APPLICANT CERTIFICATION & AGREEMENT: (Read carefully before signing)
I hereby certify that the information I have provided in consideration for employment with Ultra Tool & Manufacturing, Inc. is true and correct and I hereby authorize you to contact references, past or present employers, persons, schools, law enforcement agencies and any other sources of information which may be relevant to my application for employment. I hereby release any such reference source from all liability for any damage for providing this information. It is understood and agreed that any misrepresentation, false statement or omissions by me in the application or in a resume will be sufficient reason for rejection of my application or for dismissal at any time during my employment, without liability to Ultra Tool & Manufacturing, Inc.
I further understand that no representative of Ultra Tool & Manufacturing, Inc. has the authority to enter into any agreement for employment for any specified period of time and that Ultra Tool & Manufacturing, Inc. is not guaranteeing employment for anyone. No employment contract is created by virtue of my being hired by Ultra Tool & Manufacturing, Inc.
I acknowledge that this application for employment will be active for 60 days; after this time period I must reapply for further consideration.
If employed, I agree to abide by all of the policies and safety rules of Ultra Tool & Manufacturing, Inc. I understand that Ultra Tool & Manufacturing, Inc. is committed to maintaining a drug-free workplace. I am aware that Ultra Tool & Manufacturing, Inc. may require a drug test as a part of the hiring process. Also, if employed, I realize Ultra Tool & Manufacturing, Inc. conducts random and other drug tests of its employees.
I have read, understand and agree to all of the above statements.
Enter your name in the text box below to sign your application and agree to these terms.
Equal Employment Opportunity
Ultra Tool & Manufacturing, Inc. is an Equal Opportunity Employer. Policy prohibits discrimination on the basis of race, color, religion, ethnicity, national origin, age, sexual orientation, veteran or handicapped status. No question is asked for the purpose of limiting or excluding consideration or revealing such status.
Gender
Male
Female
I choose not to disclose this information
Ethnicity
Hispanic or Latino (a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race)
Not Hispanic or Latino (if not Hispanic or Latino, please address race below)
I choose not to disclose this information
Race (do not respond if you selected "Hispanic or Latino" above)
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa
Asian (Not Hispanic or Latino)
A person having origins in any of the 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
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above five races
I choose not to disclose this information
Protected Veterans
The definitions of protected veterans are listed below. Use the boxes following the definitions to indicate whether you are a protected veteran
Disabled Veteran
A "disabled veteran" is one of the following:
Recently Separated Veteran
A "recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
Active Duty Wartime or Campaign Badge Veteran
An "active duty wartime or campaign badge veteran" means a veteran 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 under the laws administered by the Department of Defense.
Armed Forces Service Medal Veteran
An "armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
I am not a Protected Veteran
I choose not to disclose this information
Disability Status
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.
Yes I have a disability (or previously had one)
No I don't have a disability
