Apply – Century Foundry Inc.

Please fill out this form and submit to apply for a position at Century Foundry. Available in PDF format, or online below.

APPLICATION FOR EMPLOYMENT (Temporary, Probationary and Full Time)
We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion or national origin.

Personal Info:
PLEASE NOTE: MUST COMPLETE APPLICATION IN FULL FOR POSSIBLE EMPLOYMENT CONSIDERATION
Your Name:*
First Last
Your Address:*
Street Address Address Line 2 City State ZIP Code
Your Phone #:*
Referred by:
Employment Desired:
Position:
Date you can start:
MM slash DD slash YYYY
Salary Desired:
Are You Employed Now?
- Yes
- No
If Employed, May We Inquire of Your Present Employer?
- Yes
- No
Ever Applied to this Company Before?
- Yes
- No
If Yes, Where & When?
Former Employers:
List Below Last Two Employers, Starting With Last One First
Employer #1

Name and Address
Salary #1:
Position #1:
Length of Employment at #1
Reason for Leaving #1:
Employer #2

Name and Address
Salary #2:
Position #2:
Length of Employment at #2
Reason for Leaving #2:
References:
Give Below the Names of Two Persons Not Related To You, Whom You Have Known at Least One Year.
Name #1
First Last
Address #1
Street Address Address Line 2 City State ZIP Code
Business #1:
Years Acquainted #1:
Name #2
First Last
Address #2
Street Address Address Line 2 City State ZIP Code
Business #2:
Years Acquainted #2:
Physical Record:
Do you have any physical condition which may limit your ability to perform the job applied for?
(This question is voluntary, and any answers will be kept confidential)
Emergency Contact:
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Phone
Final Authorization:
I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without any previous notice. I recognize and agree that if I am employed by the company, such employment will not result in a contract for employment and that the company may terminate my employment with or without notice and with or without cause at any time. I further recognize that nothing in any documents published by the company shall in any way modify the above terms and that these terms cannot be modified in any way by an oral or written representation made by any employee of the company except by a written document signed by the President of the company and myself. I have read and understand the above statements and conditions of employment.
Date
MM slash DD slash YYYY
Signature

Personal Info:

Employment Desired:

Former Employers:

References:

Physical Record:

Emergency Contact:

Final Authorization: