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Online Application

Personal:
First Name:
 Last Name:
E-mail:
Address:

City:
 State:
 Zip:
Day Phone: OK to call day phone?
Evening Phone:
Education:
(please list each school you attended and degrees earned or hours completed as well as year of graduation)
School: Major: Degree: Year:
Work Experience: (up to the 4 most recent companies)

Company 1

From: (mm/yy)

To: (mm/yy)

Company:

Division of:

Location:

Position:

Base Salary:

Bonus:

Title of Immediate Supervisor:

# of employees at location:

Direct Reports (Staff):

Responsibilities:

Previous positions:

Manufacturing processes:

Raw materials used:

Products made or sold:

Company 2

From: (mm/yy)

To:(mm/yy)

Company:

Division of:

Location:

Position:

Base Salary:

Bonus:

Title of Immediate Supervisor:

# of employees at location:

Direct Reports (Staff):

Responsibilities:

Previous positions:

Manufacturing processes:

Raw materials used:

Products made or sold:

Company 3

From: (mm/yy)

To:(mm/yy)

Company:

Division of:

Location:

Position:

Base Salary:

Bonus:

Title of Immediate Supervisor:

# of employees at location:

Direct Reports (Staff):

Responsibilities:

Previous positions:

Manufacturing processes:

Raw materials used:

Products made or sold:

Company 4

From: (mm/yy)

To:(mm/yy)

Company:

Division of:

Location:

Position:

Base Salary:

Bonus:

Title of Immediate Supervisor:

# of employees at location:

Direct Reports (Staff):

Responsibilities:

Previous positions:

Manufacturing processes:

Raw materials used:

Products made or sold:

Geographic Locations:
Please check the locations you are willing to consider:

Atlantic Coast (DE, MD, NJ, WV, PA)
Midwest (IL, IN, IA, KS, MI, MN, MO,
                    NE, ND, OH, SD, WI)
Northeast (CT, ME, NH, NY, RI, VT, MA)
Rocky Mountains (CO, ID, MT, NV, UT, WY)
Southeast (AL, AR, FL, GA, KY, LA, MS, TN
                       NC, SC, VA)
Southwest (TX, OK, NM, AZ)
West Coast (AK, CA, HI, OR, WA)

You can further expedite your application by faxing your resume to (901) 754-2896 or email it to jobs@excelassociates.com