IMPORTANT – PLEASE READ:

Thank you for your interest in Materials Processing, Inc.  All applicants will be given equal consideration regardless of race, age, sex, physical or mental disability, sexual orientation, ancestry, pregnancy or other medical condition, marital status, color, religion, or national origin.  A resume alone is not sufficient to consider an individual as an applicant.  Individuals will not be considered applicants if they exclude the following information:  1) the position applied for and the date, 2) information required by law, including social security number and authorization to work in the United States, 3) a complete employment history including the name of the employer, dates of employment, rate of pay and reason for leaving, and 4) signature of applicant.

 

GENERAL INFORMATION

POSITION APPLIED FOR:   DATE:

  

NAME:

ADDRESS:

Street:  City:     

State:   Zip Code:

TELEPHONE NUMBER:   SOCIAL SECURITY NUMBER:

If necessary, the best time to call you at home is:

May we leave a message on your answering machine? 

May we contact you at work?                       

Have you ever been bonded?  

Have you been employed by Materials Processing, Inc. before?     

If yes, give dates:   From: To:

Shift Preferred:          Are you willing to work overtime if required? 

Have you been convicted of a felony in the last seven years?  

Are you eligible for employment in this country? 

 

(Proof of U.S. citizenship or Immigration status will be required upon employment)

EDUCATIONAL BACKGROUND

 

 

 

NAME & LOCATION

GRADUATED

HIGH SCHOOL

 

 

COLLEGE

 

 

OTHER (SPECIFY)

 

 

SPECIAL TRAINING

 

 

 

 

 

 

 

 

EMPLOYMENT HISTORY  Please note:  Resumes are welcome but cannot be used as a substitute for the information below.  List your most recent three employers, starting with the most recent, including military experience.  Please explain any gaps in employment in comment section below.

Employer: Telephone:

Dates Employed: From:    To:

Summarize the nature of work performed and job responsibilities:

ADDRESS:

Street:  City:     

State:   Zip Code:

 

Job Title:

Starting hourly rate: Final hourly rate:

Supervisor:  Telephone: May we contact supervisor?    

Reason for leaving:

 

Employer: Telephone:

Dates Employed: From:    To:

Summarize the nature of work performed and job responsibilities:

ADDRESS:

Street:  City:     

State:   Zip Code:

 

Job Title:

Starting hourly rate: Final hourly rate:

Supervisor:  Telephone: May we contact supervisor?    

Reason for leaving:

 

Employer: Telephone:

Dates Employed: From:    To:

Summarize the nature of work performed and job responsibilities:

ADDRESS:

Street:  City:     

State:   Zip Code:

 

Job Title:

Starting hourly rate: Final hourly rate:

Supervisor:  Telephone: May we contact supervisor?    

Reason for leaving:

Comments (including explanation of any gaps in employment):

PLEASE READ AND SIGN:

I hereby certify that the information contained in this application is true and correct to the best of my knowledge and agree to have any of the information verified by Materials Processing, Inc.  I authorize the references listed above, as well as all other individuals whom MPI contacts, to provide MPI any and all information concerning my previous employment and any other pertinent information that they may have.  Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such lawful information to MPI as well as from the use or disclosure of such lawful information by MPI or any of its agents, co-workers or representatives.  I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.

In consideration of my employment, I agree to conform to the rules and standards of MPI, as amended by MPI from time to time at its discretion.  I further agree that my employment and compensation can be terminated at will, with or without cause, and with or without notice, at any time, either at my option or at the option of MPI.  I also acknowledge that no written or oral promise of employment for a specified term is effective unless expressly set forth in a document signed by an officer of the company.

This application is current for one year.  At the conclusion of this time, it will be necessary for me to fill out a new application.

 

Signature of Applicant:Date: