Technifab Employment Application

Employment Application

Applicant Instructions:

If help is needed filling out the following application form or for any phase of the employment process, please feel free to contact HR at 812-442-0520 or humanresources@technifab.com.

1. Please read the ‘Applicant Note’ below.

2. Complete all of the following pages.

3. If additional space is needed to complete a question, use the comments section at the bottom of the page.

4. Incomplete applications will not be processed. Please note ‘Not Applicable’ if not answering a question.

5. Provide only requested information. Failure to do so may result in disqualification of the application.

6. After filling out the application, you will be directed to the Affirmative Action Questionnaire. This information is being gathered for affirmative action under Section 503 of the Rehabilitation Act of 1973. The information requested will not be subject to any adverse treatment for refusing to complete the questionnaire.
Upload Resume:
Date*

MonthDayYear
Date
Name*

First NameMiddle NameLast Name
Phone Number:*

Area CodePhone Number
Work Number

Area CodePhone Number
By selecting "yes" below, I agree to receive text messages from Technifab Products, Inc. at the provided mobile number regarding the status of my application and Technifab's hiring process. Message & data rates may apply. I understand that I may reply STOP to cancel at any time.
Do you agree to receive text messages from Technifab?*

Yes, I agree to be contacted by text messageNo, do not send me text messages
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prior Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail Address:*
What is your preferred method of communication?*

Security
Security
List states and counties of residences for the past seven years:*
Have you used any other names or Social Security Numbers other than given above? If so, please list in comments, below.*

YesNo
Have you been convicted of a crime in the past seven years? If so, please describe in the boxes below.*

YesNo
(Conviction will not necessarily be a bar to employment. In accordance with the company policy and applicable state and federal laws, factors such as age at time of offense, remoteness of the offense, time since last conviction, nature of the job sought and rehabilitation effort will be reviewed.)
Incident #1
Incident #2
Additional Comments

References
References
Include only individuals familiar with your work ability. Do not include relatives.
Reference #1
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com
Reference #2
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email
example@example.com

Appliant Note and Sign
Certification and Release
I certify that I have read and understand the applicant note of this form and that the answers given to the foregoing questions and the statements made are complete and true to the best of my knowledge and belief. I understand that any false information, omissions, or misrepresentations of facts called for in this application, whether on this document or not, may result in rejections of my application or discharge at any time during my employment. I authorize the company and/ or its agents, including consumer reporting bureaus, to verify any of this information. I authorize all former employers, persons, schools, companies, and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies, and law enforcement authorities from any liability for any damage whatsoever for issuing this information. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to drug testing to detect the use of illegal drugs prior and during employment.
Applicant Note
This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, color, age, creed, national origin, sexual orientation, military reserve membership, ancestry, religion, height, weight, use of guide support animal because of blindness, deafness, or physical handicap, or the presence of disabilities.
Signature*

Clear
10339 N. Industrial Park Drive

Brazil, IN 47834

Phone: 812.442.0520

Fax: 812.442.0891
Should be Empty: