Application for Employment – Manufacturing - Flambeau, Inc.

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US
- UK

Corporate Information
Our Brands
Contract Molding & Assembly
Manufacturing Capabilities
Engineering Services
Facility Locations
Careers
Contact Us
US
- UK

Application for Employment – Manufacturing

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General Info
Flambeau is committed to equality of employment opportunity for all individuals regardless of race, color, national origin, citizenship, sex, religion, age, sexual orientation, genetic information, physical or mental disability, or status as a disabled veteran or veteran of the Vietnam era, except where a bona fide occupational qualification exists. Profitable, responsible growth and the success of our company, as well as the personal growth of all associates of the company, come from using the talents and abilities of all to the fullest extent within the framework of the business environment.

All offers of employment by Flambeau are contingent on completion of a pre-employment drug test and a background check with results in compliance with company policy. Upon hire, Flambeau uses E-Verify to verify employment eligibility for roles based in the United States. Flambeau, Inc. is an EOE AA M/F/Vet/Disability Employer and Drug-Free Workplace.

Thank you for considering Flambeau Inc. for employment.
Which location are you applying to?*
Name*
First Middle Last
Have you been known by any other names?
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*

Employment Preferences
Where would you like to work?*
- Injection Molding
- Blow Molding
- Finishing
- Other
Other Division
Desired Position*
Desired Shift
Check all shifts you are willing to work
- No Preference
- First Shift (Mon-Fri)
- Second Shift (Mon-Fri)
- Third Shift (Sun-Thu)
- 12 Hour Days
- 12 Hour Nights
Part Time / Full Time*
- Select All
- Full Time
- Part Time
- Temporary
- Summer
Are you authorized to work in the U.S.?*
- Yes
- No
Do you require sponsorship U.S. employment?*
Upon hire, Flambeau uses E-Verify to verify employment eligibility for roles based in the United States.
- Yes
- No
Are you at least 18 years old?*
- Yes
- No
You must be at least 18 to work in most manufacturing positions.
Have you ever applied for employment with Flambeau?*
- Yes
- No
Have you ever been employed by Flambeau?*
- Yes
- No
When were you employed by Flambeau?*
Available Start Date*
Have you ever been fired or asked to resign by an employer?*
- Yes
- No
Please Explain
Were you referred by a Flambeau associate?*
- Yes
- No
Associate Name*

Education and Training
Name of High School*
Courses Studied*
Highest Grade Completed*
High School Diploma / GED*
- I received my High School diploma
- I did not receive my High School diploma
- I received a GED / HSED
Higher education yes/no
- I have had additional education
Name of Institution*
Years of additional education*
Courses Studied
Higher Education Diploma*
- I received a diploma or certification
- I did not receive a diploma or certification

Work Experience
Please fill in your employment history, starting with your most recent position. Include any job-related military service assignments or volunteer activities. Answer all questions completely.
Work Experience 1 yes/no
- I have no work experience
Work Experience #1
Employer*
Employer Phone*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Business*
Start Date*
Month
Day
Year
End Date*
Month
Day
Year
I am currently employed here yes/no
- I am currently employed here
Starting Wage
Please enter a number greater than or equal to 0.
Final Wage
Please enter a number greater than or equal to 0.
Job Title*
Supervisor's Name and Title*
Duties*
Reason for Leaving*
Work Experience 2 yes/no
- I don’t have any more work experience
Work Experience #2
Employer*
Employer Phone*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Business*
Start Date*
Month
Day
Year
End Date*
Month
Day
Year
Starting Wage
Please enter a number greater than or equal to 0.
Final Wage
Please enter a number greater than or equal to 0.
Job Title*
Supervisor's Name and Title*
Duties*
Reason for Leaving*
Work Experience 3 yes/no
- I don't have any more work experience
Work Experience #3
Employer*
Employer Phone*
Employer Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Business*
Start Date*
Month
Day
Year
End Date*
Month
Day
Year
Starting Wage
Please enter a number greater than or equal to 0.
Final Wage
Please enter a number greater than or equal to 0.
Job Title*
Supervisor's Name and Title*
Duties*
Reason for Leaving*

Military Service
Have you served in the military?*
- Yes
- No
Branch of Service*
Foreign Duty
Highest Rank*
Selective Service Class
Enlist Date*
MM slash DD slash YYYY
Discharge Date*
MM slash DD slash YYYY
I'm currently enlisted (yes/no)
- I'm currently in the service
Reason for Discharge*
What type of special training did you receive in the service?*
What did you enjoy most about your military service?*
What did you enjoy least about your military service?*
What were your final duties or assignments before discharge?*

References
Please provide the name of one person not related to you, whom you have known for at least one year.
Reference #1
Reference Name*
First Last
Relationship*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Phone*
Reference 2 yes/no
- I don't have any more references
Reference #2
Reference Name*
First Last
Relationship to You*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Phone*
Reference 3 yes/no
- Add another reference
Reference #3
Reference Name*
First Last
Relationship to You*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference Phone*

Voluntary Self-Identification Survey Form
Our company is an Affirmative Action/Equal Employment Employer and as such, we are required to collect and maintain information related to applicants in order to meet governmental recordkeeping and reporting requirements and to monitor the effectiveness of our outreach, recruitment and other employment practices.

Read more about Affirmative Action.
Would you like to submit a voluntary survey with your application?*
- Yes
- No
How did you hear about this opening?
Please Identify
Gender
- Male
- Female
- I choose not to disclose this information
Ethnicity
- Hispanic or Latino
- Not Hispanic or Latino
- I choose not to disclose this information
Race
- White
- Asian
- American Indian or Alaska Native
- Black or African American
- Native Hawaiian or Other Pacific Islander
- Two or More Races
- I choose not to disclose this information
Protected Veterans
The following are considered protected veterans:
- Disabled Veteran
- Recently Separated Veteran
- Active Duty Wartime or Campaign Badge Veteran
- Armed Forces Service or Medal Veteran
Protected Veteran yes/no
- I am a Protected Veteran
- I am not a Protected Veteran
- I choose not to disclose this information
Disability
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

Disabilities include, but are not limited to:
- Blindness
- Deafness
- Cancer
- Diabetes
- Epilepsy
- Autism
- Cerebral palsy
- HIV/AIDS
- Schizophrenia
- Muscular dystrophy
- Bipolar disorder
- Major depression
- Missing limbs or partially missing limbs
- Post-traumatic stress disorder
- Obsessive compulsive disorder
- Multiple sclerosis (MS)
- Impairments requiring the use of a wheelchair
- Intellectual disability (previously called mental retardation)
disability yes/no
- I have (or had) a disability
- I don't have a disability
- I choose not to disclose this information
Flambeau abides by Reasonable Accommodation. Please tell us if you require assistance.

Signature
I voluntarily and knowingly fully release, discharge, absolve, indemnify and hold harmless such former employer, person, firm, corporation, school or government agency, its officers, associates and agents from any and all claims, liability, demands, causes of action, damages, or costs, including attorney’s fees, present or future, whether known or unknown, anticipated or unanticipated, arising from or incidental to the disclosure or release except for the malicious and willful disclosure of derogatory facts concerning my employment made for the express purpose of preventing me from obtaining employment which the officer, associate or agent disclosing such facts knows are untrue.
Digital Signature*
Please type your full legal name to act as your digital signature.

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EUSales@flambeau.com
+44 (0) 1843 854000

Registered in England

Registered Address:
Manston Road, Ramsgate, Kent, CT12 6HW

Registered Number:
1216092. VAT No: 202 6624 01

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Affirmative Action

At this time, we are asking you to help us meet our obligations by providing the information listed on the following pages. Please note that the information will be used only in accordance with the provisions of applicable laws, executive orders, and regulations. Providing this information is voluntary and refusal to so will not result in any adverse treatment. The information you provide will be held in strict confidence except that:

Necessary management and supervisory personnel may be informed to ensure proper placement and to provide reasonable job accommodations;
First aid and safety personnel may be informed to the extent appropriate, if the condition might require emergency treatment; and
Government officials investigating affirmative action program compliance may have access to reported information.

Thank you for your cooperation in this important initiative.

Flambeau, Inc. abides by the requirements of federal laws which prohibit discrimination and require affirmative action by covered prime contractors and subcontractors to employ and advance in employment qualified individuals with the following legally protected status: race, color, religion, sex, national origin (per Executive Order 11246), disability (per 41 CFR 60-741.5(a), and protected veterans (per 41 CFR 60-300.5(a).

Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate form, using a sign language interpreter, or using specialized equipment.

Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

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