Employment

Please answer all the questions completely. Please print all answers. If a question does not apply, type N/A.

First Name:		Middle Initial
Last Name:		SS#	- -
Address		City
Email		State	AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY	Zip
Phone:		Cell Phone:
Do you have the right to work in the U.S.?
Yes No
(Employment is subject to verification of legal and U.S. permit requirements)

Position or type of job desired:
Where did you hear about us?
Are you currently employed?		Yes No
If yes, may we contact your current employer?		Yes No
Have you ever applied for a job at Kryton Engineered Metals previously?		Yes No
	If yes, when?
	What position?
Wages/Salary desired: $	Per: Hour Year
Date available to begin employment:

Status		Shift Preference		Days Available		Available for Overtime?
Part-time		1st		Monday		Yes No
Full-time		2nd		Tuesday
		3rd		Wednesday
		Any		Thursday
				Friday
				Saturday
				Sunday
				Any

High School
Name:		City & State
Subjects Studied:		Number of Years Attended:
Degree/Diploma:
Vocational/ Technical School
Name:		City & State
Subjects Studied:		Number of Years Attended:
Degree/Diploma:
College/ University
Name:		City & State
Subjects Studied:		Number of Years Attended:
Degree/Diploma:

Branch of Service:		Dates:
Rank at Discharge:		From:	To:
What types of training, education, and work experience did you receive while you were in the military?

Employer:		Employed from:
Address:		Employed to:
City & State:
Phone:		Starting Wage:	$
		Per:	Hour Year
		Final Wage:	$
Supervisor:		Per:	Hour Year
Job Title:		# of Weekly Hours
Job Duties:		Reason for leaving:

Employer:		Employed from:
Address:		Employed to:
City & State:
Phone:		Starting Wage:	$
		Per:	Hour Year
		Final Wage:	$
Supervisor:		Per:	Hour Year
Job Title:		# of Weekly Hours
Job Duties:		Reason for leaving:

Employer:		Employed from:
Address:		Employed to:
City & State:
Phone:		Starting Wage:	$
		Per:	Hour Year
		Final Wage:	$
Supervisor:		Per:	Hour Year
Job Title:		# of Weekly Hours
Job Duties:		Reason for leaving:

Reference 1		Reference 2
Name:		Name:
Title/Position:		Title/Position:
Organization:		Organization:
Address:		Address:
City & State:		City & State:
Phone:		Phone:
Relationship:		Relationship:
Reference 3		Reference 4
Name:		Name:
Title/Position:		Title/Position:
Organization:		Organization:
Address:		Address:
City & State:		City & State:
Phone:		Phone:
Relationship:		Relationship:

Have you ever been convicted of a crime?	Yes No
If yes, please explain:
Is there anything that would prevent you from performing the essential functions of the job?	Yes No
*Note: you will not be denied employment based solely on responding yes to either of the above questions.

It is my understanding that Kryton Engineered Metals, Inc. will make a thorough investigation of my work history and may verify all data given in my application for employment, related papers or oral interviews and obtain additional information relating to my background. I authorize and request any present or former employer, educational institution, law enforcement agency, financial institution, or other persons having personal knowledge about me to Kryton Engineered Metals, Inc. and /or its agents, with any and all information in their possession regarding me, in connection with an application for or retention of employment. Further, I hereby release from liability and hold harmless all persons and corporations supplying this information to Kryton Engineered Metals, Inc. and/or its agents. A photocopy/print out of this authorization is as effective as the original. I also understand that Kryton Engineered Metals, Inc. abides by the employment at will doctrine and in no way does this application, or the granting of an interview constitute an offer of employment. If I am granted employment I agree to conform to the rules and regulations of Kryton Engineered Metals, Inc. I understand that my employment and compensation can be terminated, with or without cause, with or without notice at any time, at the option of the company or myself. I also attest that the information on this and all employment forms is true and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission on this application is grounds for refusal to hire, or if hired, dismissal. By submitting this application you are agreeing to the above terms.