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Home > Company Overview > Careers > Employment Application

Employment Application

Our policy is to provide equal employment opportunity to all qualified persons without regard to race, creed, color, religious belief, sex, age, national origin, ancestry, physical or mental disability, or veteran status. This policy is modified with respect to citizenship and national origin because of compliance with US Export Regulations (EAR/ITAR). We assure you that your opportunity for employment with this Company depends solely on your qualifications.

Date*
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis?*
- Yes
- No
What type of employment are you seeking?*
- Full-time
- Part-time
- Co-op
Are you willing to work nights?*
- Yes
- No
Are you willing to work weekends?*
- Yes
- No
Please list your availability:*
- Sunday
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Have you ever been convicted of a felony? Do not include convictions that were sealed or expunged pursuant to a court order. (Please note that answering yes will not necessarily disqualify you from employment.)*
- Yes
- No
If yes, please describe conditions:
Desired Employment
Position applied for:*
Desired salary:
How did you hear of this opening?*
Have you ever applied for employment here?*
- Yes
- No
If so, when?
Are you willing to relocate?*
- Yes
- No
Are you willing to travel?*
- Yes
- No
If yes, what percent?
Do you have a valid driver's license?*
- Yes
- No
Do you have reliable transportation to work?*
- Yes
- No
When would you be available to start?

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Hidden
Employment History
Please begin with your current or most-recent position. List up to four previous jobs.
How will you submit your employment history?*
- I will upload my resume
- I will complete employment history
Resume
Max. file size: 50 MB.
Please upload your resume. File cannot exceed 50 MB.
Employer name and address:*
Supervisor:*
Phone
Position title/duties, skills*
Start date:*
Hidden
End date:
Hidden
Reason for Leaving:
Hidden
Employer name and address:
Supervisor:
Hidden
Phone
Position title/duties, skills
Start date:
End date:
Reason for Leaving:
Employer name and address:
Supervisor:
Phone
Position title/duties, skills
Start date:
End date:
Reason for Leaving:
Employer name and address:
Supervisor:
Phone
Position title/duties, skills
Start date:
End date:
Reason for Leaving:

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Education
Are you planning to continue your studies?
- Yes
- No
If yes, where and what courses of study?
In addition to your work history, are there other skills, qualifications, or experience that we should consider?
Rate your skills with the following software on a scale of 1 (poor/none) to 5 (expert):
Microsoft Word
CAD/CAM
Microsoft Excel
MRP
If you have MRP software experience, please specify which MRP system:

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Business References
List up to four references.
Name of Reference*
Company/Position*
Years Known*
Phone Number*
Name of Reference
Company/Position
Years Known
Phone Number
Name of Reference
Company/Position
Years Known
Phone Number
Name of Reference
Company/Position
Years Known
Phone Number

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Voluntary Self-Identification of Disability
Name*
First Last
Date*
MM slash DD slash YYYY
Why are you being asked to complete this form?
We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years. Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
How do you know if you have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:
- Autism
- Autoimmune disorder (for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS)
- Blind or low vision
- Cancer
- Cardiovascular or heart disease
- Celiac disease
- Cerebral palsy
- Deaf or hard of hearing
- Depression or anxiety
- Diabetes
- Epilepsy
- Gastrointestinal disorders (for example, Crohn's Disease, or irritable bowel syndrome)
- Intellectual disability
- Missing limbs or partially missing limbs
- Nervous system condition (for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS))
- Psychiatric condition (for example, bipolar disorder, schizophrenia, PTSD, or major depression)
Please check one of the boxes below:*
- Yes, I Have A Disability, Or Have A History/Record Of Having A Disability
- No, I Don’t Have A Disability, Or A History/Record Of Having A Disability
- I Do Not Wish To Answer
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
Employers may modify this section of the form as needed for record keeping purposes.

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Employment Acknowledgement
In exchange for the consideration of my job application by OptiPro Systems, LLC (hereinafter called “the Company”), I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by an officer of the Company. Both the undersigned and employer may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies, and procedures and such changes may include reduction in benefits.

I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application. I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts requested in this application is cause for dismissal at any time without any previous notice.

I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to the employees.

In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.

I understand that, in connection with the routine processing of my employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements.
Acknowledgement*
By checking this box, I certify that I understand the above information and submit this application for employment.
Name*
First Last
Date*
Comments
This field is for validation purposes and should be left unchanged.

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Employment Application