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Employment Application

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Applicant Information
Full Name:

Last*

First*

M.I.
Date
Address:

Street Address

Apartment/Unit #

City

State

ZIP Code
Phone*:
Alt. Phone:
Email*:
Date Available:
Desired Salary: $

Position(s) Applied for:
Shifts or Hours available:
Facility Applied to*:
Illinois
Indiana
Tennessee
Texas
Are you authorized to work in the U.S.??
Yes No     All employment is conditioned upon your providing timely and satisfactory evidence of your identity and legal right to work in the United States
 
Have you ever worked for Modern Forge?
Yes No
If yes, when?
Were you referred by a current or former employee?
Yes No
If yes, who?
If hired, and you are under 18, can you furnish a work permit?
 
Yes No I am over 18
Education
High School:
City:
State:
Did you graduate? Yes No

College:
City:
State:
Did you graduate? Yes No
Degree:
Major:
Minor:

Other:
City:
State:
Did you graduate? Yes No
Certification/License:
References
Full Name:
Relationship:
Company:
Phone:

Full Name:
Relationship:
Company:
Phone:

Full Name:
Relationship:
Company:
Phone:
Previous Employment
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for leaving:
May we contact your previous supervisor for a reference? Yes No

Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for leaving:
May we contact your previous supervisor for a reference? Yes No

Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary: $
Ending Salary: $
Responsibilities:
From:
To:
Reason for leaving:
May we contact your previous supervisor for a reference? Yes No
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
Other Training, Skills, or Experience
Disclaimer and Signature

I certify that my answers are true and complete and that false or misleading information in my application or interview may result in denial of employment or discharge. Furthermore, I give my full consent for Modern Forge to perform a thorough background check verifying my employment, references, education, credit history, and legal convictions as required for the position for which I am applying. I also understand that I must submit to physical examination and substance abuse testing as a condition of employment if selected for a position with the company.

I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, IF HIRED, MY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION WOULD BE "AT-WILL," WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND FOR ANY OR NO REASON, AND THE EMPLOYER MAY DISMISS THE EMPLOYEE AT ANY TIME AND FOR ANY OR NO REASON. IT IS FURTHER UNDERSTOOD THAT THIS "AT-WILL" EMPLOYMENT RELATIONSHIP MAY NOT BE CHANGED BY ANY WRITTEN DOCUMENT OR BY CONDUCT UNLESS SUCH CHANGE IS SPECIFICALLY ACKNOWLEDGED IN WRITING BY AN AUTHORIZED EXECUTIVE OF THIS ORGANIZATION.

I understand that I am required to abide by all rules and regulations of the employer if I become employed at Modern Forge Companies, LLC.

I agree to At-Will Terms
Date:

Voluntary Applicant Survey

Applicant Information
Full Name:

Last

First

M.I
Address:

Street Address

Apartment/Unit #

City

State

ZIP Code
Home Phone:
()
 
Position Applied for:
Voluntary Information

This information is being requested in accordance with federal regulations. The information is voluntary and will not be used when considering you for employment with our company.

Racial or Ethnic Group (please select all that apply)

American Indian/Alaskan
Hispanic/Latino
Asian/Pacific Islander
White/Caucasian
Black/African American
Other

Gender

Female
Male

Military Service

Pre-Vietnam Era
Vietnam Era
Post-Vietnam Era
Disabled Veteran

How did you hear about this position?

Newspaper
Company Employee
Professional Publication
Job Fair
Placement Office
Website
Other
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