Melling Engineered Aluminum Castings

We appreciate your interest in our company and assure you that we are interested in your qualifications. A clear understanding of your background and work history will assist us in seeking to place you in a position which, in our judgement, best meets your qualifications.

We are an equal opportunity employer and will not unlawfully discriminate on the basis of race, color, sex, religion, national origin, age, and marital status, the presence of a medical condition or handicap, height, weight or any other protected status.

Personal Information
First Name* A value is required	Middle Name	Last Name* A value is required
Street Address* A value is required	City* A value is required	State* A value is required
Zip Code* A value is required
Home Telephone* A value is required	Business Telephone
Are you at least 18 years of age?* Yes No A value is required
Do you have the legal right to remain and work in the United States?* Yes No A value is required
Have you been previously employed here?* Yes No A value is required	If yes, date(s)	Supervisor Name(s)
Have you ever been convicted of any crime other than a minor traffic offense?* Yes No A value is required
If yes, nature of crime, when, where, and disposition of case (conviction of a crime is not an automatic bar to employment)
General Information
Position(s) applying for* A value is required	Shift* A value is required
Type of work sought Full Time Part Time Summer Other		If other
Salary Desired* A value is required	Date available for work* A value is required	How were you referred to this organization?* A value is required
Do you have any friends or relatives in our employ?* Yes No A value is required	If yes, give name and relationship
Education Information
High School Name & Location	Did you graduate? Yes No
College Name & Location	Course of Study	Degree received, if you graduated
Trade / Technical School Name & Location	Trade / Technical School Course of Study	Degree received, if you graduated
Other Education - Name & Location	Other - Course of Study	Degree received, if you graduated
Employment History List most recent employer first
Name of Company	Start Date	End Date
Address		Phone
Job Title and Duties
Supervisor	Starting Pay	Ending Pay
Reason for leaving

Name of Company	Start Date	End Date
Address		Phone
Job Title and Duties
Supervisor	Starting Pay	Ending Pay
Reason for leaving

Name of Company	Start Date	End Date
Address		Phone
Job Title and Duties
Supervisor	Starting Pay	Ending Pay
Reason for leaving
Additional Information
State any additional information you feel may be helpful to us in considering your application.
Health Information
Are you able to perform the specific job functions associated with the position(s) you are applying for, with or without reasonable accommodation?* With Without A value is required
If an accommodation is necessary, please explain
Authorization and Understanding Upon the signing of this application, I represent that all of the information now or hereafter given by me in support of my application is true and complete. I authorize the references listed in this application to give you any and all information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. I agree that any false information in support of my application may subject me to discharge at any time during the period of my employment. I agree that either party may terminate the employment relationship, with or without cause, at any time, and I further agree that this arrangement may only be altered in writing directed to me personally and signed by the president of the firm. I agree that I shall be bound by the other rules, policies, regulations and terms and conditions of employment of Melling Engineered Aluminum Castings. I agree that any action or suit against Melling Engineered Aluminum Castings arising out of my employment or termination of employment, including, but not limited to, claims arising under State or Federal civil rights statutes, must be brought within 180 days of the event giving rise to the claims or be forever barred. I waive any limitation periods to the contrary. I further agree that if I should bring any non-statutory action or claim arising out of my employment against Melling Engineered Aluminum Castings, in which Melling Engineered Aluminum Castings prevails, I will pay to Melling Engineered Aluminum Castings any and all such costs incurred by the firm in defense of said claims or actions, including attorney fees. I further agree that my employment is conditional until such time as the results of my pre-employment drug screen are known.
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Personal Information

General Information

Education Information

Employment History

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Health Information

Authorization and Understanding