APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Personal InformationPlease attach your resume and cover letter:Max. file size: 64 MB.Maximum upload size: 4MB Name* First Middle Last Any other name you have used in connection with employment, U.S. Military service, or any criminal conviction or pending felony charge Describe any U.S. Military Service (Branch, Rank, Nature and Date of Discharge)Phone*Email* Are you 18 years or older?* Yes No Present Address* Street Address Address Line 2 City State Zip Permanent Address* Street Address Address Line 2 City State Zip Have you been convicted of, plead guilty to, or plead no contest to a crime or is there a felony charge presently pending against you (do not include arrests, expunged or sealed convictions)?* Yes No Even if the answer is "Yes," it will not necessarily disqualify you for employment. However, if the answer is "Yes," provide the crime, approximate date, and provide the state and country of the court action.*Employment Desired Position* Date You Can Start* MM slash DD slash YYYY Salary Desired Employed Now?* Yes No Have you ever applied to this company before?* Yes No Have you ever worked for this company before?* Yes No Were any of your relatives employed by the company?* Yes No Former Employment List below your last four employers, starting with the last one first.Name of Employer Date From Date To Wage Position Reason for Leaving Name of Employer Date From Date To Wage Position Reason for Leaving Name of Employer Date From Date To Wage Position Reason for Leaving Name of Employer Date From Date To Wage Position Reason for Leaving Describe fully the nature of the work in your present (or most recent) job:What special skills or knowledge do you have which will aid you in qualifying for employment? (Including tools and machinery)?Education High School Name of SchoolYears Attended Subjects StudiedDid you graduate? Yes No College Name of SchoolYears Attended Subjects StudiedDid you graduate? Yes No Trade, Business or Correspondence School Name of SchoolYears Attended Subjects StudiedDid you graduate? Yes No General subjects of special study or research workReferences Give the names of three persons not related to you whom you have known at least one year.Name Years Acquainted Contact NumberEmail Address Name Years Acquainted Contact NumberEmail Address Name Years Acquainted Contact NumberEmail Address Terms of Employment Read carefully and sign below if you agree to these Terms of Employment I, the undersigned applicant for employment, certify that the facts contained in this application are true and complete. I authorize and request my former employers, references, and educational institutions, and any credit agencies or reporting services which have information about me, to give Lorin Industries, Inc. (the "Company") any and all information and opinions about me in their possession; I hereby waive written notice of such release of information and opinions, and I release such former employers, references, educational institutions and credit agencies or reporting services from any liability or claim relating to such release of information and opinions. I also authorize and request federal, state, and local governmental agencies to release to the Company any information requested concerning any criminal convictions on my records. I understand and agree that all employment at the Company is on an at-will basis, and may be terminated by me or the Company at any time with or without notice and with or without cause. I understand and agree that no one employed by the Company (except the Company’s President by a specific written contract for a specific term of years naming me and signed by me and the President) has any authority to offer employment other than on an at-will basis. I also understand and agree to the Company’s policy that the Company’s decisions on all employment related matters are final, and are not subject to review or appeal outside the Company except as required by laws providing or requiring employers to provide specific employment standards and rights. I understand and agree that all benefits, programs, rules and policies of the Company are subject to exceptions or change at any time as decided by the Company. I agree that any action, suit or claim (together, "Claim") against the Company, its directors, officers, employees or agents arising out of my employment or termination of the employment, including buy not limited to, any Claim arising under State and Federal civil rights statutes must be brought, if at all, within 180 days of the events given rise to the Claim (or within the time frame provided by any shorter statute of limitations), or they will be forever barred. I understand that this means that even if the law would give me the right, and that any Claim not brought within 180 days of the event giving rise to the Claim after my employment ends will be barred. I waive any statute of limitations to the contrary. I also agree that in the event I file any Claim against the Company, its directors, officers, employees or agents and notwithstanding any rights to a jury trial for any Claim, I waive any such rights, and agree that any Claim of any type lodged in any court will be tried - if at all - without a jury. By dating and entering your name, you agree to the above Terms of Employment.Date* MM slash DD slash YYYY Name* LET'S WORK TOGETHER Create something beautiful with Lorin Industries aluminum anodizing services. GET IN TOUCH WITH LORIN
