APPLICATION For EMPLOYMENT
EAGLE SUSPENSIONS • 1811 W. Arkansas St. • Durant, OK 74701
* Required Fields.
We consider applications for all positions without regard to race, color, religion, creed, sex, national origin, disability, sexual orientation, citizenship status or any other legally protected status.
Position(s) Applied For:
Date of Application:
9/21/2021
How Did You Learn About Us?


If Other:
*Last Name: 
 *First Name: 
 *Middle Name: 
*Address: 
 *City: 
 *State/Prov: 
 *Zip: 
*Phone Number (s): 
 Social Security Number (Voluntary):
/ /
 E-mail Address:
 Note: If you include an e-mail address, you will be sent a copy of this completed form.
At which Dayton Parts Location are you applying for a position? 
For which shift are you applying for a position? 
Best time to contact you at home is?  
:
*If you are under 18 years of age, can you provide require proof of eligibility to work? 
Have you ever filed an application with us before?
If yes, provide date:  / 
Have you ever been employed with us before?
If yes, provide date:  / 
Do any of your friends or relatives other than spouse, work here?
*Are you currently employed? 
*May we contact your present employer? 
*Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? 
*Proof of citizenship or immigration status will be required upon employment.
*Date available for work: 
 /   /  What is your desired salary range?  $
*Are you currently on "lay-off" status and subject to recall? 
Can you travel if a job requires it?
*Have you ever been Convicted of any Crime? 
*If yes, please list each conviction/date below. A criminal record does not constitute an automatic bar to employment.
EDUCATION
  Name and Address of School Course of study No. of Years Diploma/Degree
Elementary School:
High School:
Undergraduate School:
Graduate School:
Other (Specify):
SPECIALIZED TRAINING - Please include specialized training, apprenticeships, skills and extra-curricular activities.
MILITARY TRAINING - Please include specialized training received in the United States Military.
CRIMINAL CONVICTIONS - Please list all convictions/dates. Indicate if you are currently on parole or probation.
EMPLOYMENT EXPERIENCE
EMPLOYER1: Dates Employed: From/To Work Performed
Address:
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Phone No.(s):
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Job Title/Supervisor:
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Reason for Leaving:      
EMPLOYER2: Dates Employed: From/To Work Performed
Address:
 / 
 / 
Phone No.(s):
 / 
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Job Title/Supervisor:
 / 
 / 
Reason for Leaving:      
EMPLOYER3: Dates Employed: From/To Work Performed
Address:
 / 
 / 
Phone No.(s):
 / 
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Job Title/Supervisor:
 / 
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Reason for Leaving:      
EMPLOYER4: Dates Employed: From/To Work Performed
Address:
 / 
 / 
Phone No.(s):
 / 
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Job Title/Supervisor:
 / 
 / 
Reason for Leaving:      
Professional, trade, business or civic activities & offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other.Protected Status:
OTHER QUALIFICATIONS - Summarize special job-related skills/qualifications from other employment or experience.
SPECIALIZED SKILLS - Indicate Skills/Equipment Operated.

Production/Mobile Machinery (List) Other (List)
ADDITIONAL INFORMATION - Anything that may be helpful when considering your application.
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Can you perform the essential functions of the job, for which you are applying, either with or without a reasonable accommodation?
REFERENCES
*Name 1:  *Phone 1:  ( )
*Address 1: 
*Name 2:  *Phone 2:  ( )
*Address 2: 
*Name 3:  *Phone 3:  ( )
*Address 3: 
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

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