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Click here or scroll down to respond to this candidateApplication DetailsCandidate Name: Candidate's Name
Applied For: MAINTENANCE TECHNICIAN (Street Address )Date Applied: Street Address /08/2022 03:17:51 PMDescription Date CompletedWelcome & Privacy Acknowledgment Street Address /07/2022View/Update Contact Information 03/07/2022View/Update Contact InformationConfirm Your Legal NameGiven Name (First): Earl Middle Name: Cecil Family Name(Last):Whaley PreferredFirst Name:EarlLegal Local Name: EarlWhere Do You Live?United States Minor Outlying IslandsStreet Address *: 6125 Forrest aveCity *: PennsaukenState/ProvinceAbbreviation *:NJPost Code *: 08110How Do We Contact You?Primary Email: EMAIL AVAILABLEPersonal MobileCountry Code: +1 Phone Number: PHONE NUMBER AVAILABLE Enter Numbers only in Phone Numberfield, including areacode.:No specialcharacters orformatting allowed.Would you like to receive text messages from us regarding employment opportunities in the future from Koch Industries, Inc. and its affiliates? T-Mobile is not liable for delayed or undelivered messages. Message and data rates may apply. Message frequency may vary. Text HELP to (45295) for help or text STOP to (45295) to stop receiving messages, or reply STOP to any text message.*YesWould you like to receive email messages from Koch Industries, Inc. and its affiliates regarding employment opportunities and company news in the future? You can unsubscribe at any time.* YesPreferencesWilling To Relocate?: Not ApplicableSalary Expectation?: 40,000,000.000000 Currency: USD Pay Rate Type: Annual Salary Description Date CompletedEmployment History 03/08/2022Employment HistoryJob Title Employer Name Start Date End DateCurrentEmployerRoad supervisor Zoom Drain November 2021 February 2022 No Plumbing supervisor Drainvisions May 2008 October 2021 No Gunners mate 2ndclassUs navy July 1992 May 1998 NoDescription Date CompletedVoluntary Self-Identification 03/08/2022Voluntary Disability Self-Identification 03/08/2022 Questions 03/08/2022QuestionsQuestion Text Question AnswerAre you at least 18 years of age? YesAre you legally authorized to work in the United States? Yes Will you now or in the future require sponsorship for employment visa status (for example, EAD, F-1, OPT, H-1B, L-1, or TN status)? If employed, you will be required to provide original documents which verify your identity and right to work in the United States. NoHave you previously worked for a Koch affiliated company (ex. Georgia-Pacific, INVISTA, Flint Hills Resources, Molex, Guardian Industries, SRG Global, etc.), or have previously been a Koch contractor? If yes, please provide details.NoDo you have relatives who are currently employed by a Koch affiliated company (ex. Georgia-Pacific, INVISTA, Flint Hills Resources, Molex, Guardian Industries, SRG Global, etc.), or who have pending offers? If yes, please provide your relative's name. NoHave you at any time signed a non-compete, non-solicitation, confidential information or similar agreement with any previous employer?NoDo you have 1 year of experience reading and interpreting manuals/schematics to understand equipment and controls? YesDo you have 1 year of experience in troubleshooting, repairing, and operating industrial equipment?YesDo you have 1 year of experience in troubleshooting and repairing hydraulic and pneumatic systems?YesDo you have 1 year of experience adjusting and calibrating equipment and machinery to optimal specifications? YesDo you have experience working with baling equipment in the recycling industry?NoDo you have experience working with conveyors? Yes Do you have experience maintaining and repairing mobile equipment?YesDo you have experience with low voltage control wiring? Yes Description Date CompletedAttachments (Optional) 03/08/2022Attachments (Optional)Candidate's Name _Resume.PDFResume/CV03/08/2022Candidate's Name _Resume.pdfResume/CV03/08/2022Description Date CompletedSign Application 03/08/2022Sign ApplicationPlease read the following statement carefully, then acknowledge that you have read and approved it by providing the information requested at the bottom of the page. Please note that an eSignature is the electronic equivalent of a hand-written signature. By my signature on this Employment Application, I certify that all information furnished by me and in any resume I have supplied, is true, complete and correct. I agree that any false statement made by me, or my failure to answer completely any applicable questions may result in release from, or refusal of, employment. I understand that if I am offered employment, I may be required to sign a non-solicitation and non-disclosure agreement, as a condition of employment. By signing and submitting this Employment Application, I certify I am genuinely interested in working for the Company in the position which I am applying and am submitting this Employment Application for no other purpose. I acknowledge that I have read this Employment Application carefully and understand its content. This Employment Application may be executed in one or more counterparts or duplicate originals, all of which when taken together will constitute one and the same document. Electronic and facsimile copies of an original executed signature page (including copies electronically transmitted in portable document format or .pdf) will be deemed the same as the original executed signature page. Electronically executed versions of a signature page through the electronic signing system implemented by either Party will also be deemed the same as an original executed signature page. At the request of either Party, the other parties to this Employment Application will promptly confirm all electronic or facsimile copies, and all electronically executed versions, of any signature page by manually executing and delivering a duplicate original signature page. If hired, as an employee of the Company, I will follow the rules, regulations and policies of the Company, which will govern the terms and conditions of my employment. If I am hired, I understand the employment relationship will be at-will, meaning I am not guaranteed employment for any definite period, and my employment relationship may be terminated at any time, without cause or notice, for any or no reason, by either the Company or myself. I understand any agreement to the contrary must be in writing and signed by an authorized representative of the Company. I certify that no employee or representative of the Company has made any oral or written representation to me or entered into any agreement with me that is contrary to this Certification and Agreement. I further understand and agree that, except for employment-at-will status, if hired my wages, hours, working conditions, job assignment(s), and compensation rate(s) will be subject to change by the Company. I understand that if I am offered employment, such offer will be contingent upon passing a Company-approved drug screen in accordance with state law, that I may be required to complete a medical history questionnaire and/or undergo a physical examination by a physician selected by the Company; and that I will be required to supply proof of authorization to work in the U.S. I also understand that I will be required to authorize the drug testing firm to provide the results of the required drug test to the Company. I also understand and agree that by signing and submitting this Employment Application, I am waiving my right to have a jury trial to resolve any lawsuit I may ever bring against the Company, and that any lawsuit that I may bring against the Company will be tried to a judge without a jury. I also understand and agree that I am waiving my right to participate as a member in a class action lawsuit and/or act as a representative of a class of similarly situated individuals in any lawsuit against the Company. I understand that unless I waive these rights, the Company will not further consider my application for employment. MARYLAND APPLICANTS: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. An employer who violates this law is guilty of a misdemeanor and subject to a fine not exceeding $100. MASSACHUSETTS APPLICANTS: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. RHODE ISLAND APPLICANTS: The Company is subject to Chapter 29-38 of Title 28 of the Rhode Island Workers' Compensation Law.MONTANA APPLICANTS: The employment relationship is governed by the Wrongful Discharge from Employment Act. Mont. Code 39-2-901.SignatureREAD THE ABOVE CERTIFICATION AND AGREEMENT CAREFULLY. By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering the information requested in the fields below.* I Agree: YesYour Name: Candidate's Name Signed: 03/08/2022 |
