Employment Application - Ohio Gratings, Inc.

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Ohio Gratings, Inc.
5299 Southway SW
Canton, OH 44706

800.321.9800
330.477.6707
FAX: 330.477.7872

info@ohiogratings.com

Employment Application

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department at 330-477-6707 or fax 330-479-3218 or hrcareers@ohiogratings.com.

Name:
Address:
City:	State:	Zip Code:
Phone#:	Mobile/Other#:
Email:
Position(s) applied for:

If necessary, best time to call you at home is:
May we contact you at work?	Yes No
If yes, work number:	Best time to call:
If you are under 18 and it is required, can you furnish a work permit?	Yes No
If no, please explain:
Have you submitted an application before?	Yes No
If yes, give date(s) and position(s):
Have you ever been employed here before?	Yes No
If yes, give date(s):	From: To:
Are you legally eligible for employment in this country?	Yes No
Date available for work:
What is your desired salary range or hourly rate of pay?	$ Per

Type of employment desired:	Full-Time Part-Time
Will you relocate if job requires it?	Yes No
Will you travel if job requires it?	Yes No
Will you work overtime if required?	Yes No
If no, please explain:
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)? This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Yes No Need more information about the job’s "essential functions" to respond
Have you ever pleaded "guilty" or "no contest" to, or been convicted of a crime? Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account
Yes No
If yes, please provide date(s) and details:

Employment History

Starting with your most recent employer, provide the following information.

Employer:
Address:
City:		State:	Zip Code:
Phone#:
Starting job title/final job title:

Immediate supervisor and title (for most resent position held):

May we contact for reference?:
Yes No Later
Why did you leave?

Summarize the type of work performed and job responsibilities:

What did you like the most about your position?

What were the things you liked least about the position?

Dates Employed:	From: To:
Compensation (Starting):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$
Compensation (Final):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$

Employer:
Address:
City:		State:	Zip Code:
Phone#:
Starting job title/final job title:

Immediate supervisor and title (for most resent position held):

May we contact for reference?:
Yes No Later
Why did you leave?

Summarize the type of work performed and job responsibilities:

What did you like the most about your position?

What were the things you liked least about the position?

Dates Employed:	From: To:
Compensation (Starting):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$
Compensation (Final):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$

Employer:
Address:
City:		State:	Zip Code:
Phone#:
Starting job title/final job title:

Immediate supervisor and title (for most resent position held):

May we contact for reference?:
Yes No Later
Why did you leave?

Summarize the type of work performed and job responsibilities:

What did you like the most about your position?

What were the things you liked least about the position?

Dates Employed:	From: To:
Compensation (Starting):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$
Compensation (Final):	Hourly Salary
	$ Per
Commission/Bonus/Other:	$

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

Yes No

If yes, please explain:

Educational Background

Starting with your most recent school attended, provide the following information.

School (include city & state):	Years:	Completed:	GPA/Class Rank:	Major/Minor:
		Diploma GED
		Degree: Certification: Other:
		Diploma GED
		Degree: Certification: Other:

References

List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name:	Title:	Relationship:	Phone#:	# Years Known:

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. I expressly authorize, without reservation, the employer, its representatives, employess or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. I understand that this application remains current for 6 months. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute and agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s president. 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.

This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability or any other protected status under applicable federal, state or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or other graphic materials and any other words or conduct that demean, stigmatize, intimidate or single out a person because of his/her membership in a protected category. Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate or non-employee (such as a vendor or customer). The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment or may result in my immediate discharge from the employer’s service whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Signature:

Date:

I understand that upon typing my name electronically and additionally checking the box alongside this acknowledgement, that I agree that this constitutes my legal signature. I further agree that I will physically sign any pertinent acknowledgements and/or authorizations associated with my application for a job with Ohio Gratings, Inc. or any of its affiliates on demand from any employee, agent of, or owner of, Ohio Gratings, Inc. and/or their representatives.

If you having problems submitting this on-line application, please email hrcareers@ohiogratings.com about the problem or call 330-477-6707 for assistance or download this PDF application, fill out and fax back to 330-479-3218.