Step 1 of 8 12% Personal Information In an effort to be environmentally conscious, we are striving to be paperless, including our employment application. HiddenPosition HiddenShift HiddenLocation Hiddensource Name* First Middle Last Address* Street Address City State / Province / Region ZIP / Postal Code Primary Phone*Secondary PhoneEmail* Are you 18 years of age or older?* Yes No Do you have any members of your family working at NK Parts?* Yes No If yes, please identify their name and relationship to you. Have you ever been employed by NK Parts in the past?* Yes No If yes, when? Are you legally entitled to hold employment of the kind for which you are applying in the United States?* Yes No Employment DesiredWhat position are you applying for?*Please select one:Truck DriverProduction AssociateSupervisorManagement Team MemberExecutiveFitness StaffInformation TechnologyHuman ResourcesFinanceImport/ExportMachinistManufacturingTechnologyAre you seeking full-time or part-time employment?* Full-time Part-time What location are you interested in working at?*Please select one:Sidney, OHEast Liberty, OHAnna, OHRussells Point, OHWhat location are you interested in working at?*Please select one:Sidney, OHEast Liberty, OHAnna, OHRussells Point, OHJoliet, ILLaredo, TXPreferred days to work:* Monday Tuesday Wednesday Thursday Friday Preferred shift:* Morning Afternoon Evening If required, will you work overtime?* Yes No Your desired salary* What shift are you interested in?*Please select one:First ShiftSecond ShiftThird ShiftNo PreferenceDate you would be available to start employment* MM slash DD slash YYYY Education & Training*Degree of educational achievement is considered in the hiring process only to the extent that specific educational achievement is a requirement for performing the job.High School High School Address City State / Province / Region Number of Years AttendedDid you graduate or receive your GED? College/University College Address City State / Province / Region Number of Years AttendedDid you graduate? Major/Concentration Trade, Business or Correspondence School Address of School City State / Province / Region Number of Years AttendedDid you graduate? Degree or Certifications Received List any additional special skills or abilities that you have which relate to the job for which you are applying. Employment HistoryStart with your PRESENT or MOST RECENT EMPLOYER. List in consecutive order the past THREE employers.Company* Dates Employed (mm/yyyy to mm/yyyy)* Phone*Address* Street Address City State / Province / Region ZIP / Postal Code Job Title* Salary* Reason for Leaving* May we contact this employer?* Please give brief job description and/or responsibilities.*Company Dates Employed (mm/yyyy to mm/yyyy) PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Job Title Salary Reason for Leaving May we contact this employer? Please give brief job description and/or responsibilities.Company Dates Employed (mm/yyyy to mm/yyyy) PhoneAddress Street Address City State / Province / Region ZIP / Postal Code Job Title Salary Reason for Leaving May we contact this employer? Please give brief job description and/or responsibilities. Professional ReferencesGive the names of three professionals, not related to you, whom you have known at least one year.Name* First Last Phone*Relationship* Position/Business* Years Acquanited*Name First Last PhoneRelationship Position/Business Years AcquanitedName First Last PhoneRelationship Position/Business Years Acquanited Application Terms of AgreementI certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, incomplete, false or misleading statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damages that may result from furnishing same to you. I also authorize you to obtain information regarding my record with the bureau of motor vehicles if the job for which I am applying will require driving as a part of my job duties. I understand that pursuant to the company's job application process I may be required to undergo drug testing. I further understand that if I refuse to take or fail the drug test, I am disqualified from further employment consideration. I hereby knowingly and voluntarily consent to the company's request to undergo a drug test. I further release NK Parts Industries, Inc. and its officers, agents, representatives and employees from any and all claims and liability for damages associated with or arising from my submission to the test. In consideration of my employment, I agree to conform to company rules, regulations and policies, and agree that my employment 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 supervisor, manager, or officer or representative of the company of any other entity, other than the President of NK Parts Industries, Inc. has any authority to enter into any agreement for any specified period of time or to make any agreement contrary to the foregoing. I agree that any claim or lawsuit relating to my service with NK Parts Industries, Inc. or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is subject of the claim or lawsuit. I waive any statute to the contrary. This does not interfere with my right to file an administrative charge with the EEOC within 300 days.Signature* HiddenSignatureDate* MM slash DD slash YYYY These reports and checks WILL NOT be performed until AFTER a written offer of employment is extended to, and accepted by, the applicant. Disclosure to Employment Applicant Regarding Procurement of a Consumer ReportIn connection with your application for employment, we may procure a Background Investigative Report and/or Background Report on you as part of the process of considering your candidacy as an employee. In the event that information from the report is utilized in whole or in part in making an adverse decision with regard to your potential employment, before making the adverse decision, we will provide you with a copy of the consumer report and a description in writing of your rights under the federal Fair Credit Reporting Act. The Fair Credit Reporting Act gives you specific rights in dealing with consumer reporting agencies. You will be given a summary of these rights together with this document. By your signature below, you hereby authorize us to obtain a consumer report and/or an investigative report about you in order to consider you for employment. The information requested below is being used strictly for pre-employment background screening purposes in order to obtain accurate results. The consumer report may include, but not be limited to, criminal history, verifications of employment and education, and driving records. A credit report detailing personal financial history will only be obtained for permissible purposes in consideration of jobs meeting specific criteria.Read the FCRA Disclosure HereVerification* I have read the FCRA Disclosure Applicant's Name* First Last Applicant's Address* Street Address City State / Province / Region ZIP / Postal Code Signature* HiddenSignatureAuthorization for Background Check(Please read and sign this form in the space provided below. Your written authorization is necessary for completion of the application process.) I hereby authorize NK Parts Industries, Inc. to investigate my background and qualifications for purposes of evaluating whether I am qualified for the position for which I am applying. I understand that NK Parts Industries, Inc. will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation by information services and outside entities of the company's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and my application for employment will not be processed further.Applicant's Name* First Last Signature* HiddenSignatureDate* MM slash DD slash YYYY Pre-Employment Drug/Alcohol Testing Consent and Release FormI hereby consent to submit to a drug or alcohol test and to furnish a sample of my urine, breath, saliva and/or blood for analysis, as shall be determined by NK Parts Industries, Inc. in order to meet with their policy regarding the selection of applicants for employment. I further authorize and give full permission to have NK Parts Industries, Inc. and/or its authorized agents and physicians to send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation related to such test to NK Parts Industries, Inc. I understand that it is the current use of illegal drugs that would prohibit me from being employed at this Company. I further agree to hold harmless NK Parts Industries, Inc. and its agent and physicians from any liability arising in whole or part, out of the collection of specimens, testing, and use of the information from said testing in connection with NK Parts Industries, Inc.'s consideration of my application for employment. I further agree that a reproduced copy of this pre-employment consent and release form shall have the same force and effect as the original. I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part that I have not been coerced into signing this document by anyone.Applicant's Name* First Last Signature* HiddenSignatureDate* MM slash DD slash YYYY HiddenUntitled HiddenUntitled NameThis field is for validation purposes and should be left unchanged. Δ
