Columbia Manufacturing, Inc. | ISO 9001:2008 and AS900 Certified

Employment Application

CMI endeavors to make this Website URL accessible to any and all users.  If you would like to contact us regarding the accessibility of our website or need assistance completing the application Process, please contact Melissa Strickett.  This Contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Applicant Information

Full Name: Date:
Last Name First Name M.I.
Address:
Street Address Apartment/Unit #
City State ZIP Code
Phone: Email:
Date Available Desired Salary (if salaried) or Hourly Wage if Hourly: $
Position Applied for:
Full Time or Part? FT PT Special Skills:
Are you a citizen of the United States? Yes No
If no, are you authorized to work in the U.S.? Yes No
Have you ever worked for this company? Yes No
If yes, when?

Education

High School: Location:
From: To:
Did you graduate?
Yes No
 
College: Location:
From: To:
Did you graduate?
Yes No
Degree:
 
Other: Location:
From: To:
Did you graduate?
Yes No
Degree:

References

Please list three professional references.

Full Name
Relationship
Company
Phone
Address
(Click to add another Reference)

Previous Employment

Company
Phone
Address
Supervisor
Job Title
Starting Pay:$ Ending Pay:$
Responsibilities
From: To:
Reason for leaving
May we contact your supervisor for reference?
Yes No
(Click to add a Previous Employer)

Military Service

Branch:
From: To:
Rank at Discharge Type of Discharge
If other than Honorable, please explain:
Upload Resume (5mb limit)

Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my dismissal. I hereby authorize you to investigate all statements in this application as necessary.

Consent to Drug Test and Release

I understand that Columbia' Manufacturing 's Drug Free Workplace Policy requires job applicants and employees to submit to drug testing in a variety of circumstances. I understand this testing will be done by means of a urine sample, and that if I test positive for any illegal drug I will be subject to disciplinary action (including immediate discharge), or I will not be hired to work for the Company.

I consent to drug testing as a pre (and post) condition of employment and I authorize the disclosure of the results to the Company. In addition, I will provide whatever assistance I can in interpreting the results, and in particular I will disclose all drugs or medications (whether legal or illegal) which I have used in the 60 days preceding the test

I release the Company, the testing firm, and ail of their respective officers, directors, and employees from any and all claims or liability based on or arising out of these tests, including but not limited to the testing procedures, the providing of samples, the analysis, the disclosure of the test results, and any actions taken by the Company or the testing firm at any time in reliance of the test results.

THIS CONSENT AND RELEASE IS GIVEN VOLUNTARILY IN EXCHANGE FOR THE COMPANY'S CONTINUATION OF MY EMPLOYMENT, OR CONSIDERATION OF MY APPLICATION.


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