Statement

Dayton Rogers Manufacturing Co. is an equal opportunity employer dedicated to a policy of nondiscrimination based on race, creed, color, age, sex, religion, national origin, ancestry, disability, or other protected status under federal, state or local equal opportunity laws. Dayton Rogers Manufacturing Co. will provide reasonable accommodations in the application or interviewing process. If you need reasonable accommodation in the application or interviewing process, please let us know.

Please provide all information requested. Incomplete information may disqualify you from consideration.

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* 1. Name (First, Last):

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* 2. Address:

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* 3. Are you 18 years or older?

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* 4. Are you legally authorized to work in the United States?

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* 5. Position Applied for:

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* 6. Do you want to work:

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* 7. Date Available to start work:

Date

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* 8. Pay Expectations:

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* 9. Have you applied for employment with Dayton Rogers within the last 12 months?

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* 10. Education

  Years Completed Did you Graduate? Diploma / Degree / Certificate
High School
Technical College
College
Graduate School

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* 11. Special Skills / Additional Training

Please describe any special job-related skills and qualifications acquired from employment, other education or volunteer experience, etc.
**Do not included experience which would indicate race, religion, sex, national origin, genetic information, disability, age, or any other status protected by law or regulation.

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* 12. Do you have a resume? If so, please attach it here and skip to question # 15.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 13. Most Recent / Current Employment

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* 14.  Previous Employment History

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* 15. Has your employment with any employer ever been involuntarily terminated?

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* 16. Please tell us what you look for in a company:

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* 17. Please describe your dream job position:

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* 18. Do you have any questions for us?

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* 19. Applicant: Please read the following carefully before submitting this application:  

I certify the information given by me is true in all respects.

I understand that the misrepresentation or omission of facts on this application, on my resume or during any stage of the hiring process may eliminate me from further consideration or if discovered after hire may result in the termination of my employment.

I understand that the information contained in this employment application or my being invited to participate in any stage of the hiring process is NOT intended to create an employment contact between Dayton Rogers Manufacturing Co. and myself. If an employment relationship is established, I understand that I have the right to terminate my employment at any time, for any reason or no reason, with, or without notice, and Dayton Rogers Manufacturing Co. has the right to terminate my employment at any time, for any reason or no reason, with or without notice. Dayton Rogers Manufacturing Co.'s policies and procedures, including employment at-will, cannot be modified in any way without express written intent to do so by the senior business leader of Dayton Rogers Manufacturing Co.

I understand that an offer of employment is contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States.

Unless otherwise noted above, I authorize Dayton Rogers Manufacturing Co. and its representatives, to contact my prior employers, former supervisors and company personnel, schools and all others for the purpose of verifying the information I have supplied during the selection process and for obtaining job-related information regarding my knowledge, skills, abilities, performance of duties and compliance with policies. I authorize my prior employers to provide Dayton Rogers Manufacturing Co. and them from any liability resulting from the release of this information. I further authorize all employers, schools and other persons to provide any information or transcripts that may be requested by Dayton Rogers Manufacturing Co. which will be used to determine if I am qualified to perform the job duties for which I am applying. 

I understand the Dayton Rogers Manufacturing Co. may conduct a criminal back investigation of me for the position for which I am applying and that a separate authorization to do so will be required. A conviction is not an automatic bar to consideration and/or employment.

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* 20. Please Type your name below. (By typing my name below, I acknowledge that I am submitting my application to Dayton Rogers.)

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