Job Application Form for Employment | Kinetic Die Casting Company

Job Application Form
for Employment at
Kinetic Die Casting Company

Kinetic Die Casting Company considers all applicants for employment without regard to race, color, religion, sex, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. In addition, Kinetic Die Casting complies with applicable state and local laws prohibiting discrimination in employment in every jurisdiction in which it maintains facilities. Kinetic Die Casting also provides "reasonable accommodations" to qualified individuals with disabilities, in accordance with the Americans with Disabilities Act and applicable state and local laws.

Employment Applicant Information

Name:

Cell phone number:

Home Address:

City, state, zip:

Postion applying for:

Date:

Salary desired:

Regular full-time or part-time work?

Are you available for work on weekends?

Are you available for overtime work?

Are you available for any shift?

Referred by:

Personal Information

Email address:

Have you ever applied to or worked for Kinetic Die Casting before?

If yes, when?

Do you have any friends or relatives working for Kinetic Die Casting?

If yes, state name(s) and relationship:?

If hired, will you have a reliable means of transportation to and from work?

Are you at least 18 years old? (If under 18, a valid work permit is required.)

If hired, can you present evidence of your U.S. citizenship or proof of your legal right to live and work in this country?

Are you currently employed?

If so, may we contact your current employer?

Employment History 1

(List employment history in order, last or current employer first. Account for any gaps in your employment.)

Employer

Employer Phone #

Employer address

Starting Date

Ending Date

Supervisor's name

May we contact for reference?

Reason for leaving:

Starting position

Ending position

Summarize the type of work performed as well as the job responsibilities of your ending position:

Employment History 2

Employer

Employer Phone #

Employer address

Starting Date

Ending Date

Supervisor's name

May we contact for reference?

Reason for leaving:

Starting position

Ending position

Summarize the type of work performed as well as the job responsibilities of your ending position:

Employment History 3

Employer

Employer Phone #

Employer address

Starting Date

Ending Date

Supervisor's name

May we contact for reference?

Reason for leaving:

Starting position

Ending position

Summarize the type of work performed as well as the job responsibilities of your ending position:

Employment History 4

Employer

Employer Phone #

Employer address

Starting Date

Ending Date

Supervisor's name

May we contact for reference?

Reason for leaving:

Starting position

Ending position

Summarize the type of work performed as well as the job responsibilities of your ending position:

Education and Training

High School Name

High School Address

High School Course of Study

High School Number of Years Completed

High School did you graduate

High School diploma or degree recieved

College or trade school Name

College or trade school Address

College or trade school Course of Study

College or trade school Number of Years Completed

College or trade school did you graduate

College or trade school diploma or degree recieved

First Reference

Name

Relationship

Telephone number

# of years known

Second Reference

Name

Relationship

Telephone number

# of years known

Third Reference

Name

Relationship

Telephone number

# of years known

Associations

Organization

Offices Held

Organization

Offices Held

Organization

Offices Held

Additional Information

Why do you want to work for Kinetic Die Casting?

Please tell us about yourself and any skills that you have that would contribute to the success of Kinetic Die Casting.

What qualities do you look for in an employer?

Of all the jobs you have held, what was your favorite job? Why?

Is there anything else you would like to tell us about yourself?

Signature

Please read the following statements carefully before signing:

I understand and agree that:

The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during any interviews, can be justification of refusal of employment, or, if employed, termination from Kinetic Die Casting's employ.
Any offer of employment I may receive from Kinetic Die Casting is contingent upon my successful completion of the company's total pre-employment screening process, including the company's receiving references that it considers satisfactory, and my satisfactory completion of any post-offer pre-employment medical examination that the company may require. I also agree, if employed, to submit to a medical examination at any time at the company's request. I hereby consent to having the results of any post-offer pre-employment or post-employment medical exams I may be required to take disclosed to Kinetic Die Casting.
I understand that as a condition of employment, I may be required to undergo and successfully pass a screening for alcohol and/or drugs. I also understand and agree that, if employed, I may be required to submit to an alcohol or drug screening at any time at the discretion of Kinetic Die Casting. I hereby consent to having the results of any such alcohol or drug screening I may be required to undergo disclosed to Kinetic Die Casting.
I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualities pertinent to my qualifications for employment, hereby releasing them from any and all liability for damages arising from furnishing the requested information.
In consideration of my employment, I agree to comply with the policies, rules, regulations, and procedures of the company and understand that my employment and compensation can be terminated with or without cause or notice, at any time, at the option of either the company or myself. I further understand that no manager or representative of the company, other than the President or Human Resources Manager has any authority to enter into any agreement with me for employment for any specified period of time or to make any agreement different from or contrary to the foregoing. I further understand that any such agreement, if made, shall not be enforceable unless it is in writing and signed by me and by one of the individuals designated above.
I have read and understand the above. My signature gives my consent to these statements.

Signature

Signature Date

PLEASE NOTE: This application will be actively considered for a period of three (3) months. Individuals who wish to be considered for employment beyond the three (3) month "active consideration" period will need to submit a new application.

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Job Application Form for Employment | Kinetic Die Casting Company

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Job Application Form for Employment at Kinetic Die Casting Company

Job Application Form
for Employment at
Kinetic Die Casting Company