Apply for a Job | D&D Manufacturing Company Inc

Position & Availability

Position Applied For *

Location Applied For

Pay Expected *

Earliest Start Date *

Date Application Completed *

How Did You Hear About Us? *

Personal Information

Last Name *

First Name *

Middle Name

Preferred Name

Street Address *

City *

State *

ZIP *

Telephone Number *

Email Address *

Emergency Contact Name

Emergency Contact Phone

Eligibility & Position Questions

Do you understand the requirements of the position you applied for? *

Can you perform the physical requirements, with or without reasonable accommodation? *

Will you work overtime if needed? *

Are you 18 years of age or older? *

Do you currently have any relatives working for the company? *

If yes, please list name(s)

Upon employment, can you provide documentation verifying your legal right to work in the United States and your identity? *

Work Readiness & Screening

Can you successfully pass substance abuse screening, including drugs and alcohol, prior to and throughout your employment engagement within this organization? *

Do you have reliable transportation? *

Can you work overtime with notice? *

Can you work Saturdays with notice? *

Can you work Sundays with notice? * This company makes every effort not to work Sundays; however, during peak demand in prior operational history, Sunday overtime has occurred very few times throughout the year.

Can you wear safety glasses? *

Can you wear safety toe shoes? *

Do you have a problem abusing electronic devices such as personal cell phone or social media while at work? *

Is there any reason why you would not be able to show up to your normally scheduled work day, every day and on-time? *

If you were unable to make it into work either on-time or at all, is there any reason why you could not notify your employer prior to the tardiness/absence? *

Do you have any needs and/or special requirements in order to perform the position for which you are applying that your employer would need to know to make your employment experience successful with this organization? *

If yes, please list them

Is there any reason why your previous employers (any) would not provide a positive review of your previous employment and/or work history? *

If yes, please explain

Education

List the schools you attended.

High School

Name & Location of School

Graduated?

Type of Degree / Diploma

Major / Area of Study

College

Name & Location of School

Graduated?

Type of Degree Awarded

Major / Area of Study

Other (Trade / Technical)

Name & Location of School

Graduated?

Type of Degree / Certificate

Major / Area of Study

If you did not graduate high school, last grade completed

Other education, certifications, or trade skills related to this job

Employment History

Provide your last three positions, starting with your most recent employer.

Most Recent Employer

Company Name

Telephone

Address

Employed From

Employed To

Supervisor's Name

Your Title

Reason for Leaving

May we contact this employer?

Previous Employer

Company Name

Telephone

Address

Employed From

Employed To

Supervisor's Name

Your Title

Reason for Leaving

May we contact this employer?

Previous Employer

Company Name

Telephone

Address

Employed From

Employed To

Supervisor's Name

Your Title

Reason for Leaving

May we contact this employer?

Please explain any gaps in employment

Résumé

Upload Your Résumé (optional — PDF or Word, under 10MB)

Certification & Signature

Please read carefully before signing.

I certify that the information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of material fact on this application will result in my immediate dismissal.

I authorize all persons, schools, companies, corporations, credit bureaus, government agencies, or any other party to release information concerning my background, which may include, but is not limited to, criminal, credit, and driver's records, so long as not prohibited by law and the requests are job related.

I further agree to submit to alcohol and/or drug screening tests, if requested of me, at any time prior to (only drug screens will be administered pre-employment) or during my employment in accordance with applicable law, and I further understand and consent to the results of said tests being communicated to the Company.

I further understand that no one, other than the President of the Company, in writing, has the authority to enter into an employment agreement with me that differs from that which is outlined here, and that if I should become employed by the Company that the employment relationship is "at will" and can be terminated by either party without cause.

I further understand that this application for employment will remain "active" for thirty (30) days from today's date. If I still desire a position with the Company after that period expires, it will be my responsibility to fill out a new application and file it with the Company.

Signature (type your full legal name) *

Date *

Application Received