Employment

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.

* Required

    Personal Information
    1. First Name

    2. Middle Name

    3. Last Name

    4. Phone Number

    5. Email Address

    Current Address
    1. Street

    2. City

    3. State

    4. Zip Code

    5. Since (Mo/Yr)



    Prior Address
    (only if at current address for less than one year)
    1. Street

    2. City

    3. State

    4. Zip Code

    5. Since (Mo/Yr)

    6. To (Mo/Yr)

    Education High School / GED
    1. School Attended

    2. City

    3. State

    4. Diploma/GED



    College / Vocational
    1. School Attended

    2. City

    3. State

    4. Diploma

    5. Degree/Certification/Diploma

    6. Area of Study

    Employment Information
    1. Date You Can Start

    2. Do you prefer

    3. Can you work

    4. Available

    5. Are you available to work overtime if required?

    6. Not Available



    Please answer all of the following questions.
    1. Are you legally eligible to work for our company in the United States? NoYes

    2. Have you worked for this business before? NoYes

      1. If yes, please provide dates and locations.

    3. Have you received a description of the job or been made aware of the essential functions of the job for which you are applying? NoYes

    4. Are you able to perform the "essential functions" of the job for which you are applying, with or without reasonable accommodation? NoYes

      1. If no, please explain.

    5. Are you on layoff and subject to recall? NoYes

    6. Are you currently bound by a noncompetition, confidentiality or trade secret agreement? NoYes

      1. If yes, please explain.

    7. Have you ever been discharged or asked to resign from a job? NoYes

      1. If yes, please explain.

    8. Do any of your friends or relatives, other than spouse, work here? NoYes

      1. If yes, state name and relationship.

    9. How did you hear about us?

    10. What position are you applying for?

    Employment History Current / Most Recent Employer
    1. Employer

    2. City

    3. State

    4. Zip Code

    5. Phone

    6. From (Mo/Yr)

    7. To (Mo/Yr)

    8. Supervisor

    9. Duties

    10. Reason For Leaving



    Prior Employers
    1. Employer

    2. City

    3. State

    4. Zip Code

    5. Phone

    6. From (Mo/Yr)

    7. To (Mo/Yr)

    8. Supervisor

    9. Duties

    10. Reason For Leaving



    1. Employer

    2. City

    3. State

    4. Zip Code

    5. Phone

    6. From (Mo/Yr)

    7. To (Mo/Yr)

    8. Supervisor

    9. Duties

    10. Reason For Leaving



    1. Employer

    2. City

    3. State

    4. Zip Code

    5. Phone

    6. From (Mo/Yr)

    7. To (Mo/Yr)

    8. Supervisor

    9. Duties

    10. Reason For Leaving

    Job-related Skills
    1. Can you read blueprints?

    2. Can you read hydraulic and/or electrical schematics?

    3. Skills

    4. Professional Designations



    Please answer the following questions if the position you are applying for requires driving a motor vehicle.

    1. Do you have a valid driver's license?

      1. If yes, Driver's License Number

      2. Date of Issue

    References


    References should be previous supervisors or co-workers that have direct knowledge of your job performance.

    1. Name

    2. Address

    3. Contact Info

    4. Years Acquainted



    1. Name

    2. Address

    3. Contact Info

    4. Years Acquainted



    1. Name

    2. Address

    3. Contact Info

    4. Years Acquainted

    Resume
    1. Text Resume

    2. Upload a digital copy of your resume here.

    Applicant Certification Agreement

    1. I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

      I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

      I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

      I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

      If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

      I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an 1-9 Form in this regard.

      This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, genetic information, citizenship, age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, genetic information, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials, and any other words or conduct that demean, stigmatize, intimidate, or single out a person because of his/her membership in a protected category.

      Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.

      I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.

    2. Signature