It takes the best team to make the best industrial camera systems

Dakota Micro, Inc is a family owned company that’s committed to creating the highest quality products and worksite solutions for our customers. We offer competitive pay and benefit packages and a supportive work environment. If you would like to join us in making the world’s toughest camera systems, we invite you to apply online.

DAKOTA MICRO, INC IS AN EQUAL OPPORTUNITY EMPLOYER

Applicant Information

* First Name
Middle Name
* Last Name
Street Address
Apartment/Unit #
City
State (ND)
Zip Code (55555)
Phone (Home) (555-555-5555)
Phone Number (Work) (555-555-5555)
* Phone Number (Cell) (555-555-5555)
Have you ever been convicted of a felony or misdemeanor, other than minor traffic violations? (A background check will be conducted at the time employment is offered)

If yes, explain
Have you ever been fired or resigned from a position after being notified you would be fired?

If yes, explain

Education

High School or Highest Grade Completed

Name
Location
Date from (MM/DD/YYYY)
Date to (MM/DD/YYYY)
Date Graduated (MM/DD/YYYY)

College or University

Name
Location
Major Area of Study
Degree or # of credits completed
Date from (MM/DD/YYYY)
Date to (MM/DD/YYYY)
Date Graduated (MM/DD/YYYY)

Graduate School

Name
Location
Major Area of Study
Degree or # of credits completed
Date from (MM/DD/YYYY)
Date to (MM/DD/YYYY)
Date Graduated (MM/DD/YYYY)

Business or Trade School

Name
Location
Major Area of Study
Degree or # of credits completed
Date from (MM/DD/YYYY)
Date to (MM/DD/YYYY)
Date Graduated (MM/DD/YYYY)

Special Skills, Certifications, Awards & Abilities (including computer skills & languages)
How did you hear about Dakota Micro?

Employment History

Employer
Address
City
State
Zip Code
Position Title
Start Date (MM/DD/YYYY)
End Date (MM/DD/YYYY)
Starting Wage
Ending Wage
Number of hours per week
Description of work
Reason for leaving

Employer
Address
City
State
Zip Code
Position Title
Start Date (MM/DD/YYYY)
End Date (MM/DD/YYYY)
Starting Wage
Ending Wage
Number of hours per week
Description of work
Reason for leaving

Employer
Address
City
State
Zip Code
Position Title
Start Date (MM/DD/YYYY)
End Date (MM/DD/YYYY)
Starting Wage
Ending Wage
Number of hours per week
Description of work
Reason for leaving

Other Skills

List Other Skills

References

Full Name
Relationship
Phone Number (555-555-5555)
City
State

Full Name
Relationship
Phone Number (555-555-5555)
City
State

Full Name
Relationship
Phone Number (555-555-5555)
City
State

Authorizations

* I certify that the statements in this application are true and complete to the best of my knowledge, and I agree that any intentional misstatement or omission will constitute grounds for unfavorable consideration of my application or dismissal from employment with Dakota Micro.
* I authorize Dakota Micro to obtain information from past employers and other sources to support the data on this application, including a review of my educational criminal and credit records. Employment, if offered, will be conditioned upon a background check.
* May we contact your PRESENT employer

If no, explain

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