EMPLOYMENT APPLICATION
For EMCO Building Products
We are an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, national origin, sexual orientation, gender identity, disability or veteran status.
Employment Desired
Position Applied For
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Date of Application
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-
Month
-
Day
Year
Date
How did you hear about us?
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Advertisement
Employment Agency
Referral
Other
If you answered "Referral" in the previous question, who were you referred by?
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Personal Information
Name
*
First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Home Phone Number
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Area Code
Phone Number
Cell Phone Number
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-
Area Code
Phone Number
When is the best time to contact you?
8 AM to 12 Noon
12 Noon to 3 PM
3 PM to 5 PM
If you are under 18 years of age, can you provide proof of eligibility to work?
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Yes
No
I am over 18 years of age.
Can you provide proof, if hired, that you are legally eligible to work in the United States?
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Yes
No
Have you ever been employed with us before?
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Yes
No
Do any of your friends or relatives, other than spouse, work here?
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Yes
No
If you answered "Yes" in the previous question, who do you know who works here?
May we do a credit reference check?
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Yes
No
Can you provide proof of eligibility to drive a motor vehicle if a job requires it?
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Yes
No
Can you travel if a job requires it?
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Yes
No
Are you currently employed?
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Yes
No
May we contact your present employer?
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Yes
No
When would you be available to begin work?
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-
Month
-
Day
Year
Date
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Education
HIGH SCHOOL: Name and Address
HIGH SCHOOL: Number of Years Attended
HIGH SCHOOL: Did you receive a Diploma?
Yes
No
COLLEGE or UNIVERSITY: Name and Address
COLLEGE or UNIVERSITY: Number of Years Attended
COLLEGE or UNIVERSITY: Did you receive a Diploma?
Yes
No
BUSINESS or TECHNICAL SCHOOL: Name and Address
BUSINESS or TECHNICAL SCHOOL: Number of Years Attended
BUSINESS or TECHNICAL SCHOOL: Did you receive a Diploma?
Yes
No
OTHER: Name and Address
OTHER: Number of Years Attended
OTHER: Did you receive a Diploma?
Yes
No
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Employment History
Start with your Present or Most Recent Employer
Employer
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates of Employment: Start Date
*
-
Month
-
Day
Year
Date
Dates of Employment: End Date
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-
Month
-
Day
Year
Date
Supervisor's Name
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First Name
Last Name
Supervisor's Title
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Your Position/Title
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Duties/Skills
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Starting Salary
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Present/Final Salary
*
Bonuses, Incentives, Benefits, etc.
*
Reason for Leaving
*
Employer
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates of Employment: Start Date
-
Month
-
Day
Year
Date
Dates of Employment: End Date
-
Month
-
Day
Year
Date
Supervisor's Name
First Name
Last Name
Supervisor's Title
Your Position/Title
Duties/Skills
Starting Salary
Final Salary
Bonuses, Incentives, Benefits, etc.
Reason for Leaving
Employer
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dates of Employment: Start Date
-
Month
-
Day
Year
Date
Dates of Employment: End Date
-
Month
-
Day
Year
Date
Supervisor's Name
First Name
Last Name
Supervisor's Title
Your Position/Title
Duties/Skills
Starting Salary
Final Salary
Bonuses, Incentives, Benefits, etc.
Reason for Leaving
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Personal References
List two personal references who are not relatives or former employers.
Name
*
First Name
Last Name
Occupation
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Name
First Name
Last Name
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
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EEO/AA Pre-Offer Voluntary Self-Identification Information
EMCO Building Products is an EEO/Affirmative Action Employer
We consider all applicants for positions without regard to race, color, religion, sex, national origin, age, mental or physical disabilities, veteran status, and all other characteristics protected by law. We also comply with all applicable laws including E.O. 11246 and the Vietnam Era Readjustment Assistance Act of 1974 governing employment practices and do not discriminate on the basis of any unlawful criteria. As a federal government contractor, we take affirmative action on behalf of protected veterans.
This section is to be completed by applicant on a voluntary basis. Not for interview purposes. To be filed separately from application.In an effort to comply with requirements regarding government recordkeeping, reporting, and other legal obligations, which may apply, we invite you to complete this applicant data survey. Failure to provide information will not subject you to any adverse personnel decision or action. Your cooperation is appreciated. Please be advised that this survey is not a part of your official application for employment. It will not be used in any hiring decision. The information will be used and kept confidential in accordance with applicable laws and regulations.
Position Applied For
Date
-
Month
-
Day
Year
Date
Referral Source
State Workforce Agency
Advertisement
Company Website
Online
Employment Agency
Employee Referral
School
Other
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
-
Area Code
Phone Number
Cell Phone Number
-
Area Code
Phone Number
ETHNICITY/RACE Categories: Identify one or more race categories; definitions below.
Hispanic or Latino
White
Black or African American
Asian
Native Hawaii or Other Pacific Islander
American Indian or Alaska Native
Two or more races
Do not wish to identify
Gender Categories
Male
Female
Do not wish to identify
PROTECTED VETERAN Categories
Protected Veteran
Not a Protected Veteran
Do not with to identify
DEFINITIONS
PROTECTED VETERAN CATEGORY DESCRIPTIONS:
A disabled veteran includes any veteran of the U.S. military, ground, naval or air service who: (a) is entitled to compensation, or who but for the receipt of military retired pay would be entitled to compensation under laws administered by the Secretary of Veteran Affairs, or (b) was discharged or released from active duty because of service-connected disability.| Active Duty Wartime or Campaign Badge Veteran includes any veteran who served on active duty in the U.S. military, ground, naval or air service in a war, campaign or expedition in which a campaign badge has been authorized under the laws administered by the Department of Defense. | Recently Separated Veteran includes any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval or air service. | Armed Forces Service Medal Veteran includes any veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United State military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
ETHNICITY/RACE CATEGORY DESCRIPTIONS:
Hispanic or Latino includes a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture origin, regardless of race. | White (not Hispanic or Latino) includes a person having origins in any of the original peoples of Europe, North Africa, or the Middle East, or North America. | Black or African American (not Hispanic or Latino) includes a person having origins in any of the Black racial groups of Africa.| Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) includes a person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. | Asian (not Hispanic or Latino) includes a person have origins in any of the original peoples of the Far East, Southeast Asia,or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.American Indian or Alaskan Native (not Hispanic or Latino) includes a person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment. | Two or More Races (not Hispanic or Latino) includes a person who identifies with more than one of the above races.
Why are you being asked to complete this form?
Because we do business with the government, we must reach out to, hire, and provide equal opportunity toqualified people with disabilities i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to: Blindness, Deafness, Cancer, Diabetes, Epilepsy, Autism, Cerebral palsy, HIV/AIDS, Schizophrenia, Muscular dystrophy, Bipolar disorder, Major depression, Multiple sclerosis (MS), Missing limbs or partially missing limbs, Post-traumatic stress disorder (PTSD), Obsessive compulsive disorder, Impairments requiring the use of a wheelchair, Intellectual disability (previously called mental retardation)
Please check one of the boxes below:
YES, I HAVE A DISABILITY (or previously had a disability)
NO, I DON’T HAVE A DISABILITY
I DON’T WISH TO ANSWER
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I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination.
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Yes
By typing your name here, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
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