EmailMe Form - NEW Boride Abrasives Employment Application

Position Being Applied For: *

PERSONAL INFORMATION

Name *

First Last

Current Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Email *

Are you eligible to work in the United States? *

Yes

No

Are you 18 years or older? *

Yes

No

Do you use tobacco products? *

Yes

No

Do you have specific salary requirements? *

Yes

No

If yes, please detail below.

How were you referred to our company? *

Have you ever been convicted of a crime, excluding misdemeanors and traffic violations? *

Yes

No

If yes, please give date, city and nature of offense.
(The existence of a criminal record will not necessarily disqualify you from employment consideration.)

AVAILABILITY:

Days Available *

Hours Available *

8-5 Office

1st Shift Production

2nd Shift Production

3rd Shift Production

For specific Day/Hour availability, please enter information below.

Total Hours available per week *

What date are you available to start work? *

MM / DD / YYYY

What method of transportation will you use to come to work? *

EDUCATION:

Please check highest education level attained:

Type of Degree *

Name and Address Of High School *

Name and City of College - Field of Study
(Please list all with most recent first)

Academic honors/recognition

Describe any other abilities, skills, experiences or certifications that you believe would be helpful in your job. Please include specific software experience you have, for example SyteLine, CAD, MS Office Certifications, etc.

About You

Please answer the questions below so that we can get to know you better

What should we know about you? *

Were you a success at your last position? If so, why? *

What are you looking for in a work environment? *

What are your long-term goals? *

Why should we hire you over other qualified candidates? *

EMPLOYMENT HISTORY:

Please list most recent employer first.
Please complete in full, even if you are also submitting a resume.
(Electronic resumé upload is at the end of this section)

Employer: *

Location (City, State) *

Start Date *

MM / DD / YYYY

End Date *

MM / DD / YYYY

Position Title: *

Starting Wage or Salary *

Input hourly wage, if not salaried.

Final Wage or Salary *

Input hourly wage, if not salaried.

Job Responsibilities: *

Supervisor: *

Supervisor's Title *

Supervisor's Phone Number *

### - ### - ####

Supervisor's Email

Reason for Leaving: *

What did you like most about your position? *

What were your least favorite parts of the position? *

Previous Position

Employer: *

Location: (City, State) *

Start Date *

MM / DD / YYYY

End Date *

MM / DD / YYYY

Position Title: *

Starting Wage or Salary *

Input hourly wage, if not salaried.

Final Wage or Salary *

Input hourly wage, if not salaried.

Job Responsibilities: *

Supervisor's Name *

Supervisor's Title *

Supervisor's Phone Number *

### - ### - ####

Supervisor's Email

Reason for Leaving: *

What did you like most about your position? *

What were your least favorite parts of the position? *

Previous Position

Employer:

Location (City, State)

Start Date

MM / DD / YYYY

End Date

MM / DD / YYYY

Position Title:

Starting Wage or Salary

Input hourly wage, if not salaried.

Final Wage or Salary

Input hourly wage, if not salaried.

Job Responsibilities:

Supervisor's Name

Supervisor's Title

Supervisor Phone Number

### - ### - ####

Reason for Leaving:

What did you like most about your position?

What were your least favorite parts of the position?

Have you ever been fired or asked to resign from any position? If yes, please explain. *

If you would like to submit a resumé electronically, please upload the file below.

May We Contact Your Present Employer? *

Yes

No

REFERENCES

Please list three people we may contact -
do not include immediate relatives or personal friends.

Reference #1
Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Occupation *

Years Known *

How do you know this person? *

Reference #2
Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Occupation *

Years Known *

How do you know this person? *

Reference #3
Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone Number *

### - ### - ####

Occupation *

Years Known *

How do you know this person? *

Signature: *

Read completely before initialing and submitting. (If interviewed, you will be asked to sign a printed copy)

I understand that the receipt of this application does not imply that I will be employed.

I represent that all of the information given by me in support of my application is true and complete to the best of my knowledge. Upon signing this application, I understand that I will be subject to immediate dismissal or refusal to hire if at any time if Boride Abrasives discovers that I have omitted, misstated or falsified information on this application or at anytime during the hiring process.

I authorize Boride Abrasives and its representatives to verify any of the information on this application and other documentation that I have provided, which may include prior employment records, education, consumer credit, criminal convictions, motor vehicle history and other reports. I authorize all previous employers and other persons who have information of me to release such information as is required. I hereby release Boride Abrasives, any individual, and any representatives of Boride Abrasives from all claims or liabilities whatsoever as a result of any such inquires and disclosures.

I understand that all employees of Boride Abrasives are at will, and that either party may terminate the employment relationship, with or without cause, at any time. This relationship may only be altered in writing directed to me personally and signed by the president of the company. Neither this application, nor any other documents given to me, is intended to create an express or implied contract of employment for a definite term.

I agree that I shall be bound by the rules, policies and regulations of Boride Abrasives, should I be employed.

I certify that I have read and agree with the statements above. *

Yes, I agree.

Initial *

Today's Date *

MM / DD / YYYY

Name

First Last

Name

First Last