Employment Application - K&M Machine-Fabricating, Inc.

Please fill out all pages of the form. Be sure to click Next at the bottom of the page for each step, and then Submit at the very end.
Machinist and Welder/Fabricator Applicants: Be sure to fill out the additional forms for steps 5 and 6 for these job positions.

                
1Personal Information
2Experience
3Special Skills & Qualifications
4References
5Machinists (Optional)
6Welders/Fabricators (Optional)
7Finalize
                        
                                    Positions(s) Applying For:*
Date*
                            
                            MM slash DD slash YYYY
                        
                        
Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Address    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                
Main Phone:*
Work Phone:
Cell Phone:
Email:*
                            
                        
Are you 18 years or older?*
			
				
				Yes
			
			
				
				No
			
Citizenship Status:
			
				
				U.S. Citizen
			
			
				
				Permanent Resident
			
			
				
				Alien
			
			
				
				Other
			
Employment Information:
Employment Type:*
								
								Full Time
							

								
								Part Time
							

								
								Apprenticeship
							

								
								Co-op
							

								
								Other
							
Shift Desired:*
			
				
				First
			
			
				
				Second
			
			
				
				Any
			
Overtime Availability:*
								
								Weekday
							

								
								Saturday
							

								
								Sunday
							

								
								Anytime
							
Date Available:*
                            
                            MM slash DD slash YYYY
                        
                        
Salary Requirements ($):*
Travel Acceptable:*
			
				
				Yes
			
			
				
				No
			
Referred By:
Education:
High School:
Years:
Graduated:
								
								Yes
							
Major:
Degree:
Section Break
College:
Years:
Graduated:
								
								Yes
							
Major:
Degree:
Section Break
Advanced:
Years:
Graduated:
								
								Yes
							
Major:
Degree:
Section Break
Vocational/Tech:
Years:
Graduated:
								
								Yes
							
Major:
Degree:
Certifications/Specialized Training:
Certificate:
Date Acquired:
                            
                            MM slash DD slash YYYY
                        
                        
Renewal Date:
                            
                            MM slash DD slash YYYY
                        
                        
License Number:
Section Break
Certificate:
Date Acquired:
                            
                            MM slash DD slash YYYY
                        
                        
Renewal Date:
                            
                            MM slash DD slash YYYY
                        
                        
License Number:
Section Break
Certificate:
Date Acquired:
                            
                            MM slash DD slash YYYY
                        
                        
Renewal Date:
                            
                            MM slash DD slash YYYY
                        
                        
License Number:
Section Break
Certificate:
Date Acquired:
                            
                            MM slash DD slash YYYY
                        
                        
Renewal Date:
                            
                            MM slash DD slash YYYY
                        
                        
License Number:
Section Break
Certificate:
Date Acquired:
                            
                            MM slash DD slash YYYY
                        
                        
Renewal Date:
                            
                            MM slash DD slash YYYY
                        
                        
License Number:
                    
                    
                          
                    
                
                
                    
                        EMPLOYMENT EXPERIENCE
Please list employment experience from most recent to the oldest. Please complete all sections.
Most Recent Job:
From (mm/yyyy):*
                            
                            MM slash DD slash YYYY
                        
                        
To (mm/yyyy):*
                            
                            MM slash DD slash YYYY
                        
                        
Company Name:*
Company Address:*
Company Phone:*
Supervisor/Title:*
Last Position:*
Last Wages:*
Reason for Leaving:*
Job Description:*
Section Break
Next to Last Job:
From (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
To (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
Company Name:
Company Address:
Company Phone:
Supervisor/Title:
Last Position:
Last Wages:
Reason for Leaving:
Job Description:
Section Break
Third Previous Job:
From (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
To (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
Company Name:
Company Address:
Company Phone:
Supervisor/Title:
Last Position:
Last Wages:
Reason for Leaving:
Job Description:
Section Break
Fourth Previous Job:
From (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
To (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
Company Name:
Company Address:
Company Phone:
Supervisor/Title:
Last Position:
Last Wages:
Reason for Leaving:
Job Description:
Section Break
Other Job Info:
May we contact your employers?*
			
				
				Yes
			
			
				
				No
			
If "No", please indicate those you do not wish us to contact and why:*
Section Break
APPRENTICESHIPS
Have you served an apprenticeship?*
			
				
				Yes
			
			
				
				No
			
Where:
Type of Trade:
From (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
To (mm/yyyy):
                            
                            MM slash DD slash YYYY
                        
                        
                    
                    
                          
                    
                
                
                    
                        Special Skills & Qualifications
Summarize and provide examples of special skills and qualifications you have acquired from employment or other experience:*
List office machine skills:
List computer background / knowledge / program proficiency:
Other machines or tools operated:
Section Break
Miscellaneous:
Have you applied here before?*
			
				
				Yes
			
			
				
				No
			
If yes, what date and position?*
Have you worked here before?*
			
				
				Yes
			
			
				
				No
			
If yes, what date and position?*
List any relatives or friends working for K&M. Please provide names and relationship for each:
Have you been convicted of a felony within the past seven years?*
			
				
				Yes
			
			
				
				No
			
If Yes, please provide the date, place, charge and details:*
Is there anything that would prevent you from employment consideration with K & M?
Have you ever been discharged or asked to resign from a position?*
			
				
				Yes
			
			
				
				No
			
If Yes, please provide details:*
Have you ever been disciplined, suspended or terminated for any of the following?
Poor Performance:*
			
				
				Yes
			
			
				
				No
			
Fighting, Assault, Violence*
			
				
				Yes
			
			
				
				No
			
Use of Drugs or Alcohol:*
			
				
				Yes
			
			
				
				No
			
Violation of Safety Rules:*
			
				
				Yes
			
			
				
				No
			
Absence or Tardiness:*
			
				
				Yes
			
			
				
				No
			
Violation of Rules, Policies or Procedures:*
			
				
				Yes
			
			
				
				No
			
Theft:*
			
				
				Yes
			
			
				
				No
			
Other:*
			
				
				Yes
			
			
				
				No
			
If 'Yes' for any of the above, please provide details:
Are you able to perform the essential job functions of the position you are applying for?*
			
				
				Yes
			
			
				
				No
			
Do you require any special accommodation?*
			
				
				Yes
			
			
				
				No
			
If 'Yes', please explain:*
Why do you want to work here?
                    
                    
                          
                    
                
                
                    
                        References (Professional/Work Related References Only)
Name:
Employer:
Relationship:
Phone:
Section Break
Name:
Employer:
Relationship:
Phone:
Section Break
Name:
Employer:
Relationship:
Phone:
Section Break
Name:
Employer:
Relationship:
Phone:
Section Break
Application Certification:
I certify that the information I've provided in this Employment Application and any accompanying information is true and complete. I realize that falsification, misinterpretation or omissions will disqualify me from employment consideration or may result in my discharge. I affirm that I have a genuine interest in employment with K&M Machine-Fabricating, Inc., and no other purpose in applying for a job with the Company. I further understand that any negative information discovered may prevent my being hired, or if hired may subject me to immediate discharge. I also understand that completion and submission of this application does not imply or guarantee any employment consideration, or offer of, or employment with K&M.

I authorize K&M Machine-Fabricating, Inc. to investigate, or have an investigative agency, investigate all statements contained in this application and/or resume submitted including information pertaining to my personal history, education, criminal conviction record and financial/credit record. I also authorize all of my current and/or previous employers, references, credit reporting agencies/bureaus, educational institutions, and any other person(s), institutions or agencies contacted by K&M Machine-Fabricating, Inc. to provide all records and information as requested by K&M either prior to, or during or after my employment, and I release all parties including K&M Machine-Fabricating, Inc. from any and all liabilities arising from such disclosures. I understand that references will be checked and will influence any hiring decision. I also authorize and request federal, state and local government agencies to release to K&M Machine-Fabricating, Inc. any information requested concerning my driving record.

In consideration for, and if offered employment, I agree to submit to physical examinations and testing permitted by law before and during my employment by a health care professional, at the request and expense of K&M Machine-Fabricating, Inc. and to have all results released to K&M. I agree to disclose completely all information lawfully requested at such examinations and time of testing about my physical and mental condition and medical history. I also agree that before and during my employment, at the request and expense of the Company, I will cooperate in such lawful medical tests (including blood, urine, or other testing) as the Company requests to check for drugs and alcohol in my system, or for any other physical condition. I waive, release and promise not to make any claims against K&M Machine-Fabricating, Inc., (or any testing agency retained by it, or their employees, directors, owners and agents) relating to any such testing, or from lawful decisions made regarding my employment or termination of employment based upon the results of such testing or analysis.

I agree that except at the request and for the benefit of the Company I will not disclose to anyone or use for my own purposes any of the Company's confidential or proprietary information, either during or after my employment. I understand and agree that the Company's trade secrets, bidding, costs, pricing and marketing information and techniques, financial and market information, computer software, sources of supply, customer names and information and employees' names and information are confidential and proprietary information of the Company. I also agree that I will not make written or other copies of notes regarding these matters except as necessary to perform my job, and I agree that if my employment with K&M ends, I will deliver to the Company all material of any kind that I have relating to K&M, including any such copies or notes.

I agree that the contents of any lockers, desks or other employer property I may be using and any of my own property I bring onto the Company premises (including without limitations vehicles, packages and purses) may be inspected by the Company at any time. I waive and promise not to make any claims against the Company (or its employees, directors, owners or agents) relating to such inspection.

In consideration of my employment, I agree to conform and abide by the rules, regulations, policies and procedures of K&M Machine-Fabrication, Inc. I understand that my employment, benefits and compensation can be terminated with or without cause, and with or without notice, at any time, at the option of either the Company or myself. I understand that no employee, representative, or agent of K&M has the authority to enter into any oral or written agreement for employment for any period of time, or to make or imply any agreement contrary to the foregoing. I further understand that this document and employment interviews, or any offer of employment with K&M Machine-Fabricating, Inc. is strictly on an at-will basis, and that this at-will employment relationship can only be changed in writing by the President.

If employed by K&M, I understand that I will receive a copy of the K&M Employee Handbook which outlines the Company benefits, policies, and procedures, as well as my employment responsibilities. I understand that it is my responsibility to read, know and follow all policies contained within this Handbook. I also understand that the information contained within this Handbook is subject to change as situations warrant, and the Company has the right to amend this information unilaterally, with or without prior notice. I also understand changes in the policies may supersede, modify or eliminate the policies contained in the Handbook and that I am responsible for knowing and following such changes.

If my employment with K&M Machine-Fabricating, Inc. is terminated I understand and agree that the Company has no liability for wages or benefits except such as may have been earned up to the date of such termination. I understand that the Company can change wages, benefits, and conditions of employment at any time without prior notice.

I understand that I may be required to work overtime, including hours before or after my regular shift, as well as my regular days off. I further understand that if I fail to work overtime as directed I may be disciplined up to and including termination of employment.

I understand and agree that any offer of/or employment with K&M is contingent on the successful completion of a drug test and my ability to perform the essential job functions of the position which may be offered. I further understand and agree that if I am unable to perform such job functions with reasonable accommodation that such offer of employment may be revoked or rescinded by K&M at any time with or without notice.

I voluntarily agree to the above terms of employment. I agree that if any of the above terms is ever found to be legally unenforceable as written, such invalidity shall not affect the validity of the rest of these terms, and such terms shall be limited to allow its enforcement as far as legally possible. I understand and agree that no one other than the President of K&M Machine-Fabricating, Inc. has the authority to modify or announce modification of the above terms of employment and policies, or to make any exception to them, or to offer employment on any other terms. I understand and agree that except as provided above, employment, benefits, programs, rules and policies of K&M are subject to exceptions or change at will at any time as decided by the Employer. I also certify that I am willing to have a photocopy or facsimile of this authorization accepted with the same authority as the original.
Applicant Signature:*
Date (mm/dd/yyyy):*
                            
                            MM slash DD slash YYYY
                        
                        
                    
                    
                          
                    
                
                
                    
                        Machinists Applicant Skills/Preference Inventory:
Are you willing to work any shift?
			
				
				Yes
			
			
				
				No
			
If "No", which shift will you work?
								
								First
							

								
								Second
							

								
								N/A
							
If scheduled to do so, are you willing to work 6 or 7 days and 55 to 70 hours per week?
			
				
				Yes
			
			
				
				No
			
Section Break
List any boring mills or machining centers you have set up and operated:
Brand Name and Spindle Size:
Vertical or Horizontal:
			
				
				Vertical
			
			
				
				Horizontal
			
Manual or CNC:
			
				
				Manual
			
			
				
				CNC
			
Floor Type or Table Type:
			
				
				Floor Type
			
			
				
				Table Type
			
Experience (Years/Months):
Section Break
Brand Name and Spindle Size:
Vertical or Horizontal:
			
				
				Vertical
			
			
				
				Horizontal
			
Manual or CNC:
			
				
				Manual
			
			
				
				CNC
			
Floor Type or Table Type:
			
				
				Floor Type
			
			
				
				Table Type
			
Experience (Years/Months):
Section Break
Brand Name and Spindle Size:
Vertical or Horizontal:
			
				
				Vertical
			
			
				
				Horizontal
			
Manual or CNC:
			
				
				Manual
			
			
				
				CNC
			
Floor Type or Table Type:
			
				
				Floor Type
			
			
				
				Table Type
			
Experience (Years/Months):
Section Break
Brand Name and Spindle Size:
Vertical or Horizontal:
			
				
				Vertical
			
			
				
				Horizontal
			
Manual or CNC:
			
				
				Manual
			
			
				
				CNC
			
Floor Type or Table Type:
			
				
				Floor Type
			
			
				
				Table Type
			
Experience (Years/Months):
Section Break
If CNC, give control(s) operated:
Have you done CNC Program Editing?
			
				
				Yes
			
			
				
				No
			
If 'Yes', describe how much:
List any other machine shop manual, NC, or CNC machine(s) you are skilled at setting up and operating. (List control(s), if any):
Are you certified as a journeyman Machinist?
			
				
				Yes
			
			
				
				No
			
If 'No', can you document eight years of Machinist experience?
			
				
				Yes
			
			
				
				No
			
Do you have your own tool box and a complete set of machinist tools?
			
				
				Yes
			
			
				
				No
			
Comments:
                    
                    
                          
                    
                
                
                    
                        Welders/Fabricators Applicant Skills/Preference Inventory
Are you willing to work any shift?
			
				
				Yes
			
			
				
				No
			
If "No", which shift will you work?
								
								First
							

								
								Second
							

								
								N/A
							
If scheduled to do so, are you willing to work 6 or 7 days and 55 to 70 hours per week?
			
				
				Yes
			
			
				
				No
			
Are you a certified journeyman Welder/Fabricator or can you document eight years of welding/fabricating experience?
			
				
				Yes
			
			
				
				No
			
Section Break
Specify amount and type of experience below:
Flux Core Weld:
Years/Months:
Type of Weld:
								
								Singlepass
							

								
								Multipass
							

								
								Custom
							

								
								Production
							
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Type of Material(s):
Section Break
Mig Weld:
Years/Months:
Type of Weld:
								
								Singlepass
							

								
								Multipass
							

								
								Custom
							

								
								Production
							
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Type of Material(s):
Section Break
Stick Weld:
Years/Months:
Type of Weld:
								
								Singlepass
							

								
								Multipass
							

								
								Custom
							

								
								Production
							
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Type of Material(s):
Section Break
Submerged Arc Weld:
Years/Months:
Type of Weld:
								
								Singlepass
							

								
								Multipass
							

								
								Custom
							

								
								Production
							
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Type of Material(s):
Section Break
Flame Cutting-Hand:
Years/Months:
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Section Break
Flame Cutting-Machine:
Years/Months:
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Section Break
Brake Press:
Years/Months:
Gauge of Material:
								
								Up to 1/4 inch
							

								
								Over 1/4 inch
							

								
								Casting
							
Section Break
Layout:
Years/Months:
Section Break
Setup with Fixture:
Years/Months:
Section Break
Setup without Fixture:
Years/Months:
Section Break
Comments:
                    
                    
                          
                    
                
                
                    
                        Please make sure that you have filled out your application correctly and completely. Once you click the 'Submit' button at the bottom of this page, your application will be transmitted to K&M's Human Resources department. If you need to review any parts of your application, use the step links above: