419.678.8376  
                                               
 


Employment

Hi-Tech Wire Inc. is always looking for talented people to enhance our team. We are a growing company and throughout each year
we have various job openings.

If you have an interest in becoming part of the Hi-Tech Wire team, please complete the form below.


APPLICATION FOR EMPLOYMENT
Hi-Tech Wire Inc. is an equal opportunity employer. Applications are considered for all positions without regard to race, color, religion, sex, national origin, disability, age, ancestry, or any other characteristic protected by applicable law.

Applications are kept on file for six months.

*Required Fields

Personal Information

Date:
* 
Name:
* 
Address:
* 
City:
* 
State:
* 
Zip:
* 
Phone:
* 
Email:
* 


Job Information

Position Applied For:
* 
Salary/Rate Expected :
* 
Who referred you to us?
Relationship:


I am available for: (Please check all that apply.) * 
Full Time   Part Time   Shift Work    Temporary 
Date Available : *   


Have you ever been employed here before? * 
Yes   No
If yes, please give dates:


Have you ever filled out an application here before? * 
Yes   No
If yes, when?


Are you a citizen of the United States? * 
Yes   No
If no, are you authorized to work in the United States? 
Yes   No 


Have you ever been convicted of a criminal offense (excluding minor traffic violations involving a fine less than $250)? * 
    Yes       No 
If yes, please provide dates and explain the nature of the offense(s).

A conviction record will not necessarily be a bar to employment. Factors such as the timing of the offense, the seriousness and nature of the
violation and the nature of the job for which you are applying for may be taken into account by the employer.



Education

High School
Name of School:
Years Completed : 9   10   11   12
Grade Point Average:


College/Trade School
Name of School:
Years Completed : 1   2   3   4
Degree:
Course of Study:
Grade Point Average:


Graduate School
Name of School:
Years Completed : 1   2   3   4
Degree:
Course of Study:
Grade Point Average:


Other School
Name of School:
Years Completed : 1   2   3   4
Degree:
Course of Study:
Grade Point Average:


References

Please list at least two, but no more than three professional references.

Reference 1:
 
Name:
*   
Address:
*   
Phone:
*   
Profession/Position:
*   
Relationship:
*   


Reference 2:
 
Name:
*   
Address:
*   
Phone:
*   
Profession/Position:
*   
Relationship:
*   


Reference 3:
 
Name:
Address:
Phone:
Profession/Position:
Relationship:


Previous Employment

Please list your most recent employer first.

Employer 1:
 
Company Name:
Dates Worked:
Rate:
Nature of Duties:
Reason for Leaving:
Immediate Supervisor:
Phone Number:


Employer 2:
 
Company Name:
Dates Worked:
Rate:
Nature of Duties:
Reason for Leaving:
Immediate Supervisor:
Phone Number:


Employer 3:
 
Company Name:
Dates Worked:
Rate:
Nature of Duties:
Reason for Leaving:
Immediate Supervisor:
Phone Number:


Military Service

Date Entered:
Date Discharged:
Type of Discharge:

If other than honorable, explain:


Please read carefully before signing.

I understand that this application does not constitute an employment contract or an offer for employment. I further understand that If I am offered a position of employment, that my employment will be "at will", and that either I or the company may terminate the employment at any time for any reason with or without cause or without notice. I also understand that no individual representative of the company, other than the president in writing or verbally, may alter this employment relationship. I understand that I must at all times abide by the company's rules and regulations.

I authorize the investigation of all statements contained on this application and authorize the references and employers listed above will give you any and all information concerning my previous employment and any pertinent information they may have. I further release and agree to hold harmless the company and all parties providing the information from all liability for any claim or damage that may result from furnishing such information to you.

I certify that the information I have given on this application is true and complete to the best of my knowledge and belief. I understand that any false information provided on this application or at the time of interview(s) may be cause for immediate discharge.

I have read and understand the above information, and agree to it's terms.*
Name:
*
Date:
*
 


 

 

 

© 2012 Hi-Tech Wire Inc. - 631 E. Washington St. - St. Henry, OH 45883 - P: 419.678.8376 - F: 419.678.2287

 
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