Download Employment Application

Golden Aluminum
Application for Employment
An Equal Opportunity Employer
We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, genetic information or any other status protected by law or
regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
Last Name
Candidate Information (Please Print Legibly)
First Name
Middle Initial
Phone Number
(
)
Street Address
City
Email Address
What is the preferred way to contact you?
-
State and Zip Code
Phone
Email
What position are you applying for:
What is your desired starting wage:
______________________________________________
$___________________
Hourly / Annually
What date are you available to begin work?
What shifts are you available to work:
/
/
ASAP
Days
Nights
Both
Are you seeking:
Have you previously applied with Golden Aluminum?
Full-Time
Part-Time
Temporary / Summer
Yes
No
Are you at least 18 years of age?
Have you ever been employed by Golden Aluminum?
Yes
No
Yes (Separation Date: ___________)
No
Were you referred by a Golden Aluminum employee?
If you were referred, please provide name of employee:
Yes
No
_______________________________________________
If hired, are you able to furnish proof of your eligibility to work in the U.S?
Yes
No
Within the past 7 years, have you been convicted of a felony?
Yes
No
Education / Skills
Diploma / Degree
Level of Education
School Name and Address
# of Years Attended
Received?
High School/GED
College / University
Vocation / Technical
What special skills or additional training do you have that would benefit you in the position you are applying for?
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Please list any specific machines or equipment that you have operated which would benefit you in this position:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Work History
In this section, please list the names of employers in consecutive order with present/most recent employer listed first. Account for
all periods of time, including military service and any periods of unemployment. If self-employed, please provide firm name and
supply business references. NOTE: A job offer may be contingent upon acceptable references from current and former employers.
Employer Name:
Job title:
Address:
City/State:
Supervisor/Manager Name:
From:
Ending Wage:
Zip:
Dates of Employment:
To:
Phone Number:
(
)
-
May we Contact this
Employer?
Yes
No
Primary Job Duties:
Reason for Leaving:
Employer Name:
Job title:
Address:
City/State:
Supervisor/Manager Name:
From:
Ending Wage:
Zip:
Dates of Employment:
To:
Phone Number:
(
)
-
May we Contact this
Employer?
Yes
No
Primary Job Duties:
Reason for Leaving:
Employer Name:
Job title:
Address:
City/State:
Supervisor/Manager Name:
From:
Ending Wage:
Zip:
Dates of Employment:
To:
Phone Number:
(
)
-
May we Contact this
Employer?
Yes
No
Primary Job Duties:
Reason for Leaving:
Employer Name:
Job title:
Address:
City/State:
Supervisor/Manager Name:
From:
Primary Job Duties:
Reason for Leaving:
Ending Wage:
Zip:
Dates of Employment:
To:
Phone Number:
(
)
-
May we Contact this
Employer?
Yes
No
Professional References
In the sections below, please provide 3 professional references. A professional reference can be any individual who you worked with
or reported to in a professional capacity. Please do not provide family members or friends.
Name of Contact:
Relationship:
Phone Number:
(
)
Email Address:
-
Name of Contact:
Relationship:
Phone Number:
(
)
Email Address:
-
Name of Contact:
Relationship:
Phone Number:
(
)
Email Address:
-
AFFIDAVIT,CONSENT AND RELEASE
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all information provided in this employment application is true and complete. I understand that any false
information or omission of information, whether stated or implied within this application or found though interview(s) may
disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
I authorize the investigation of any or all statements contained in this application to be conducted by Golden Aluminum or its
authorized representatives. I also authorize, whether listed or not, any person, school, current employer, past employers, and
organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release Golden
Aluminum, stated persons and organizations from any legal liability in making such statements.
I understand I will be required to successfully pass a medical and drug/alcohol screening examination. I hereby consent to a
post-employment drug screen as a condition of employment. I understand that if I do not successfully complete the exam
and/or screening, any job offer previously extended will be withdrawn.
I understand that Golden Aluminum is not obligated to provide employment and that I am not obligated to accept employment.
Nothing in this application, nor in any prior or subsequent communication (written or verbal), is intended to create any contract
of employment or to create any rights in the nature of a contract. This application does not bind either party for a specific period
of time regarding employment. I also understand that no one has the authority to enter into an agreement, contract, or
modification of the understanding expressed in this statement unless it is in writing and signed by the President of Golden
Aluminum. If hired, I understand that nothing shall restrict my right as an employee or the right of Golden Aluminum as an
employer to terminate my employment at any time for any reason, with or without notice.
I have read, understand, and by my signature, consent to the statements above.
Signature of Applicant
Date
Has this candidate been contacted?
Date of contact:
/
/
Yes
Human Resources Only
No Final status of candidate:
Hired
Pass
Withdrew