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Please read before filling out this application

BMK Americas does not discriminate in hiring or employment on the basis of race, color, sex, religion, genetic information, disability, national origin, citizenship, military status, or on the basis of age with respect to persons 18 years or older. No question on the application is intended to secure information to be used for such discrimination. Proof of identity and work authorization will be required upon employment in accordance with federal regulations. BMK Americas intends to check and hold you responsible for the accuracy of the statements you make on this application. This application will receive consideration for thirty (30) days. If you have not heard from us within request in writing that the company reactivate your application for another thirty days.

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Personal Data

Lastname *

Firstname *

Middlename

Street *

City *

State *

Zip *

E-Mail *

Phone *

Are you 18 years or older? *

  

Have you ever pled guilty or been convicted of a crime other than a minor traffic violation? Do not include sealed and expunged convictions. *

  

If yes, explain:

Are you authorized to work for any employer in the US? *

  

Do you now or in the future will you require sponsorship by the company to retain employment in the US? *

  

If yes, explain:

Educational Data

Highest grade in Junior High or High School

                                

Highest grade in College or University

           

Highest grade in Graduate School

        

High School

Name of School

Location

Major Subject or Course of Study

Did you graduate?

College

Name of College

Location

Major Subject or Course of Study

Did you graduate?

Business or Trade School

Name of School

Location

Major Subject or Course of Study

Did you graduate?

Correspondence School

Name of School

Location

Major Subject or Course of Study

Did you graduate?

Other (Specify)

Name of School

Location

Major Subject or Course of Study

Did you graduate?

Graduate School

Name of School

Location

Major Subject or Course of Study

Did you graduate?

Employment

Job applied for *

Salary desired *

Have you ever applied before? *

  

When?

Have you ever worked for this Company before? *

  

When?

If yes, give the name(s) if different from the one given on this application

When could you report for work?

Work History

Are you currently covered by a non-compete agreement with any former employer? *

  

If yes, identify employer

From (mo./yr.)

To (mo./yr.)

Starting Salary per Year

Final Salary per Year

Company

Telephone

Adress

City

State

Zip

Supervisor's Name/Title

Type of Business

If this is your current employer, may we contact?

  

Your Position/Title

Responsibilities/Duties

Specific Reason for Leaving

From (mo./yr.)

To (mo./yr.)

Starting Salary per Year

Final Salary per Year

Company

Telephone

Adress

City

State

Zip

Supervisor's Name/Title

Type of Business

If this is your current employer, may we contact?

  

Your Position/Title

Responsibilities/Duties

Specific Reason for Leaving

From (mo./yr.)

To (mo./yr.)

Starting Salary per Year

Final Salary per Year

Company

Telephone

Adress

City

State

Zip

Supervisor's Name/Title

Type of Business

If this is your current employer, may we contact?

  

Your Position/Title

Responsibilities/Duties

Specific Reason for Leaving

Relatives In Our Employment

Name

Relationship

Name

Relationship

Name

Relationship

Name

Relationship

Military

Branch of Service

Duties in the Service, including schools and training

Special Skills

What knowledge, special technical or computer skills, and/or other qualifications have you acquired from employment or other experience? Include any specific equipment that you can proficiently operate and/or any software applications you are proficient in.

List any first aid or emergency response training for which you are currently certified (give date of certification).

Professional References

Give three references who are not relatives or former employers.

Name

Occupation

Years Known

Phone

Address

Name

Occupation

Years Known

Phone

Address

Name

Occupation

Years Known

Phone

Address

Affidativ

I authorize, without liability, investigation of all statements in this application.

I authorize all schools which I attended and all previous employers to furnish to BMK Americas my record, reason for leaving and all information they may have concerning me, and hereby release them and BMK Americas from all liability for any damage whatsoever arising therefrom.

I authorize my neighbours, friends or others with whom I am acquainted or who are acquainted with me to furnish BMK Americas with information used in connection with the evaluation of my qualifications as a prospective employee. I release such persons and organizations from any legal liability in making such statements.

I understand that in the event of my employment by BMK Americas it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon employment in accordance with federal regulations. In the event of my employment by BMK Americas, I agree to abide by all present and subsequently issued rules of the Company.

If hired, in consideration of my employment, I agree to comply with the policies, standards, and business ethics of BMK Americas. I understand that my employment is at will and may be terminated by me or the company at any time without additional consideration or notice. I understand that no representative of BMK Americas (except the Chief Executive Officer) has the authority to commit to any definite term of employment or alter the at-will employment agreement, and any such agreement must be in writing.

* Required