Exodus Machines Inc. logo

Application for Employment

In compliance with Federal and State equal employment opportunity laws, qualified applicants are considered for all positions without regard to race, color, sex, national origin, age, marital status, veteran status, non-job related disability, or any other protected group status.

Applicant to complete all information requested.

Are you legally eligible for employment in the United States?

Are you over the age of 18?

Applicant Contact Information


Present Address

Previous Address

Company Experience

Have you worked for this company before?


Are you currently employed?


Type of School
Name and City
Completed (y/n)
Program or Major



High School


Work Experience

Check this box if you have no prior work experience

List Employment History, beginning with current or most recent

Professional References


List your skills relevant to the position (proficiency with specific software, manufacturing equipment)

Applicant Must Read and Sign

I certify that I have read and understood all of this employment application. It is agreed and understood that the employer or his agents may investigate my background to ascertain any and all information of concern to my employment history, whether same is of record or not, and I release employers and other persons named herein from all liability for any damages on account of furnishing such information. I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to the job. I also understand that if offered a job, it may be conditioned on the results of a physical examination and drug test.

I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.

I agree to furnish such additional information and complete such examinations as may be required to complete my employment file.

I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal.

If hired, I agree to abide by all the rules and policies of the employer.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

Only file types with the extension of .PDF, .DOC, .DOCX, and .RTF can be submitted.
File must be under 4MB in size.