Employment Application

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About You

Your Name(Required)

First Last

Referral Source

Walk-in

School

Job Fair

Newspaper

Social Media

Staffing Agency

Company's Website

Government Employment Agency

Other Internet

Employee

Other

Referral Source

Please tell us more about your referral

How Can We Reach You?

Your Address

Street Address Address Line 2 City ZIP Code

Your Email Address(Required)

Email Address Confirm Email Address

Phone #(Required)

Mobile Phone #

Best Time to Call You(Required)

Employment

Have you ever been employed here before?(Required)

Yes

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Are you legally eligible to work in the United States?(Required)

Yes

In compliance with applicable law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification on the form upon hire.

If no, please explain

Date available to begin work(Required)

MM slash DD slash YYYY

Will you work overtime if asked?(Required)

Yes

If no, please explain

Have you ever been convicted of a crime that has not been expunged by a court?(Required)

Yes

A conviction will not constitute an automatic bar of employment and will be considered only as it relates to the job in question.

If yes, please provide date(s) and details

Employment History

Employer 1

Date Employed From

MM slash DD slash YYYY

Date Employed To

MM slash DD slash YYYY

Phone

City & State

Starting Job Title

Final Job Title

Pay

Why did you leave?

Summarize the type of work performed and job responsibilities

What did you like most about your position?

What did you like least about your position?

Immediate Supervisor and Title (for most recent position held)

May we contact them for a reference?(Required)

Yes

Please provide email or phone number

Employer 2

Date Employed From

MM slash DD slash YYYY

Date Employed To

MM slash DD slash YYYY

City & State

Phone

Starting Job Title

Final Job Title

Pay

Why did you leave?

Summarize the type of work performed and job responsibilities

What did you like least about your position?

What did you like most about your position?

Immediate Supervisor and Title (for most recent position held)

May we contact them for a reference?(Required)

Yes

Please provide email or phone number

Please explain any gaps in your employment

Have you ever been fired or asked to resign from a job?(Required)

Yes

If yes, please explain

Skills & Qualifications

Summarize any special skills

Educational Background

School 1 (Include City and State)

Years completed

Completed

Yes

School 2 (Include City and State)

Years completed

Completed

Yes

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

Resume

Upload your resume

Max. file size: 64 MB.

Provide link to online resume

Required

Calumet Brass Foundry cares deeply about the safety and health of their employees. We follow strict guidelines to ensure the well-being of everyone who works on our team. All foundry employees must agree to the following as a condition of their employment:

All foundry employees must shower at the end of their shift as required by OSHA(Required)

I agree

All foundry employees must allow Calumet Brass Foundry to monitor their health, including blood draws every 3 months and yearly physicals.(Required)

I agree

All foundry employees must be clean-shaven to ensure a snug fit of their respirator(Required)

I agree

Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete, and correct to the best of my knowledge. I understand that false, misleading, or incomplete information given in my application, resume, other employment documents, or interview(s) may disqualify me from further consideration for employment or lead to my immediate dismissal from employment if I am hired.

I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional) and to otherwise notify the accuracy of all information provided by me in this application, resume, or job interview. I hereby release Calumet Brass Foundry from any/all liability of whatever kind in nature which, at any time, could result from obtaining and having an employment decision based on such information. I also authorize any person and/or entity named in this application to provide the Company with relevant information that may be useful in making a hiring decision, and I release such persons and identities from any legal liability for making such statements.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

I understand that neither this application nor any statement made to me by Calumet Brass Foundry creates a contract of employment. I also understand and agree that, if I am hired, my employment is at will and that I am free to resign at any time, with or without cause and with or without prior notice, and the employer may terminate my employment at any time, with or without cause and with or without notice, except as may be required by law. I understand that no supervisor or representative of the employer is authorized to make any assurance to the contrary.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 form in this regard.

NOTE: This company complies with Illinois Law prohibiting smoking in enclosed areas within places of employment.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT

I certify that I have read, fully understand, and accept all terms for the foregoing Applicant Statement.

Signature of Applicant (please type your full name)*(Required)

Date(Required)

MM slash DD slash YYYY

This field is for validation purposes and should be left unchanged.

Calumet Brass Foundry is American Made Melted and Manufactured in the U.S. since 1906

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Employment Application