Step 1

Basic Information


Step 2

Education History


Step 3

Employment History


Step 4

Skills Inventory


Thank you for your interest in Wirtz Manufacturing! Before you begin filling out the application, please read the following disclosures.

  1. Wirtz Manufacturing has a non-smoking company policy.
  2. Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin or disability.
  3. To enable us to properly evaluate this application, answer all questions completely. Be sure to state specific position for which you are applying.
  4. You may be required to take a medical exam after an offer of employment has been made.
  5. You will be required to take a drug screening and nicotine test, as a condition of employment.
I have read and agree with the disclosures

Step 1

Personal Information

Yes No
Yes No
Yes No

Yes No

If yes, please explain

Yes No

If yes, please explain

Yes No

If no, please explain

STEP 1 of 4

Step 2

Education History


STEP 2 of 4

Step 3

Employment History

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MILITARY — Complete this section if you served in the U.S. Armed Forces

STEP 3 of 4

Step 4

Skills Inventory

  • N.C. Lathe
  • Engine Lathe
  • Lathe-Other
  • Bridgeport Mill
  • Milling Machine
  • 3-D Duplicator
  • Radial Drill Press
  • Upright Drill Press
  • Blanchard Grinder
  • Surface Grinder
  • Welding
  • CNC Machine
  • Sharper
  • Inspection
  • Mechanical
  • Assembly
  • Hydraulics
  • Electronics
  • Shipping
  • Stock Room
  • Circuit Boards
  • Electrical
  • Plumbing
  • Mechanical
  • Painting
  • Refrigeration
  • Carpentry
  • Edit NC Machines
  • Edit CNC Machines
  • Read blueprints
  • Read micrometers
  • Read gauges
  • Read schematics
  • Read color code
  • Sharpen tools
  • Make machine set


I hereby declare and certify that the information provided by me in this application is true, correct and complete. I understand and acknowledge that false, misleading information or omission of fact can be cause for rejection of application or, if employed, sufficient cause for dismissal, at any time.

I authorize investigation of all statements contained in this application and full disclosure of my present and prior record. I hereby release the company and any prior employer from any obligations to provide me with written notification of such disclosure. I understand that this may include a record of disciplinary action assessed by the company or previous employers.

I further understand that certain positions offered in the company may require a physical examination by a company designated physician and that employment is contingent upon receipt of a satisfactory medical evaluation.

I recognize that this application is not an offer for a contract of employment. I further recognize and agree that if I am employed by the company, such employment will not result in a contract for employment nor will my employment be for a definite period of time and that the company amy terminate my services at any time for any reason or no reason at all. I further recongize that if I am employed by the company, I will receive compensation and benefits and be subject to rules and regulations; but I agree such compensation, benefits, rules and regulations are subject to change by the company at any time with or without notice to me. I further recognize that my assigned work hours may be modified; and if requested, I will be required to work overtime. I further recognize that nothing contained in any documents published by the company shall in any way modify the above terms and that these terms cannot be modified in any way by any oral or written representations made by anyone employed by the company; except by a written document signed by the president or vice president of the company.

I have read and agree with the above terms.

STEP 4 of 4

Thank you!

Your application has been submitted

We will review your application and contact you if we have additional questions.

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