Applicant Information Full name Email Phone number Street address City State ZIP Are you 18 years old or older?YesNo Do you have a valid MI driver's license?YesNo Are you a citizen of the United States?YesNo If no, are you authorized to work in the U.S.?YesNo Have you ever been convicted of a felony?YesNo If yes, explain: Upload Resume Note: if you choose to upload your resume, you may scroll to the bottom and submit the form without filling out the below information. Employment Desired Position Hours desired:Full timePart time Date available to start Salary desired Are you currently employed?YesNo If yes, may we contact your current employer?YesNo Do you have friends or family currently employed at Argonics?YesNo If yes, state name and relationship Have you ever applied at Argonics before?YesNo If yes, when? How did you hear about Argonics? Education High School Address Number of years attended Did you graduate?YesNo Degree College Address Number of years attended Did you graduate?YesNo Degree Trade School Address Number of years attended Did you graduate?YesNo Degree Subject of special study or research work Special Skills U.S. Military or Naval Service Rank Present Membership in National Guard or Reserves Employment History Previous Position 1 Date range employed - please list month and year e.g. 5/2020 - 12/2022 Name and Address Position Reason for Leaving Previous Position 2 Date range employed - please list month and year e.g. 5/2020 - 12/2022 Name and Address Position Reason for Leaving Previous Position 3 Date range employed - please list month and year e.g. 5/2020 - 12/2022 Name and Address Position Reason for Leaving Which position did you like best? What did you like best about this position? References Reference 1 Name and Job Title Phone Number Business Years Acquainted Reference 2 Name and Job Title Phone Number Business Years Acquainted Reference 3 Name and Job Title Phone Number Business Years Acquainted I certify that all the information submitted by me on this application is true and complete. I understand that if any false information, omissions or misrepresentations are discovered my application may be rejected and if I am employed, my employment may be terminated for falsification of documents. In consideration of my employment, I agree to conform to the company’s rules and regulations, and agree that the company can terminate with or without cause and with or without notice my employment and compensation at any time. I understand that no Argonics representative, other than its President/CEO, and then only when in writing and signed by the President/CEO, has any authority to enter into any agreement for employment for any specific period of time or to make any agreement contrary to the foregoing. I authorize all parties listed on this application to give information concerning my previous employment, education and/or any other relevant information that may be required for potential employment purposes. I release all such parties form all liability that may results from furnishing such information to Argonics, Inc. I authorize Argonics, Inc. to request and receive such information. I understand that this information will be held in strict confidence. I acknowledge that this application will remain active for 180 days from the date it was signed. Signature - please type your name Date