SigmaTron International Employment Application

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Employment Application

Equal Opportunity Employer: In compliance with Federal, State, and Local employment opportunity laws, SigmaTron International, Inc., (“SigmaTron”) will consider all qualified candidates for employment without regard to race, color, creed, religion, sex, sexual orientation, age, marital status, military status, certain unfavorable discharges from military service, citizenship, ancestry, national origin, physical or mental handicap or disability, genetic information, pregnancy, or any other characteristic protected by law.

Accommodations: Consistent with the Americans with Disabilities Act and the Illinois Human Rights Act, you may request accommodations needed to participate in the application process.

Application Instructions: Please fill out application completely – do not refer to resume. Incomplete applications may prevent you from being considered for employment. Applications will remain active for thirty (30) days.

Personal Information
Position Desired
NameLast, First, M.I.
Street Addressinclude Mailing Address if different
City
State
Zip
Home Telephone
Work Telephone
May we contact you at work?
Are you 18 years of age or older?
Willing to relocate?
How did you learn about us?

SigmaTron is required to verify an employee’s lawful right to work in the United States.

If hired, will you be able to provide this required documentation?
Are you registered, licensed, or certified?
If so, has any license, registration, or certification ever been revoked, suspended, or put on probation?
If yes, please explain:
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Employment Desired and Hours Available
Position(s) Applying For
Date Available
Salary Desired

Type of work desired
Please rank in order of preference, or mark N/A for "Not Applicable".

Full Time
Part Timeover 20 hour per week
Part Timeunder 20 hours per week
Seasonal/Temporary
Explain:

Hours available to work:

MondayFrom/To
TuesdayFrom/To
WednesdayFrom/To
ThursdayFrom/To
FridayFrom/To
SaturdayFrom/To
SundayFrom/To
Total Hours Available per Week
Are you able to work beyond your assigned shift or work overtime if needed? *
Are you now under any non-competition obligations, or do you have any other interest, which is inconsistent or in conflict with duties that may be assigned by SigmaTron?
Have you ever applied with us before?
For what position?
When did you apply?
Have you ever been employed with us before?
In what position?
When were you employed by us?
Do you have any relatives that are currently working for us?
Who?
What Department?
Education
High SchoolName of School, City, State
Years AttendedHigh School
Did you graduateHigh School
College/UniversityName of School, City, State
Course of StudyCollege/University
Years AttendedCollege/University
Did you graduate?Colleger/University
Trade, Business, Correspondence School or OtherName of School, City, State
Years AttendedTrade/Business/Corresondence School
Did you graduateTrade/Business/Corresondence School
Please list special skills and/or qualifications you possess that directly relate to the position for which you are applying, such as knowledge of software, computer programs, and machinery and/or other office equipment you operate:
0 /
Why are you interested in SigmaTron and/or this position?
0 /
Employment History

Instructions:

  • List your last four previous employers below, starting with your most recent employer.  
  • Explain any gaps in employment at the end of the page. All information MUST be completed.
  • You may not substitute a resume for this application, although a resume may be attached for additional information.
Employer #1 - Current or most recent employer
May we contact your current employer?
If no, please explain
Employer Name
Date of employmentFrom month/year - To month/year
Employer AddressStreet, City, State
Employer Telephone
Supervisor Name
Starting Salary
Ending Salary
Starting Position
Ending Position
Employment was
Are you currently employed with this company?
Duties performed and skills used and/or learned:
Reason for leaving or looking for other employment:
Reason
Employer #2 - Current or most recent employer
Employer Name
Date of employmentFrom month/year - To month/year
Employer AddressStreet, City, State
Employer Telephone
Supervisor Name
Starting Salary
Ending Salary
Starting Position
Ending Position
Employment was
Are you currently employed with this company?
Duties performed and skills used and/or learned:
Reason for leaving or looking for other employment:
Reason
Employer #3 - Current or most recent employer
Employer Name
Date of employmentFrom month/year - To month/year
Employer AddressStreet, City, State
Employer Telephone
Supervisor Name
Starting Salary
Ending Salary
Starting Position
Ending Position
Employment was
Are you currently employed with this company?
Duties performed and skills used and/or learned:
Reason for leaving or looking for other employment:
Reason
Employer #4 - Current or most recent employer
Employer Name
Date of employmentFrom month/year - To month/year
Employer AddressStreet, City, State
Employer Telephone
Supervisor Name
Starting Salary
Ending Salary
Starting Position
Ending Position
Employment was
Are you currently employed with this company?
Duties performed and skills used and/or learned:
Reason for leaving or looking for other employment:
Reason
Gaps in Employment

Explain gaps in employment longer than 30 days

Gap #1From/To
Reason
Gap #2From/To
Reason
Gap #3From/To
Reason
Other References
Reference #1Name/Occupation
AddressStreet, City, State
Telephone
Years acquainted
Relationshipcheck all that apply
Reference #2Name/Occupation
AddressStreet, City, State
Telephone
Years acquainted
Relationshipcheck all that apply
Reference #3Name/Occupation
AddressStreet, City, State
Telephone
Years acquainted
Relationshipcheck all that apply
Application Notification and Authorization

Read the following information carefully before submitting this application; by submitting this application, you agree to each of the following terms.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation of these facts may be grounds for rejection of this application, denial of employment or, if employed, for disciplinary action up to and including dismissal if subsequently discovered.

In connection with my application for employment with SigmaTron, I understand and agree that investigations and inquiries may be made concerning my background and qualifications, including but not limited to my past employment or employment references, education, credit history, motor vehicle reports, and other inquiries. By signing this application, I hereby authorize my former employers and references to provide any information requested by SigmaTron. I release without reservation all parties, including my former employers, references, SigmaTron, and SigmaTron’s employees or representatives, from any and all claims, actions, suits and/or liabilities arising from the release or pursuit of any such information. I understand that this release does not operate to relieve any party of liability under applicable non-discrimination and fair employment practices laws. In the event SigmaTron uses an outside investigative consumer-reporting agency, SigmaTron will notify me.

I understand that filling out this form does not indicate there is a position open and does not obligate SigmaTron to hire me. If offered a position, I understand that I will be required to submit documents sufficient to establish employment authorization and identity in compliance with the Immigration Reform and Control Act of 1986.

In consideration of my employment, I agree to abide by the rules and regulations of SigmaTron. Without limiting the foregoing, I understand and agree that, if hired, I will abide by the employment policies established by SigmaTron including the guidelines on employee conduct. I acknowledge that, as a condition of employment, I will be required to agree to strictly abide by SigmaTron’s policies. Conduct, whether intentional or unintentional, which results in the harassment or discrimination of others including on the basis of race, color, religion, sex, age, national origin, sexual orientation, physical or mental handicap or disability, creed, citizenship, ancestry, marital status, military status, certain unfavorable discharges from military service, genetic information, pregnancy, or any other characteristic protected by federal, state, or local law is illegal and will not be tolerated. Such conduct and other inappropriate conduct violate SigmaTron policies and will result in disciplinary action, up to and including termination of employment.

I understand and agree that any action or suit against SigmaTron arising out of my application, potential employment, or termination thereof, must be brought within 180 days of the event giving rise to the claim(s) or be forever barred. By submitting this application, I understand that I waive any limitations period to the contrary.

I understand and agree that, if hired, my employment is for no definite period, and regardless of the date of payment of my wages or salary, my employment can be terminated at any time, with or without cause or notice, at the option of either SigmaTron or myself. I further understand that only SigmaTron’s President/CEO or another person specifically designated by SigmaTron’s President/CEO has the authority to create or enter into any employment agreement on behalf of SigmaTron and any such employment agreement will not be enforceable unless it is in writing and signed by SigmaTron’s duly authorized representative and me.

We appreciate your interest in our organization.  Thank you for taking the time to complete this application.

By checking this box, you confirm to SigmaTron that you agree to be bound by all of the terms of this application
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