Applicant Information

First Name *

Address

Street Address *

City *

State *

Country *

Postal Code *

Application History and Background

Educational History

Employment History - Start with your most recent job

Employer 1

Business Name

Phone

Dates of Employment

Position Held

Description of Duties

Reason for Leaving

May we contact this employer?

Yes

No

Employer 2

Business Name

Dates of Employment

Position Held

Description of Duties

Reason for Leaving

May we contact this employer?

Yes

No

Employer 3

Business Name

Dates of Employment

Position Held

Description of Duties

Reason for Leaving

May we contact this employer?

Yes

No

Professional References (please do not list friends and/or family)

Reference 1

Relationship

Reference 2

Reference 3

Use the space provided to include any additional information you feel should be considered (example: certifications, training, professional affiliations, etc.)

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Acknowledgement and Authorization

I certify that all matters contained in this application (and accompanying resume, if any) are true, and authorize an investigation for the purpose of evaluating my qualifications for employment. This may include requesting information from: former employers (unless otherwise noted), educational institutions, business and professional organizations, local, state, and federal law enforcement agencies, individuals with whom I have been associated, and with any others who have information regarding my competence, character, or qualifications. I release Great Lakes Castings, LLC and these entities and individuals from any liability regarding this disclosure.

I hereby understand and acknowledge that I am applying for an employment position with Great Lakes Castings, LLC that is "at will", which means that employee or employer may terminate the employment relationship at any time with or without cause. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between me and Great Lakes Castings, LLC.

In the event of employment, I understand that false or misleading information given in my application, interview(s) or resume may result in an immediate discharge at the time of discovery. I understand, also, that I will be required to abide by all rules and regulations of Great Lakes Castings, LLC. I understand that any offer of employment is conditioned on my successful completion of a medical examination. I further agree, if hired, to submit to any future examination (including drug and alcohol testing) as required by the Company.

I acknowledge that I have read and understand the above information.

Signature *

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NOTE TO APPLICANT: If hired, Federal Law requires that you furnish documentation showing your identity and that you are legally authorized to work in the United States. A list of acceptable documents is available upon request.

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