Apply - Hercules Bolt and Manufacturing

APPLICATION FOR EMPLOYMENT

Madison, Tennessee

Position Applied For(Required)

Date of Application(Required)

How did you hear about this position?

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Applicant Information

Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone Number(Required)

Country Phone Number

Email(Required)

Are you legally authorized to work in the United States?(Required)

Yes

Are you at least 18 years old?(Required)

Yes

Have you ever worked for Hercules Bolt Company?(Required)

Yes

If yes, when?

POSITION & WORK REQUIREMENTS

Position: Full-Time Labor / Assembly
Location: Madison, TN
This position involves assembling large nuts, washers, and plates onto steel bolts and performing general manufacturing and assembly duties.
Physical Requirements:

Must be able to lift up to 50 pounds
Must be able to stand for extended periods of time
Must be able to perform repetitive assembly and general labor duties
Must be able to read a tape measure and understand measurements
Must be dependable and willing to work overtime when needed

Are you able to perform the essential physical requirements of this position, with or without reasonable accommodation?(Required)

Yes

If no, please explain:

WORK AVAILABILITY

Are you available to work full-time?(Required)

Yes

Are you willing to work overtime when needed?(Required)

Yes

Are you available to work Monday through Friday?(Required)

Yes

Earliest date you can start:(Required)

EMPLOYMENT HISTORY

Most Recent Employer

Company Name:(Required)

Address:(Required)

Phone(Required)

Position Held:(Required)

Supervisor:(Required)

Dates Employed

From

Starting Pay

Ending Pay

Reason for leaving

Primary Duties:

Previous Employer

Company Name:(Required)

Address:(Required)

Phone(Required)

Position Held:(Required)

Supervisor:(Required)

Dates Employed

From

Starting Pay

Ending Pay

Reason for leaving

Primary Duties:

Previous Employer

Company Name:(Required)

Address:(Required)

Phone(Required)

Position Held:(Required)

Supervisor:(Required)

Dates Employed

From

Starting Pay

Ending Pay

Reason for leaving

Primary Duties:

Skills and Experience:

Please check all that apply:(Required)

Other skills or experience

Describe any additional skills, training, certifications, or experience that may be helpful for this position:

EDUCATION & TRAINING

High School:(Required)

Graduated?(Required)

Yes

College / Trade School:

Degree, Certification, or Training:

Other Training or Certifications:

CRIMINAL HISTORY

Have you ever been convicted of a criminal offense, excluding minor traffic violations?(Required)

Yes

If yes, please provide the following information:

Nature of offense:

Date of conviction:

Location:

Sentence / disposition:

Please explain:

A conviction will not automatically disqualify an applicant from employment. Hercules Bolt Company will consider relevant circumstances consistent with applicable law.

DRUG-FREE WORKPLACE & DRUG SCREENING
Hercules Bolt Company maintains a drug-free workplace and is committed to providing a safe working environment for all employees.
Successful completion of the company’s mandatory pre-employment drug screening is required as a condition of employment.
Employees may also be subject to additional drug and/or alcohol testing in accordance with company policy and applicable law.

Are you willing to submit to the required drug screening?

Yes

PROFESSIONAL REFERENCES

Please provide three professional references who are not relatives.

Reference 1

Name

Relationship:

Company:

Phone:

Reference 2

Name

Relationship:

Company:

Phone:

Reference 3

Name

Relationship:

Company:

Phone:

BENEFITS

Hercules Bolt Company offers the following benefits after completion of the 90-day probationary period and once eligibility requirements are met:

Health Insurance – Medical, Dental & Vision Employee out-of-pocket expense is approximately 40% of the cost
Life Insurance – Provided at HBC’s expense
Long-Term Disability Insurance – Provided at HBC’s expense
Aflac Supplemental Insurance – Available at the employee’s expense
Company Uniforms – Issued after completion of the 90-day probationary period
Paid Company Holidays

APPLICANT CERTIFICATION & AUTHORIZATION
I certify that the information provided on this application is true and complete to the best of my knowledge. I understand that providing false, misleading, or incomplete information may result in disqualification from employment or termination if discovered after employment begins. I authorize Hercules Bolt Company to contact the employers and professional references listed on this application for the purpose of verifying my employment history, qualifications, and references. I understand that employment is subject to meeting all applicable employment requirements, including any required background investigation and mandatory pre-employment drug screening. I understand that Hercules Bolt Company maintains a drug-free workplace and that employees are expected to comply with the company’s drug and alcohol policies.

Applicant Signature(Required)

Date

Job Application Form

APPLICATION FOR EMPLOYMENT

Madison, Tennessee

Applicant Information

POSITION & WORK REQUIREMENTS

WORK AVAILABILITY

EMPLOYMENT HISTORY

Most Recent Employer

Dates Employed

Previous Employer

Dates Employed

Previous Employer

Dates Employed

Skills and Experience:

EDUCATION & TRAINING

CRIMINAL HISTORY

If yes, please provide the following information:

PROFESSIONAL REFERENCES

Reference 1

Reference 2

Reference 3

BENEFITS