It is the policy of Amada America, Inc. to deal with all applicants and employees without regard to race, color, religion, sex, sexual orientation, national origin, ancestry, marital status, age, disability or veteran status. Please inform the Human Resources Department if you require an accommodation in order to participate in the application process.
IMPORTANT NOTICE: This is a very significant document. Be very careful as you complete it. Answer each item accurately and completely. Failure to do so may result in not being considered for the position or in termination if inaccurate or omitted information is discovered after employment has begun.
Government Agencies require reports on status of applicants. This data is for analysis and affirmative action only. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect any consideration you may receive for employment, or alter advancement in employment.
List all other names by which you have ever been known if necessary to verify the accuracy of the information contained in this application.
Present Address:
City, State, Zip: , , Phone:
Are you 18 years or older? Yes No
Can you provide proof or authorization to work in the US? Yes No
Salary Desired
Are you employed now? Yes No
If so, may we inquire of your present employer? Yes No
How were you referred to Amada?
Have you ever applied to an Amada Group Company before? Yes No
If yes, please indicate: When [Set to Now] and where
Result
Trade, Business or Correspondence School(s)
Present or Last Employer
Address , Phone
Starting Date [Set to Now] ; Leaving Date [Set to Now]
Starting Salary HR/Mo ; Final Salary HR/Mo
Job Title
Name and title of immediate supervisor ; Phone
May we contact? Yes No
Description of work
Termination was: Voluntary or Involuntary
Reason for leaving
Employer #2
Add More
Employer #3
Employer #4
Please account for any time over one month not employed in the last 10 years
Special study or research work:
Special training:
Special skills:
Do you have any commitments to any other entity, business, or person that might affect your employment with Amada? Yes No
If yes, explain fully:
Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation? (If you do not know the essential functions of the job for which you are applying, please ask Human Resources) Yes No
Are you able to meet the attendance requirements of the job for which you are applying? Yes No
If no, describe the attendance requirements you cannot meet:
Have you been convicted of a felony or misdemeanor in the last seven (7) years? Yes No
Please note: Do not answer "yes" to this question if (i) your arrest or detention did not result in a conviction, or if your conviction was annulled, expunged, purged or sealed; (ii) you were referred to or participated in a pretrial or post trial diversion program; (iii) it was an offence that was finally settled in juvenile court or referred to the youth authority; or (iv) it was marijuana-related conviction that is more than two (2) years old. Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.
If yes, please explain:
Important: Please read carefully and initial each paragraph
"I declare that the facts contained in this application or any resume or other documentation submitted are true and complete to the best of my knowledge. I understand that any false information or significant omissions will disqualify me from further consideration for employment, and may result in my dismissal from employment if discovered at a later date."
"I authorize the company to contact and obtain information from all references, employers and educational institutions, and to otherwise verify the accuracy of the information contained in this application, and I authorize the release of this information"
"I understand that any offer of employment may be conditioned upon the satisfactory results of a background investigation, a physical examination and my passing a drug/alcohol screening"
"I understand that, if hired, I will be required to provide proof of identity and legal work authorization"
"I understand that, if hired, I may not hold other employment or engage in other activities that create a conflict of interest with my position in the company"
"If I become employed, and in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company."
Agreement for at-will employment
"If I become employed, and in consideration of my employment, I agree that my employment will be at-will, and may be terminated with or without cause, and with or without advance notice, at any time at the option of myself or the company. Only the president of the company has the authority to enter into an employment agreement for a specified period of time or for termination only for cause, and any such agreement must bi in writing and signed by the president of the company. I understand and acknowledge that this constitutes the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreements."
Signature: Date: [Set to Now]