K.A.M. Tool and Die
Employment Application

WE ARE AN EQUAL OPPORTUNITY EMPLOYER
 

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

Make sure you have all required information and plenty of time to complete this application because you may not save the information or return to it.
Application fields with * and red font must be complete in order for the form to submit.

Name*  
     
Address*  
     
City*  
     
State*  
     
Zip Code*   
     
Telephone Number*   
     
Mobile Phone Number   
     
 
If you have a current resume, please attach and only answer
application questions that are not answered on your resume.
 
1. If you are under 18 years of age, can you provide required proof of you eligibility to work?
    Yes    No
2. Have you ever filed an application with us before?    Yes    No
If Yes, give date.
3. Have you ever been employed with us before?     Yes    No
    If Yes, give date.
4. Are you currently employed?     Yes    No
5. May we contact your present employer?     Yes    No
6. Are you prevented from lawfully becoming employed in this country because of Visa or Immigration
    Status?     Yes    No
    (Proof of citizenship or immigration staus will be required upon employment.)
7. On what date would you be available for work?   
8. Are you available to work: Full Time Part Time Shift Work Temporary
9. Are you currently on "lay-off" status and subject to recall?
    Yes    No
10. Can you travel if a job requires it?    Yes    No
11. Have you been convicted of a felony within the last 7 years?
     Yes    No
(Conviction will not necessarily disqualify an applicant from employment.)
    If Yes, please explain
 
 
Name & Address
of School
Course
of Study
Years
Completed
Diploma/
Degree
Elementary
School

Yes
No 
High School

Yes
No 
Undergraduate
School

Yes
No 
Graduate
School

Yes
No 
Other
(Specify)

Yes
No 
 
 
Language - Do you know another language? Type the language in the box and complete the information.
Speak  Read   Write
Speak   Read   Write
Speak   Read   Write
 
 
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
 
 
Employment Experience
Employer 1
Address
Telephone
Job Title
Supervisor
Reason for Leaving
Employment Dates
  
Hourly Rates/Salary
Beginning
Ending
Starting
Ending
 
Work Performed
 
Employer 2
Address
Telephone
Job Title
Supervisor
Reason for Leaving
Employment Dates
  
Hourly Rates/Salary
Beginning
Ending
Starting
Ending
 
Work Performed
 
Employer 3
Address
Telephone
Job Title
Supervisor
Reason for Leaving
Employment Dates
  
Hourly Rates/Salary
Beginning
Ending
Starting
Ending
 
Work Performed
 
Employer 4
Address
Telephone
Job Title
Supervisor
Reason for Leaving
Employment Dates
  
Hourly Rates/Salary
Beginning
Ending
Starting
Ending
 
Work Performed
 
List professional, trade, business or civic activities and offices held.
You may exclude membership which would reveal gender, race religion, national origin, age ancestry, disability or other protected status:

 
 
Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
 
 
Specialized Skills
   
Machine Type
Model
Years Of Experience
Machinist
Tool & Die Maker
Machine Operator
Machine Set-Up
Machine Programmer
Inspection
 
 
State any additional information you feel may be helpful to us in considering your application.
 
 
References
Name 1 Address Telephone
Name 2 Address Telephone
Name 3 Address Telephone
 

Email Address*

Please read carefully before submitting your application

All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with me or my employment background for the purpose of verifying any information, I have provided and/or for the purpose of obtaining any information, whether favorable or unfavorable, about me or my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment. I understand that upon receiving a job offer, a physical examination and drug screening may be required. (Note: If this is a job requirement, you will be notified.)

*Check this box to certify that you have read and accept the above statement.