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Application Type




Name & Location of School

Course of Study

No. of Years Completed

Did you Graduate?


High School




List name, address, and years known for FOUR persons who have known you professionally for at least TWO years.

Last Name, First Name, Initial



Years Known

Employment Record

Please give accurate, complete full-time and part-time, employment record. Start with the present or most recent employer.





We may contact the employers listed above unless you indicate those you do not want us to contact.


EEOC Compliance

This company is dedicated to a policy of affirmative action and equal opportunity without regard to race, religion, gender, sexual orientation, national origin, age, veteran or disabled status, or any other protected class. Reasonable accommodation will be made as appropriate to enable any employee or applicant for employment to safely and properly perform the job applied for as requested and as appropriate.

The employer is subject to certain governmental recordkeeping and reporting requirements for the administration of civil laws and regulations. In order to comply with these laws, the employer invites employees to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.


Ethnic Background:

Veteran Status:


Complete This Section if you Served in the U.S. Armed Forces

Period of Active Duty (Month and Year)

Upload Resume

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Fort Wayne Metals Research Products Corporation to hire me. If I am hired, I understand that either Fort Wayne Metals Research Products Corporation or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Fort Wayne Metals Research Products Corporation has the authority to make any assurance to the contrary.

I have been informed that Fort Wayne Metals Research Products Corporation will comply with its obligation to provide reasonable accommodations to qualified individuals with disabilities.

I attest that with my signature below that I have given to Fort Wayne Metals Research Products Corporation true and complete information on this employment application. No requested information has been concealed. I authorize Fort Wayne Metals Research Products Corporation to contact references provided. I agree to hold such persons harmless with respect to any information they may give about me.

If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for denial of employment or immediate dismissal.

By signing this Employment Application, I authorize Fort Wayne Metals to investigate my background and qualifications for purposes of evaluating whether I am qualified for employment with Fort Wayne Metals. This includes but is not limited to a check of my criminal history, credit, sex offender status, Bureau of Motor Vehicle record, education, and references. I understand I have the right to request a copy of any report provided to Fort Wayne Metals obtained through a consumer reporting agency.