"*" indicates required fieldsStep 1 of 425%CMT ComponentsEmployment ApplicationThis application is considered active for ninety (90) days. DRUG-FREE WORKPLACEAll employees are subject to drug and alcohol testing procedures permitted under federal and state law. Personal InformationName* First Middle Last Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code Position(s) Interested In?*Salary RequirementsPay Type Stated Hour YearAre you under the age of 18?* Yes NoIf yes, state your age.Have you worked for CMT Components before? Yes NoIf yes, when and where?If hired, can you supply proof that you are legally entitled to work in the United States for any employer?* Yes NoDo you have friends or relatives working for us? Yes NoIf so, who?Can You Work?* Anytime Days Evenings WeekendsAre there any times or days you cannot work?Have you ever been convicted of a felony, a violent crime, or a related crime (i.e., robbery, theft, burglary)?* Yes NoNote: A “yes” response will not automatically disqualify you from employment, but will be considered as part of your overall job-related qualifications for employment. You do not need to disclose any information regarding arrests or any criminal charges and/or convictions that have been erased, annulled, sealed and/or expunged from your record.If yes, please describe:EducationEducation Experience Includes High School College Graduate OtherPlease check all that apply.High SchoolName of High SchoolLocation of SchoolArea of StudyLast Year CompletedDid You Earn a Degree or Diploma? Yes NoCollegeName of CollegeLocation of SchoolArea of StudyLast Year CompletedDid You Earn a Degree or Diploma? Yes NoGraduateName of Graduate SchoolLocation of SchoolArea of StudyLast Year CompletedDid You Earn a Degree or Diploma? Yes NoOtherName of Other Education SchoolLocation of SchoolArea of StudyLast Year CompletedDid You Earn a Degree or Diploma? Yes NoReferencesList names of three people (other than relatives) we may contact who have knowledge of your job-related skills.Reference #1Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region Occupation*Reference #2Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region Occupation*Reference #3Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region Occupation* AN EQUAL OPPORTUNITY EMPLOYERCMT Components is an Equal Opportunity Employer and does not discriminate in making employment decisions based upon race, color, sex, religion, national origin, age, disability, marital status, sexual orientation, or veteran or military status. Employment HistoryBEGINNING WITH YOUR MOST RECENT EMPLOYER, LIST ALL EMPLOYMENT INCLUDING MILITARY SERVICE AND SELF-EMPLOYMENT. Please account for all periods of unemployment. All sections of this application must be complete even if a resume is attached.If presently employed, may we contact your employer for reference? Yes NoMay we contact you at your place of employment? Yes NoNumber of Employers to List*1 Employer2 Employers3 Employers4 Employers5 Employers1st EmployerName of Present or Last EmployerPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title/ResponsibilitiesWas Your Position Full Time Part TimeStart Date Month Day YearEnd Date Month Day YearReason for Leaving Terminated Voluntary InvoluntaryExplainSupervisor Name First Last Starting SalaryLast Salary2nd EmployerName of Present or Last EmployerPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title/ResponsibilitiesWas Your Position Full Time Part TimeStart Date Month Day YearEnd Date Month Day YearReason for Leaving Terminated Voluntary InvoluntaryExplainSupervisor Name First Last Starting SalaryLast Salary3rd EmployerName of Present or Last EmployerPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title/ResponsibilitiesWas Your Position Full Time Part TimeStart Date Month Day YearEnd Date Month Day YearReason for Leaving Terminated Voluntary InvoluntaryExplainSupervisor Name First Last Starting SalaryLast Salary4th EmployerName of Present or Last EmployerPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title/ResponsibilitiesWas Your Position Full Time Part TimeStart Date Month Day YearEnd Date Month Day YearReason for Leaving Terminated Voluntary InvoluntaryExplainSupervisor Name First Last Starting SalaryLast Salary5th EmployerName of Present or Last EmployerPhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Job Title/ResponsibilitiesWas Your Position Full Time Part TimeStart Date Month Day YearEnd Date Month Day YearReason for Leaving Terminated Voluntary InvoluntaryExplainSupervisor Name First Last Starting SalaryLast SalaryI understand that CMT Components may contact the past employers and/or personal references I have provided in order to verify my past employment and work record. I authorize all past employers, educational institutions, government agencies and/or personal references to release any and all information concerning my past employment work history, performance, and personal character. I hereby release all such employers, personal references, and C & M Truss from any and all liability resulting from damages I may incur in the reference verification process. I understand that my employment or continued employment is contingent upon my successfully completing both reference and background checks. I also understand that if employed by CMT Components, my employment is “at will” and can be terminated at any time for any reason either by myself or the Company. This agreement cannot be modified by any representative of the Company either in writing or verbally. Finally, I understand it is unlawful for CMT Components to employ anyone who is neither a citizen of the U.S. nor an alien authorized to work in the U.S. I certify that any U.S. citizenship/work authorization information I provide to the Company is authentic. Further, I certify that all information I have provided on this application is accurate. False information or omission of facts on this application may result in the termination of my employment with CMT Components.Applicant SignatureType your name above to sign and state that the above information is true.Date Month Day Year
