Burton Industries
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Employment Application

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Personal / Contact *
Name*
Address*
City*/State*/Zip*
Email*
Phone*

General Information *
Are you at least 18 years old?
Are you legally authorized to work in the U.S.?
Have you ever worked for Burton Industries?
Have you ever been convicted of a crime or pleaded no contest for any offense or violation other than minor traffic violations?
Position applied for*
Salary preference

Education
InstitutionAddress ProgramDegree/Program type Number of years attended

Employment History
Company Name Location Phone Job Title Salary Dates Reason for leaving

References
Name Address Phone Relationship

Comments / Resume Upload
Comments
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The information provided on this form will be considered an Employment Application and will be treated as such. All information provided is considered confidential and will be used solely for the purpose of the recruiting process.

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Burton Industries, Inc. / Headquarters
PO Box 250 Hazelhurst, WI 54531
Phone: (715) 356-5767
Fax: (715) 356-5138
Burton Industries, Inc. / Ironwood Division
1260 Wall Street Ironwood, MI 49938
Phone: (906) 932-5970
Fax: (906) 932-9822

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