Join the Vince Hagan Team

At The Vince Hagan Company, we’re dedicated to hiring talent that is dedicated to helping us make the best batching plant equipment out there. If you think you have what it takes, fill out the form below and one of our Human Resources officers will evaluate your application and contact you with any further requests or instructions.

Applicant must complete all fields.

Benefits Offered

Medical Insurance
Dental Insurance
Vision Insurance
401k

"*" indicates required fields

Step 1 of 7 - Personal Info

Personal Information

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

Name*

First Last

Phone*

Email*

Present Address*

Street Address City State ZIP Code

Are you over 18?*

Yes

Are you a citizen of the U.S. Or do you have the legal right to be employed in the United States?*

Yes

Have you ever been convicted of any crime (excluding minor traffic violations including DWI)?*

Yes

Please state the offense, location, date and disposition:*

Position You're Applying For:

General Laborers

Purchasing Agent

Parts Department

Electrical Department

Engineering Department

Sales Representatives

Accounting

Choose all that apply

Salary Desired*

Hourly Rate Desired*

Available Start Date*

MM slash DD slash YYYY

Have you ever applied to our company before?*

Yes

Have you ever worked for our company before?*

Yes

State when and where you applied and/or worked.*

How did you learn of our company and/or position?*

Are you now or do you expect to be engaged in any other business or employment?*

Yes

Are there any days or hours you would be unable or unwilling to work?*

Yes

Please specify those days or hours you would be unable or unwilling to work:*

Day

Hours

Education/Military Background

What education have you attempted or completed?*

High School

College

Trade School

Check all that apply

High School Name & City*

Did you graduate?*

Yes

Graduation Date*

Month

Day

Year

College Name & City*

Course or Major*

Did you graduate?*

Yes

Graduation Date*

Month

Day

Year

Trade School Name & City*

Course or Major*

Did you graduate?*

Yes

Graduation Date*

Month

Day

Year

Why did you leave High School, College, or Trade School?*

Are you planning to pursue further studies?*

Yes

What are those plans?*

When

Where

What Courses

List any scholastic honors offices held and activities involved in during high school and college*

When

What

List and describe any other school or specialized training*

When

What

Have you ever served in the military?*

Yes

Service Branch*

Final Rank*

Date Entered*

Month

Day

Year

Date Separated*

Month

Day

Year

Are you a member of a reserve organization?*

Yes

Were you separated from service with any degree of disability? If so, what degree:*

Medical Background

Do you have any physical defect of illness that may limit your ability to perform the particular job for which you’re applying?*

Yes

Please describe:*

Date of last physical exam*

MM slash DD slash YYYY

Results of exam*

Are you able to lift over 75 lbs?*

Yes

Are you able to stand for long periods of time?*

Yes

Have you ever been injured on the job?*

Yes

Please describe*

Nature of Injury

Employer when Injured

Year

Cause of Injury

Will you abide by the safety rules of this company?*

Yes

Are you willing to take a physical exam and a urinary drug screen at company expense?*

Yes

Have you ever received treatment for alcohol or drug use?*

Yes

Have you used any illegal drug, including marijuana, in the last twelve months?*

Yes

Days lost in the last two years due to illness:*

Days #

Reason

Employment History

Are you presently employed?*

Yes

May we contact your present employer?*

Yes

Company Name*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date*

Month

Day

Year

End Date*

Month

Day

Year

Position*

Reason for leaving*

Duties & Responsibilities*

Starting wage*

Hourly

Yearly

Amount*

Ending/Current wage*

Hourly

Yearly

Amount*

Add more employment history?*

Yes

Company Name*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date*

Month

Day

Year

End Date*

Month

Day

Year

Position*

Reason for leaving*

Duties & Responsibilities*

Starting wage*

Hourly

Yearly

Amount*

Ending/Current wage*

Hourly

Yearly

Amount*

Add more employment history?*

Yes

Company Name*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Start Date*

Month

Day

Year

End Date*

Month

Day

Year

Position*

Reason for leaving*

Duties & Responsibilities*

Starting wage*

Hourly

Yearly

Amount*

Ending/Current wage*

Hourly

Yearly

Amount*

Have you worked in any of your previous positions under another name?*

Yes

Please give that name*

First Last

Technical Experience

Do you have typing skills?*

Yes

Words per minute*

Do you have shorthand skills?*

Yes

Words per minute*

Do you have data entry skills?*

Yes

Do you have 10-key calculator skills?*

Yes

Have you had any computer or word processing experience or training?*

Yes

Please describe:*

What languages do you speak fluently?*

Why would you like to work for Vince Hagan?*

References

Name 3 References (not relatives)*

Name

Address

Phone

Relationship

Years Known

AFFIDAVIT

I certify that the answers given by me to the foregoing questions and statements are true and correct without any consequential omissions of any kind what so ever. I understand that any misleading or incorrect statements may render this application void and, if employed would be cause for my termination. I further agree that the Company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or persons named above to give any information regarding my employment. Character and qualifications and hereby release said companies, schools or persons from all liability for any damage for issuing this information. I certify that all statements and answers to questions about my health are true and were made without reservations and agree to expressly waive all provisions of the future. I understand that if I am employed by the Company I may resign at any time and that my employment may be terminated at any time, without cause or notice. I understand that no representative of the Company other than the President has the authority to enter into any agreement for employment at any time or to make any agreement contrary to the foregoing.

Signature*

Today's Date*

MM slash DD slash YYYY

Comments

This field is for validation purposes and should be left unchanged.

Join the Vince Hagan Team

Applicant must complete all fields.

Benefits Offered

Personal Information

Education/Military Background

Medical Background

Employment History

Technical Experience

References

AFFIDAVIT

Title