Application for Employment

It is the policy of Amada America, Inc. to deal with all applicants and employees without regard to race, color, religion, sex, sexual orientation, national origin, ancestry, marital status, age, disability or veteran status. Please inform the Human Resources Department if you require an accommodation in order to participate in the application process.

IMPORTANT NOTICE: This is a very significant document. Be very careful as you complete it. Answer each item accurately and completely. Failure to do so may result in not being considered for the position or in termination if inaccurate or omitted information is discovered after employment has begun.

Initials: Date: [Set to Now]

Optional Affirmative Action Section

Government Agencies require reports on status of applicants. This data is for analysis and affirmative action only. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect any consideration you may receive for employment, or alter advancement in employment.

Sex

Ethnicity

- A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture of origin, regardless of race.

Race

- A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.
- A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
- A person having origins in any of the Black racial groups of Africa.
- A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
- A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
- All persons who identify with more than one of the above five races.

Veteran

Vietnam Era Veteran; Recently Separated Veteran (during the last three year period beginning on the date of such veteran's discharge or release from active duty; Other Covered Veteran (Any veteran who served on active duty during a war or campaign for which a badge has been awarded). No Yes

Personal Information

Last Name: First: MI:

List all other names by which you have ever been known if necessary to verify the accuracy of the information contained in this application.

Present Address:

City, State, Zip: , , Phone:

Are you 18 years or older?  

Can you provide proof or authorization to work in the US?   

Employment Desired

Position: Laser
Automation
Consultant
Southern CA
Amada America, Inc. is looking for a Laser Automation Consultant to promote the sale of Laser and Laser Automation equipment. Required to provide convincing, professional presentations on the specified equipment as well as the other product lines to various levels of audiences. Using detailed knowledge of Amada equipment and programming systems, will assist customers in application and cost justification analysis, make recommendations for most suitable machine(s) and systems for a particular application. The Automation Consultant will work in concert with the local sales engineers and report to the General Manager. An Engineering degree and/or equivalent sales experience is required. Please forward resumes to jbianchi@amada.com
Date you can start [Set to Now]

Salary Desired

Are you employed now?  

If so, may we inquire of your present employer?   

How were you referred to Amada?

Have you ever applied to an Amada Group Company before?  

If yes, please indicate: When [Set to Now] and where

Result

Reason for leaving:

Education

School Level Name and Location of School Years Attended Diploma Degree Major / Minor Studied

Trade, Business or Correspondence School(s)

Former Employers

Present or Last Employer

Address , Phone

Starting Date [Set to Now] ; Leaving Date [Set to Now]

Starting Salary HR/Mo ; Final Salary HR/Mo

Job Title

Name and title of immediate supervisor ; Phone

May we contact?  

Description of work

Termination was:      Voluntary or   Involuntary

Reason for leaving

Employer #2

Address , Phone

Starting Date [Set to Now] ; Leaving Date [Set to Now]

Starting Salary HR/Mo ; Final Salary HR/Mo

Job Title

Name and title of immediate supervisor ; Phone

May we contact?  

Description of work

Termination was:      Voluntary or   Involuntary

Reason for leaving

Add More

Unemployment History

Please account for any time over one month not employed in the last 10 years

Time Reason

Miscellaneous

Special study or research work:

Special training:

Special skills:

Do you have any commitments to any other entity, business, or person that might affect your employment with Amada?  

If yes, explain fully:

Performance of job-related functions

Are you able to perform the essential functions of the job for which you are applying, with or without reasonable accommodation? (If you do not know the essential functions of the job for which you are applying, please ask Human Resources)   

Are you able to meet the attendance requirements of the job for which you are applying?   

If no, describe the attendance requirements you cannot meet:

Criminal Matters

Have you been convicted of a felony or misdemeanor in the last seven (7) years?   

Please note: Do not answer "yes" to this question if (i) your arrest or detention did not result in a conviction, or if your conviction was annulled, expunged, purged or sealed; (ii) you were referred to or participated in a pretrial or post trial diversion program; (iii) it was an offence that was finally settled in juvenile court or referred to the youth authority; or (iv) it was marijuana-related conviction that is more than two (2) years old. Conviction will not necessarily be a bar to employment. Each instance and explanation will be considered in relation to the position for which you are applying.

If yes, please explain:

Professional References

Name Address Phone Years Known

Declarations

Important: Please read carefully and initial each paragraph

"I declare that the facts contained in this application or any resume or other documentation submitted are true and complete to the best of my knowledge. I understand that any false information or significant omissions will disqualify me from further consideration for employment, and may result in my dismissal from employment if discovered at a later date."

"I authorize the company to contact and obtain information from all references, employers and educational institutions, and to otherwise verify the accuracy of the information contained in this application, and I authorize the release of this information"

"I understand that any offer of employment may be conditioned upon the satisfactory results of a background investigation, a physical examination and my passing a drug/alcohol screening"

"I understand that, if hired, I will be required to provide proof of identity and legal work authorization"

"I understand that, if hired, I may not hold other employment or engage in other activities that create a conflict of interest with my position in the company"

"If I become employed, and in consideration of my employment, I agree to comply with the rules, regulations, policies and procedures of the company."

Agreement for at-will employment

"If I become employed, and in consideration of my employment, I agree that my employment will be at-will, and may be terminated with or without cause, and with or without advance notice, at any time at the option of myself or the company. Only the president of the company has the authority to enter into an employment agreement for a specified period of time or for termination only for cause, and any such agreement must bi in writing and signed by the president of the company. I understand and acknowledge that this constitutes the entire agreement between me and the company regarding the term of my employment and supersedes any other oral or written agreements."

Signature: Date: [Set to Now]