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ISO 9001:2000 certificationSAE AS9120:2002 certification

Employment Form

Please fill out the following fields.

*Position Applied For:  
*Location:  
Source Of Referral:  
Name Of Source (if applicable):  
     
*First Name:  
Middle Initial:  
*Last Name:  
*Street Address  
Address 2:  
*City  
*State:  
*Zip/Postal Code:  
Country:  
*Email:  
*Phone Number:  
     
Have you applied for a job with us before?   Yes  No
if yes when?  
*Are you legally eligible for employment in this country?   Yes  No
Date available to start work:  
*Will you relocate if required?   Yes  No
*Will you travel if job required?   Yes  No
Are you currently on a lay-off and subject to recall?   Yes  No
*Have you been convicted of a crime in the past 7 years?   Yes  No
If yes, please explain:  
     
Employment Experience:    
Employer 1:  
Address:  
Telephone:  
Job Title  
Work Performed:  
Length of Service:  
Start Date:  
End Date:  
Reason for Leaving:  
Starting Salary $:  
Ending Salary $:  
May we contact them?:   Yes  No
     
Employer 2:  
Address:  
Telephone:  
Job Title  
Work Performed:  
Length of Service:  
Start Date:  
End Date:  
Reason for Leaving:  
Starting Salary $:  
Ending Salary $:  
May we contact them?:   Yes  No
     
Employer 3:  
Address:  
Telephone:  
Job Title  
Work Performed:  
Length of Service:  
Start Date:  
End Date:  
Reason for Leaving:  
Starting Salary $:  
Ending Salary $:  
May we contact them?:   Yes  No
     
Please list any special skills and/or qualifications:  
Is there any reason known to you why you might be unable to perform consistently and promptly any of the job duties?   Yes  No
If hired, could you give written evidence of a right to work in this country?   Yes  No
     
I will include my resume as a PDF or Word Document:  
Additional Comments:  

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

I hereby authorize Century Fasteners Corp. to contact prior employers (if checked above) to obtain any and all information related to my past work performance. I understand and agree that any material misrepresentation or deliberate omission of a fact in my application may be justification for refusal of, or if employed, termination from employment.

We consider applicants for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or handicap, or any other legally protected status.

AN EQUAL OPPORTUNITY EMPLOYER
* denotes a required field