Application for Employment

Thank you for your interest in joining Indiana Powder Coatings. Please complete the application below. Fields marked with an asterisk are required. You may also attach a resume. Applications are kept on file for 90 days.

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Employment Application

Name: *

Phone: *

Email Address: *

Position Applying For: *

Address: *

Are you 18 years old or older?*
Yes
No

What are all the hours you are available?

Are you legally eligible for employment in this country?*
Yes
No

Have you ever been convicted of a crime, felony or misdemeanor in the last seven (7) years?*
Yes
No

If yes, please explain:

Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.

Employment History: provide the following information for your past employers, starting with the most recent first.

Employer 1: Dates Employed (From Month/Year - To Month/Year):

Employer 1: Employer Name:

Employer 1: Telephone:

Employer 1: Job Title:

Employer 1: Address:

Employer 1: Immediate Supervisor and Title:

Employer 1: Summary of Work Performed / Job Responsibilities:

Employer 1: Reason for Leaving:

Employer 1: Salary:

Employer 2: Dates Employed (From Month/Year - To Month/Year):

Employer 2: Employer Name:

Employer 2: Telephone:

Employer 2: Job Title:

Employer 2: Address:

Employer 2: Immediate Supervisor and Title:

Employer 2: Summary of Work Performed / Job Responsibilities:

Employer 2: Reason for Leaving:

Employer 2: Salary:

Employer 3: Dates Employed (From Month/Year - To Month/Year):

Employer 3: Employer Name:

Employer 3: Telephone:

Employer 3: Job Title:

Employer 3: Address:

Employer 3: Immediate Supervisor and Title:

Employer 3: Summary of Work Performed / Job Responsibilities:

Employer 3: Reason for Leaving:

Employer 3: Salary:

Skills and Qualifications:

Summarize any training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Education Background (High School / College / Other):

For each school list the name, location, years completed, whether you graduated, and course of study.

References:

List three people other than relatives with name, relationship, phone number, and years known. Previous supervisors/managers are preferred references.

Resume (optional):

I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application and/or derived from the interview process. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information. This application is current for 90 days.*

Enter the answer: *

(new challenge)

An Equal Opportunity Employer

The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law. It is Indiana Powder Coating's policy that equal employment opportunities be available to all employees and applicants without regard to race, sex, color, religion, creed, national origin, age, disability, genetic information, participation in military service, sexual orientation and/or gender identity or any other protected status.