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Employment Application

This recreation includes the original Jefferson Machine employment-application sections. Please complete the required fields and review the acknowledgments before sending.

Applicant Information
Are you authorized to work in the United States?
Position and Certifications
Have you served in the military?
Employment History 1
May we contact this employer?
Employment History 2
May we contact this employer?
Employment History 3
May we contact this employer?
Reference 1
Reference 2
Reference 3
Applicant Acknowledgments

Please acknowledge each statement below. These items carry over the original application’s disclosure categories.

Résumé and Signature

Optional résumé upload: PDF, Word document, or JPEG image, up to 5 MB.

Security Code

This quick security check helps protect Jefferson Machine from automated submissions.

Jefferson Machine Co.

Crane & heavy equipment parts, field service, shop service and welding support for the equipment that keeps your operation moving.

Get in Touch

954 Route 119
Punxsutawney, PA 15767

800.814.2630
814.938.6420
kim@jeffersonmachine.com