Job Application Form

Allied Tool & Die Co. LLC

APPLICATION FOR EMPLOYMENT

Allied Tool & Die Company fully subscribes to the principles of Equal Employment Opportunity. It is our policy to provide employment, compensation and other benefits related to employment based upon qualifications, without regard to sex, religion, race, color, age, disability, sexual orientation, marital or veteran status, national origin, genetic information or any other basis prohibited by federal, state or local law. In accordance with requirements of the Americans with Disabilities Act and applicable federal, state and/or local laws, it is our policy to provide reasonable accommodation upon request during the application process to applicants in order that they may be given a full and fair opportunity to be considered for employment. As an Equal Opportunity Employer, we intend to comply fully with applicable federal, state and/or local employment laws and the information requested on this application will only be used for purposes consistent with those laws.

Date:
MM slash DD slash YYYY
Name:*
First Last
Address:*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone:
Cell Phone:
May We Text You at This Number?*
- Yes
- No
Email:*
Enter Email Confirm Email
Permanent Address (if different from present address above):
Street Address City State / Province / Region ZIP / Postal Code Country
Are You 18 Years Old or Older?*
- Yes
- No
Are You Authorized to Work in the U.S.?*
- Yes
- No
Have You Ever Worked or Attended School Under Another Name? If So, Under What Name?
Have You Ever Been Convicted of a Crime?*
- Yes
- No
If Yes, Give Details, Including Date(s):*
* A “yes” answer will not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only, and only to the extent permitted by applicable law.
POSITION DESIRED
Position:*
Salary Expectations:*
Date You Can Start:*
MM slash DD slash YYYY
Are You Able to Work the Following?
(if required for the position for which you're applying)
Weekends:*
- Yes
- No
Holidays:*
- Yes
- No
Nights:*
- Yes
- No
Overtime:*
- Yes
- No
Have You Previously Worked for This Company?*
- Yes
- No
If yes, what were the dates?
Start Date:*
MM slash DD slash YYYY
End Date:*
MM slash DD slash YYYY
Reason for Leaving:*
Former Supervisor(s) at This Company:*
How Did You Learn About This Opening?*
Are You Currently Under a Non-compete Agreement With a Previous Employer?*
- Yes
- No
If So, Who is the Agreement With?*
Duration:*
Starting Date:*
MM slash DD slash YYYY
Ending Date:*
MM slash DD slash YYYY
Were You Referred to Allied Tool & Die Co. Employment by Someone?*
- Yes
- No
If yes, who?
REFERENCES:

(Include only individuals familiar with your work ability. Do not include relatives)
1.Name*
First Last
ADDRESS/PHONE*
YEARS KNOWN/ RELATIONSHIP
2.Name*
First Last
ADDRESS/PHONE*
YEARS KNOWN/ RELATIONSHIP
3.Name*
First Last
ADDRESS/PHONE*
YEARS KNOWN/ RELATIONSHIP
EDUCATION
High School:
Graduated?
- Yes
- No
Technical School:
Graduated?
- Yes
- No
Course of Study:
College/University:
Graduated?
- Yes
- No
Course of Study:
Other Education or Training:
Other Special Skills:
MILITARY SERVICE
Branch of Service:
Date of Service:
MM slash DD slash YYYY
Rank at Discharge:
Education and Training:
WORK EXPERIENCE

Please list all previous employment, beginning with the most recent.
If you need more space, you may attach another sheet of paper.
Employer:
Address:
Street Address City State / Province / Region ZIP / Postal Code Country
From Date:
MM slash DD slash YYYY
To Date:
MM slash DD slash YYYY
Position Held:
Reason for Leaving:
Supervisor's Name and Title:
May We Contact?
- Yes
- No
Description of Duties:
Starting Hourly Pay:
Final Hourly Pay:
Add More Work Experience?
- Yes
- No
WORK EXPERIENCE 2
Employer:
Address:
Street Address City State / Province / Region ZIP / Postal Code Country
From Date:
MM slash DD slash YYYY
To Date:
MM slash DD slash YYYY
Position Held:
Reason for Leaving:
Supervisor's Name and Title:
May We Contact?
- Yes
- No
Description of Duties:
Starting Hourly Pay:
Final Hourly Pay:
DRIVING RECORD:

(Answer only if driving is a requirement of the job for which you are applying)
Do You Have a Valid Driver's License?*
- Yes
- No
State:*
License Number:*
Have You Had Any Tickets?*
- Yes
- No
If Yes, Please Explain:*
RESUME:

If you have a job resume you can attach it below:
Upload your resume:
Max. file size: 512 MB.
AUTHORIZATION AND ACKNOWLEDGMENTS
I certify that the answers given herein and during the entire application process (including but not limited to information provided in resumes, attachments to this application, interviews or otherwise, if applicable) are true and complete to the best of my knowledge. I understand that any misrepresentations, omissions of facts or incomplete answers during the application process may disqualify me from further consideration for employment. I further understand that, if employed, any misrepresentations or omissions of facts during the application process may be cause for my dismissal at any time without prior notice. I authorize the investigation of all statements contained in this application. I also grant permission to contact all references listed above, and authorize them to release all information concerning my previous employment and any other pertinent information these references might have, personal or otherwise. I release all parties from all liability for any damage that may result from furnishing this information to you. I understand and agree that I may be asked to submit to pre-employment tests (including a drug test) upon a conditional offer of employment. I understand and agree that, if hired, my employment is for no definite period and may be terminated at any time and without prior notice. I understand that nothing in this application constitutes an employment contract. I also understand that my at-will employment status with the company may only be altered in an individual case or generally in a writing signed by the Owner, President or CEO, VP/GM of the company. If employed, I will abide by the organization’s rules and procedures.
Signature:
Date Signed:
MM slash DD slash YYYY

Two Locations to Serve Our Customer’s Needs

DID YOU KNOW?

Allied Tool & Die Co. was the first manufacturer
in Arizona to utilize Laser Machining

We have continued that philosophy of industry leadership by maintaining a rigorous commitment to new and expanding technologies in tool and die manufacturing and was recently the first manufacturer west of the Mississippi to purchase a Kitamura Supercell-300G 5-Axis 20 pallet Horizontal Machining Center.