* Name (First, Middle, Last)

* Position you are interested in?  (Check all that apply)

CAD Operator
Project Manager
Plant Engineer
Structural Engineer
Other, please specify:

What is your current salary?  Per *Select* Hour Month Year

* How much would you like to be paid?  Per *Select* Hour Month Year

* Are you willing to travel?  Yes No

* Are you a U.S. citizen, permanent resident, or do you have a VISA allowing
   you to work?   Yes No    If you have a VISA, which type? 

Home Address:

  Street
  City, State, Zip

Contact Information:
  Work Phone    
  Home Phone
  E-Mail
  Home Page URL

Please fill in your educational background.  List the last two schools you attended.

  School
  Major Course of Study
  Minor
  Degree Received
  Graduation Date (MM/YYYY)
  Overall GPA

  School
  Major Course of Study
  Minor
  Degree Received
  Graduation Date (MM/YYYY)
  Overall GPA

Please fill in the name of the employer, your title, the dates you work, and a brief description of your job responsibilities.  Please list the five most recent places of employment.

Employer #1 (Most Recent)

  Employer Name
  Employer Phone Number
  Contact Person
  Your Job Title
  Started (MM/YYYY)
  Ended (MM/YYYY)

May we contact this employer?  Yes No

Description of duties:

Reason For Leaving:

Employer #2

  Employer Name
  Employer Phone Number
  Contact Person
  Your Job Title
  Started (MM/YYYY)
  Ended (MM/YYYY)

May we contact this employer?  Yes No

Description of duties:

Reason For Leaving:

Employer #3

  Employer Name
  Employer Phone Number
  Contact Person
  Your Job Title
  Started (MM/YYYY)
  Ended (MM/YYYY)

May we contact this employer?  Yes No

Description of duties:

Reason For Leaving:

Employer #4

  Employer Name
  Employer Phone Number
  Contact Person
  Your Job Title
  Started (MM/YYYY)
  Ended (MM/YYYY)

May we contact this employer?  Yes No

Description of duties:

Reason For Leaving:

Employer #5

  Employer Name
  Employer Phone Number
  Contact Person
  Your Job Title
  Started (MM/YYYY)
  Ended (MM/YYYY)

May we contact this employer?  Yes No

Description of duties:

Reason For Leaving:

Please list your computer skills:

All information provided by the applicant will remain strictly confidential unless authorized by applicant.

Quality Engineering Company is committed to creating a diverse environment and proud to be an equal opportunity employer.