue to use the truck hoping someone else will have them fixed.
Stop what you are doing and fix them yourself.
Tell your supervisor about the problem so they can be fixed.
Tell someone you don't like to drive the truck.
While operating a machine you notice a safety guard is missing. The machine will still operate. What do you do?
Stop using the machine immediately, causing production to stop.
Wait until after your shift is over to report the problem to your supervisor.
Keep running the machine so production will not be affected.
Both b and c.
What is the decimal equivalent of 3/8"?
.375.
.250
.750
None of the above
You are working on a part and are not sure of a dimension. You should know the right dimension. What do you do?
Continue to make the part hoping you are right.
Continue to make the part knowing someone else will catch the error if you are wrong.
Check with someone who knows what the right dimension is after you finish the part.
Check with someone who knows what the right dimension is before you finish the part.
You are working a shift that has no supervisors. While you are working you notice a fellow employee is under performing. What do you do?
Nothing, not your responsibility.
Alter your work to match his.
Discuss with your supervisor at the next opportunity.
Tell him to speed up.
You have an idea to improve production and possibly eliminate the job you are doing. What do you do?
Nothing, because management probably doesn't care what you think.
Tell your fellow employees only.
Discuss it with your supervisor.
Implement the change yourself.
Nothing, for fear of losing your employment
Peformance is best judged by?
How many parts an employee makes compared to other workers.
How long an employee has been with the company.
Employees ability to work as part of a team to meet customer requirements.
Employees ability to work safely at all times.
Both c and d.
Why should you be hired by this company?





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