Bauer Radiator Wholesale Distribution
Bauer Radiator, Inc.

Application for Employment

We deeply appreciate your interest in our organization. Thank you for taking the time to complete this application.
Field labels in red are required entries.

The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, martial status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to credit data. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.

Personal

Date:

First Name:

Last Name:

Social Security No.:

Telephone No.:

 -

Address:

City:

State:

ZIP:

Work Status:

Are you legally eligible for employment in the U.S.A?        Yes          No
If hired, you are required to submit proof of your eligibility to work in the U.S.A.

Legal Age:

Are you over the age of sixteen?         Yes          No
If no, hire is subject to verification that you are of minimum legal age.

Position Applied For:

Previous Employee:

Were you previously employed by us?        Yes          No
If yes, when?

Start Work:

If your application is considered favorably, on what date will you be available for work?

Additional Information:

Are there any other job related experiences, skills, or qualifications which will be of special benefit in the job for which you are applying?

Conviction Record:

The right to ask questions concerning convictions varies from state to state and is subject to change. If your state permits it, please answer the question below.

Have you ever been convicted of a major crime (felony) in the past 5 years?
         Yes          No
Do not answer “yes” if the conviction has been parconed, annulled, expunged, sealed or impounded by a court. If yes, please give the conviction date and nature of the offense:

A conviction record will not necessarily bar employment.

Employment History

 

 

List below present and past employment, beginning with your most recent.

1 

Company Name and Address:

 

Type of Business:

 

Telephone:

 

Employment:

From:           To:

 

Weekly Salary:

Starting:           Last:

 

Reason for Leaving:

 

Name of Supervisor:

 

Work:

Describe the work you did:

 

Contact Employer:

I hereby give permission to contact the employeer listed above, concerning my prior work experience as indicated above:        Yes          No

2 

Company Name and Address:

 

Type of Business:

 

Telephone:

 

Employment:

From:           To:

 

Weekly Salary:

Starting:           Last:

 

Reason for Leaving:

 

Name of Supervisor:

 

Work:

Describe the work you did:

 

Contact Employer:

I hereby give permission to contact the employeer listed above, concerning my prior work experience as indicated above:        Yes          No

3 

Company Name and Address:

 

Type of Business:

 

Telephone:

 

Employment:

From:           To:

 

Weekly Salary:

Starting:           Last:

 

Reason for Leaving:

 

Name of Supervisor:

 

Work:

Describe the work you did:

 

Contact Employer:

I hereby give permission to contact the employeer listed above, concerning my prior work experience as indicated above:        Yes          No

4 

Company Name and Address:

 

Type of Business:

 

Telephone:

 

Employment:

From:           To:

 

Weekly Salary:

Starting:           Last:

 

Reason for Leaving:

 

Name of Supervisor:

 

Work:

Describe the work you did:

 

Contact Employer:

I hereby give permission to contact the employeer listed above, concerning my prior work experience as indicated above:        Yes          No

Record of Education

Elementary 

Name and Address of School:

 

Last Year Completed:

 5         6         7         8

 

Did you Graduate?

 Yes          No

High 

Name and Address of School:

 

Course of Study:

 

Last Year Completed:

 1         2         3         4

 

Did you Graduate?

 Yes          No

 

List Diploma or Degree:

College 

Name and Address of School:

 

Course of Study:

 

Last Year Completed:

 1         2         3         4

 

Did you Graduate?

 Yes          No

 

List Diploma or Degree:

Other
(Specify) 

Name and Address of School:

 

Course of Study:

 

Last Year Completed:

 1         2         3         4

 

Did you Graduate?

 Yes          No

 

List Diploma or Degree:

Personal References

 

 

(Not Former Employers or Relatives)

1 

Name and Occupation:

 

Address:

 

Phone Number:

2 

Name and Occupation:

 

Address:

 

Phone Number:

3 

Name and Occupation:

 

Address:

 

Phone Number:

Additional Information

Phone Home:

May we telephone you to follow up on this application at home?       Yes        No
If yes, what is the best time to call?

Phone at Work:

May we telephone you to follow up on this application at work?       Yes        No
If yes, what is the best time to call?

If yes, what is your business telephone number?

Preview Application

 

Click the button below to proceed to send this application.

Proceed: