What position are you applying for?-- Refinisher - Apprentice Refinisher - Foreman Operations Manager Sales Account Representative Other
What shift would you prefer?
Are you applying for full or part time work?
When are you available to start?
How were you referred to our company?
If you were referred by an employee, please state the employee's name:
Have you submitted an application here before?
Have you ever been employeed here before?
Are you legally eligible for employment in the United States? (If yes, proof is required if hired.)
Are you able to perform the “essential functions” of the job for which you are applying (with or without reasonable accommodation)?
Will you travel, if required?
Will you work overtime, if required?
If they have been explained to you, are you able to meet the attendance requirements of the position?
Please provide your driver's license number, if driving is required for your job.
License state of issue:
Have you entered into an agreement with any former employer or other party (such as a noncompetition agreement) that might, in any way, restrict your ability to work for our company?
Employment Experience In the following section, please provide information related to your previous two employers.
Name of Employer:
Contact Name:
Street Address:
Street Address Line 2:
City:
State/Province/Region
Zip/Postal Code:
Country:
Phone Number:
Start Date MM/DD/YYYY:
End Date MM/DD/YYYY
Job Title:
Hourly Rate/Salary:
Work Performed:
Reason for Leaving:
May we contact this employer?
Employer #2
Name of Employer:
Contact Name:
Street Address:
Street Address Line 2:
City:
State/Province/Region:
Zip/Postal Code:
Country:
Phone Number:
Start Date MM/DD/YYYY
End Date MM/DD/YYYY
Job Title:
Work Performed:
Hourly Rate/Salary:
Reason for Leaving
May we contact this employer?
Education Background
What is the highest level of education you have completed?
Full name of high school:
High School Location (City & State)
Full name of college (example: "University of Missouri" not MU):
College location (City & State):
Name of degree or diploma received:
Full name graduate school:
Graduate school location (City & State):
Name of degree or diploma received:
Full name of vocational school:
School location (City & State):
Name of degree or diploma received:
Please list any continuing education you are currently enrolled in:
Special Training or Skills: Please list any languages, machine operation, etc., that would be of benefit in the job for which you are applying:
References List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Reference Name:
Title:
Relationship to you:
Telephone:
Email address:
Length of time you have known this person:
Reference #2
Reference Name:
Title:
Relationship to you:
Phone Number:
Email Address:
Length of time you have known this person:
Reference #3
Reference Name:
Title:
Relationship to you:
Phone Number:
Email Address:
Length of time you have known this person:
Application Statement By clicking the submit button, you certify that all the information submitted by you on this application is true and complete, and you understand that if any false or misleading information, omissions or misrepresentations are discovered, your application may be rejected, and if you are employed, your employment may be terminated at any time. If hired, you agree to conform to the Company’s rules and regulations, and you understand that these rules and/or the employee handbook do not form a contract of employment either express or implied, and you agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either you or the Company’s option. You also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the Company. You understand that no Company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing. You 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, resume or job interview. You 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. You 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. You 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 as required by federal immigration laws. This Company does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. No question on this application is used to limit or exclude an applicant from employment consideration on any basis prohibited by applicable federal, state or local law.
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