Employment Application | Frandsen Corporation Employment

Position desired *

Applicant Name *

First

Last

Resume

Optionally attach your resume.
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Files must be less than 64 MB.
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Applicant Address

Address 1 *

Address 2

City *

State *

ZIP code *

Email address

Obligations to current or former employers *

Yes, I am currently bound or obligated by a non-compete, confidentiality or non-solicitation agreement by my current or former employer(s).

No, I am not currently bound or obligated by a non-compete, confidentiality or non-solicitation agreement by my current or former employer(s).

If yes, what is the duration of the agreement?

Telephone Number *

Are you 18 years of age or older? *

Yes

Alternate Number

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *

Yes

Start date *

When are you available to begin work?

Month

Day

Year

Shift availability

First

Second

Third

Weekdays

Weekends

Overtime

Salary desired *

Most recent salary *

Referred by

Special skills

Education

Please list the schools you have attended		Order
	Name of School and Location * No. Years Completed * years Did you graduate? * No Yes Type of School * Course of Study Degree or Diploma	Weight for row 1

Employment History

Previous employment (list most recent first) *		Order
	Name of Employer * Work Performed Salary * Dates Employed * Empty 'End date' values will use the 'Start date' values. This is not my current employer. Month Year to: Month Year Reason for Leaving Job Title * Employer Address May we contact this employer? * No Yes Name of Last Supervisor Telephone Number Alternate Number	Weight for row 1

Professional References

Please list two references other than relatives or previous employers		Order
	Name Company Telephone Number Position	Weight for row 1
	Name Company Telephone Number Position	Weight for row 2

Invitation to Self-Identify (Optional)

YOU ARE NOT REQUIRED TO PROVIDE THIS INFORMATION
Our company provides goods and services to government entities through a variety of business relationships. To comply with obligations of these types of contracts we are required to collect, maintain and report information related to applicants. Please note that this information will only be used in accordance with the provisions of applicable laws, executive orders, and regulations. Providing this information is voluntary and refusal to do so will not result in any adverse treatment.

Gender

N/A

Male

Female

Ethnicity

N/A

White (not Hispanic or Latino)

Black or African (not Hispanic or Latino)

Hispanic or Latino

Native Hawaiian or Other Pacific Islander (not Hispanic or Latino)

American Indian or Alaska Native (not Hispanic or Latino)

Asian (not Hispanic or Latino)

Two or More Races (not Hispanic or Latino)

I do not wish to provide the information requested

IF YOU ARE UNSURE OF THE DEFINITIONS LISTED TO DETERMINE ETHNICITY GROUP, PLEASE SEE BELOW:
White (not Hispanic or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Black or African American (not Hispanic or Latino): A person having origins in any of the black racial groups of Africa.
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
American Indian or Alaska Native: A person having origins in any of the original peoples of North America and South America (including Central America), and who maintain tribal affiliation or community attachment.
Asian (not Hispanic or Latino): A person having 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.
Two or More Races: All persons who identify with more than one of the above five races.

ARE YOU A VETERAN?

N/A

Yes

IF YES, PLEASE CHECK ALL THAT APPLY

Special Disabled Veteran

Veteran of the Vietnam Era

Other Protected Veteran

Recently Separated Veteran

I do not wish to provide the information requested

VETERAN DEFINITIONS:

Special Disabled Veteran means (i) a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Department of Veterans' Affairs for a disability (A) rated at 30 percent or more, or (B) rated at 10 or 20 percent in the case of a veteran who has been determined under Section 38 U.S.C. 3106 to have a serious employment handicap or (ii) a person who was discharged or released from active duty because of a service-connected disability.

Veteran of the Vietnam-era means a person who: (i) served on active duty in the U.S. military, ground, naval or air service for a period of more than 180 days, and who was discharged or released there from with other than a dishonorable discharge, if any part of such active duty was performed: (A) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in all other cases; or (ii) was discharged or released from active duty in the U.S. military, ground, naval or air service for a service-connected disability if any part of such active duty was performed (A) in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or (B) between August 5, 1964, and May 7, 1975, in any other location.

Recently Separated Veteran means any veteran who served on active duty in the U.S. military, ground, naval or air service during the one year period beginning on the date of such veteran’s discharge or release from active duty.

Other Protected Veteran means veterans who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.

ACKNOWLEDGMENT (PLEASE READ CAREFULLY)

I hereby certify that the information contained in this application form and in any attachments (therefore made a part of this application) is true and correct to the best of my knowledge. I further agree to have any of the statements checked by Frandsen Corporation and its affiliated and subsidiary corporations unless I have indicated to the contrary. I authorize the references listed above to provide the company any and all information concerning my previous employment and any pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the company as well as from the use or disclosure of such information by Frandsen Corporation and its affiliated and subsidiary corporations or any of its agents, employees, or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am offered a position and accept, in my dismissal from employment. I also understand that as a condition of employment with this company I may be required to successfully complete a physical exam and drug screen to determine if I am fit to perform any position of employment offered. If employed, I understand that Frandsen Corporation and its affiliated and subsidiary corporations may conduct random drug testing of its employees.

I have read and understand the above acknowledgement. *

Type your full name *

How did you hear about this job opening? *

Snapchat

StarTribune

Facebook

Twitter

Local newspaper/website

Employee Referral

Indeed

Glass Door

Monster

Radio

Spotify

Craigslist

MN Works

Frandsen Website

Postcard/Mailing

Other

Select all that apply.

Describe how you heard about this job opening