You must fully and accurately complete this Application for Employment.

Incomplete application will not be considered.

This application will be inactive after 90 days.  A new application must be submitted after that time.

EQUAL EMPLOYMENT OPPORTUNITY CLAUSE [For Application]

Jupiter Aluminum Corporation is committed to the principles of nondiscrimination and equal employment opportunity. All decisions with respect to all terms and conditions of employment, both for applicants and existing personnel, are made without regard to race, color, religion, sex (including pregnancy), national ancestry, disability, age, sexual orientation, marital status, parental status, veteran status, or any other legally protected status.

Name
Phone (000-000-0000)
Address
City/State/Zip
Position Applied for
Would you accept full-time work? Yes No
Have you ever been employed here? Yes No
If yes, when? From  To 
Have you ever been convicted of a felony? Yes No
If yes, please explain:
Are you employed now? Yes No
Referred by
 
Education Background
Name of High School
Did you graduate? Yes No
Vocational Training?
Graduate Degree?
Field Trained In?
Select highest level completed
Grammar School 5 6 7 8
High School 9 10 11 12
College 1 2 3 4
Trade School 1 2 3 4
 
Personal References
(Other than family members or previous employers)
1. Name
  Phone (000-000-0000)
  Address
  City/State/Zip
2. Name
  Phone (000-000-0000)
  Address
  City/State/Zip
3. Name
  Phone (000-000-0000)
  Address
  City/State/Zip
 
Previous Employers
Place a check by the employer(s) you do not wish us to contact.
List the most recent employer FIRST.
1. Company Name
  Phone (000-000-0000)  
  Address  
  City/State/Zip  
  Employed From  To   
  Position  
  Reason for Leaving  
  Last Wage  
2. Company Name
  Phone (000-000-0000)  
  Address  
  City/State/Zip  
  Employed From  To   
  Position  
  Reason for Leaving  
  Last Wage  
Do you have a legal right to be employed in the U.S.? Yes No
Are you of legal age to work? Yes No
 
VOLUNTARY IDENTIFICATION OF VETERAN STATUS
Jupiter Aluminum Corporation as an employer wishes to voluntarily comply with various laws and regulations that require annual statistical reports on employees and applicants for employment to be filed with certain governmental bodies. Jupiter Aluminum Corporation also wishes to voluntarily comply with the laws and regulations that protect disabled veterans, certain Vietnam-era veterans and veterans who served on active duty during a war or in certain campaigns.   Submission of this information by you is voluntary and your submission or refusal to submit this information will not affect your employment in any way.  You will not be subjected to any adverse treatment if you do not provide the information requested nor will you be evaluated or affected in any way by any of the information provided.
(Select One)
Are you a Vietnam-era veteran who served on active duty for more than 180 days during the Vietnam-era? Yes No
Are you a veteran who served on active duty during a War or in a Campaign or expedition for which a campaign badge has been authorized? Yes No
 
VOLUNTARY IDENTIFICATION OF GENDER AND RACE
You are not required to provide the below information.  If you choose to provide the information, it will be kept confidential, except that government representatives may be provided certain information in compliance with various laws and regulations.
Gender Classification (Select One) Female Male
EEO Classification (Select One)
Black or African American (Not of Hispanic Origin)
Asian or Pacific Islander
American Indian or Alaskan Native
Hispanic
Caucasian (Not of Hispanic Origin)
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