Employment Application

The information given on this form is solely for the use of Axxiom Manufacturing, Inc. and will be held in the strictest confidence. It will be to the applicant's advantage to answer each question fully and accurately. The use of this form does not indicate that there are any positions open and does not obligate the Company in any way.

* = Required Information

Personal
Employment Background (include salary information)

1. Present (or last) Employer

2. Previous Employer

3. Previous Employer

Education

High School

College

College

* If no degree obtained, indicate number of college credit hours completed.

Military
Criminal
Axxiom Manufacturing, Inc. will conduct a background check on all candidates selected for a position. While candidates with a criminal background will not be immediately excluded from consideration, Axxiom Manufacturing, Inc. reserves the right to exclude from consideration individuals who have a conviction within the past seven years for certain crimes, occurrence of multiple crimes, or frequency of the same crime(s).
Skills
References

List three professional references most familiar with your abilities (supervisors preferred).

Reference 1

Reference 2

Reference 3

Applicant's Statement (review and check the box below)
I affirm that I have read and fully completed both sides of this application and all information as written above is true and correct, and I acknowledge that I may be terminated at any time if any information I supply is false. I acknowledge that this application will remain active for no more than 45 days. If I wish to be considered for employment after this 45 day period, I will reapply. I understand that if I am employed by Axxiom Manufacturing, Inc. my employment and compensation can be terminated, with or without cause and with or without prior notice.

I authorize the references listed on this application to give you any and all information concerning my previous employment and pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I furthermore authorize Axxiom Manufacturing, Inc. to conduct a background check and/or drug screen on me so that they may confirm the information I have provided on this application is true and correct. Moreover, I acknowledge and agree that information gained from a background and/or drug screen on me may cause Axxiom Manufacturing, Inc. to withdraw an offer of employment if the results do not meet requirements for employment with Axxiom Manufacturing, Inc.

I grant Axxiom Manufacturing, Inc. the right to withhold, retain or deduct an amount up to and including the total amount of indebtedness, advances, charges for personal purchase on Company accounts, or any other amounts owed to Axxiom Manufacturing, Inc., or any of its affiliates, subsidiaries, or divisions, from my salary, wages, commissions, reimbursements or final pay subject to compliance with applicable state and federal wage and hour laws.

I understand that I am required to abide by all rules and regulations of the Company. I acknowledge that these policies and procedures, and any benefits or other terms and conditions of my employment, may be changed, interpreted, withdrawn or added to by the Company at any time without prior notice to me.


 I Understand and Agree with the Statements Above

AXXIOM MANUFACTURING, INC. IS AN EQUAL OPPORTUNITY EMPLOYER AND DOES NOT DISCRIMINATE AGAINST APPLICANTS OR EMPLOYEES ON THE BASIS OF RACE, COLOR, SEX, AGE, RELIGION, NATIONAL ORIGIN, OR DISABILITY.

Sign up for Schmidt E-News. Be the first to hear about new products and more.
Copyright © 2025 Axxiom Manufacturing, Inc.   /   Website by ChatmossWeb