Fill out Employment Application Please enable JavaScript in your browser to complete this form.Name of Newspaper *Last Name *Middle NameFirst Name *Present AddressStreet *Apartment NumberCity *State *---AlabamaAlaskaArizonaArkansasCaliforniaColoradoDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisanaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry *Zip Code *Permanent AddressStreet *Apartment NumberCity *State *---AlabamaAlaskaArizonaArkansasCaliforniaColoradoDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisanaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingCountry *Zip Code *Are you 16 years old or older? *---YesNoAre you 18 years old or older? *---YesNoPhone Number *Work Phone NumberEmail Address *Best Time to Contact You at HomeEmergency ContactEmergency Contact AddressEmergency Contact Phone NumberAre you lawfully authorized to work in the United States* (Proof of citizenship or immigration status will be required upon employment.)US-Authorized *---YesNoPosition (Choose up to three) *AccountantAccounting ClerkAdministrative AssistantDrafter/DesignerContract AdministratorCustomer ServiceElectricianElectrical DesignerEngineer-DesignEngineer-ElectricalEngineer-IndustrialEngineer-Product SafetyFull Stack Software DeveloperIndustrial Service TechnicianIT Help Desk Support TechnicianJanitorLegal AssistantMachinery BuilderMachinistMaintenanceMarketing AssistantMaterial HandlerNetwork AdministratorOffice ManagerOffice AssistantPainterParalegalPart Time OfficePart Time PlantPLC ProgrammerProduction WorkerPurchasingReceptionist/Office AssistantSalesSales EngineerSaw and DrillSecretarySoftware Developer/EngineerStockroomTechnical WriterTier 1 IT Help Desk TechnicianWelderDate You Can Start *Salary Desired *Per:---weekmonthyearAre you employed now?---YesNoIf so, may we contact your present employer?---YesNoHave you ever applied to this company before?---YesNoWhen?Have you ever worked for this company before?---YesNoWhen?Reason For LeavingName of Last Supervisor at this CompanyDo any of your friends or relatives, other than spouse, work here?---YesNoIf yes, state Name & RelationshipWho referred you to Red Bud Industries, Inc.? *---Current Employee – Please provide name of Employee in “Additional Information” field below.Illinois Department of Employment Security (IDES)Internet SearchJob Fair – Please provide location of Job Fair in “Additional Information” field below.Job Board – Please provide name of Job Board in "Additional Information" field below.Newspaper – Please provide name of Newspaper in "Additional Information" field below.Red Bud Chamber of CommerceRed Bud Industries’ SignRed Bud Industries’ WebsiteSchool – Please provide name of School in “Additional Information” field below.Zip RecruiterOther – Please provide brief explanation if not listed above in Additional Information” field below.Additional Information *Are you available to work:What shifts are you available to work?Work-AvailabilityFull TimeWork-Availability1 Shift2 Shift3 ShiftWork-AvailabilityPart TimeWork-AvailabilityMorningsAfternoonsEveningsWork-AvailabilityInternshipWork-AvailabilityCo-opWork-AvailabilitySummerWork-AvailabilityTemporaryPlease indicate dates availableAre you currently on "lay-off" status & subject to recall?---YesNoCan you travel if a job requires it?---YesNoEducationGrade SchoolName & Location of SchoolYears CompletedDid you graduate?---YesNoHigh SchoolName & Location of SchoolYears CompletedDid you graduate?---YesNoCourses of StudyUndergraduate / Graduate / Other (Specify)Name & Location of SchoolYears CompletedDid you graduate?---YesNoCourses of StudyAdditional InformationDESCRIBE ANY SPECIALIZED TRAINING, APPRENTICESHIP, AND SKILLS:DESCRIBE ANY JOB-RELATED TRAINING RECEIVED IN THE UNITED STATES MILITARY:LIST JOB-RELATED PROFESSIONAL, TRADE, BUSINESS, EXTRACURRICULAR, OR CIVIC ACTIVITIES:Other QualificationsSUMMARIZE SPECIALIZED SKILLS, EQUIPMENT OPERATED, & OTHER JOB-RELATED SKILLS & QUALIFICATIONS ACQUIRED FROM EMPLOYMENT OR OTHER EXPERIENCE. STATE ANY ADDITIONAL INFORMATION YOU FEEL MAY BE HELPFUL TO US IN CONSIDERING YOUR APPLICATION.Work ExperienceSTART WITH YOUR PRESENT OR LAST JOB. INCLUDE ANY JOB-RELATED MILITARY SERVICE ASSIGNMENTS AND VOLUNTEER ACTIVITIES.Present EmployerName & Address of EmployerStarting Date (month/year)Job TitleName & Title of SupervisorPhone NumberDescription of Work:Previous Employer 1Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingPrevious Employer 2Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingPrevious Employer 3Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingPrevious Employer 4Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingPrevious Employer 5Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingPrevious Employer 6Name & Address of EmployerStarting Date (month/year)Leaving Date (month/year)Job TitleMay we contact your supervisor?---YesNoName & Title of SupervisorPhone NumberDescription of Work:Reason for leavingReferencesGIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR THAT WE MAY CONTACT.Reference 1NameAddressBusinessPhone NumberEmail AddressBest Time to CallYears AcquaintedReference 2NameAddressBusinessPhone NumberEmail AddressBest Time to CallYears AcquaintedReference 3NameAddressBusinessPhone NumberEmail AddressBest Time to CallYears AcquaintedEqual Opportunity EmployerThis company is an Equal Opportunity Employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, citizenship status, ancestry, sex, sexual orientation, gender, gender identity or gender transitioning, genetic predisposition or genetic information, age, disability, pregnancy, marital status, military discharge or veteran status, arrest records, criminal convictions which have been sealed or expunged, or any other legally protected status. In connection with your application for employment, you may be required to take a written pre-employment test. We will provide reasonable accommodations in the testing process for disabled individuals. If you require any accommodations in the testing process, please notify your personnel interviewer.Applicant StatementIt is understood and agreed the information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, test scores, or any other materials, or during any interview, can be justification for refusal of employment, or, if employed, termination from the company's employment, regardless of when or how it was discovered. For employment purposes as may be necessary in arriving at an employment decision, I give the company the right to investigate all statements contained herein and the references, including past employers listed, and to secure additional information about me, whether personal or otherwise. I hereby release the company and its representatives, as all those who furnish such information, from all liability for any damage that may result from seeking or utilization of such information as well. In connection with this application, certain positions require an investigative report which may include a credit report, criminal record report, and/or a motor vehicle report. If any such report is needed, I will be notified in advance to obtain my written consent. I understand that a poor credit history and/or a conviction will not automatically result in disqualification from employment. I understand that I am subject to a urinalysis for drug testing purposes and physical examination. The results of such examinations will be made available to the Company. My failure or refusal to provide necessary consents may terminate my application, candidacy, or employment. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant Federal and State laws. I understand that the company is an Equal Opportunity Employer and does not discriminate in employment and no question on this application is to be used for the purpose of limiting or excluding any applicant's consideration for employment on a basis prohibited by Local, State, or Federal law. I understand that this application for employment is not an offer or contract for employment. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by the President of the Company. If offered employment, I agree to comply with the policies, rules, regulations, and procedures of the company which may be changed from time to time at the sole discretion of the Company. I further understand that the company reserves the right to change wages, hours and working conditions as deemed necessary. I HEREBY UNDERSTAND AND ACKNOWLEDGE THAT, UNLESS OTHERWISE DEFINED BY APPLICABLE LAW, ANY EMPLOYMENT RELATIONSHIP WITH THIS ORGANIZATION IS OF AN "AT WILL" NATURE, WHICH MEANS THAT THE EMPLOYEE MAY RESIGN AT ANY TIME AND THE EMPLOYER MAY DISCHARGE EMPLOYEE AT ANY TIME WITH OR WITHOUT CAUSE. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing and signed by the President of the Company. I understand that any employment offer is contingent upon my providing, within three working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control Act of 1986.Mechanical TestWe may ask that you take a mechanical test because our business requires high mechanical ability. This is not an intelligence test. Low test scores do not reflect on one's personal character or overall talent. We will provide reasonable accommodations in the testing process for disabled individuals.Thank you for applying at our company. By checking this box, I have read and fully understand and agree with the above information. I hereby affirm and acknowledge by checking this box that I am providing my electronic signature, which carries the same legal weight associated with an original signature on a paper document.Agree-and-Understand *I Understand*Applicants Initials *Initial Date *Background InformationYour work history will be discussed with you if you are interviewed. Please answer all the following questions with yes or no. Have you ever been:Placed on probation or terminated for poor job performance? *---YesNoDisciplined or fired for insubordination? *---YesNoDisciplined or discharged for violating a safety rule? *---YesNoDisciplined or terminated for absenteeism, tardiness, failure to notify your company when absent, or any other attendance-related reason not relating to medical issues? *---YesNoDisciplined or fired for fighting, assault, or similar offenses? *---YesNoDisciplined or discharged for being under the influence of alcohol or drugs, or for possession, use or abuse of alcohol or drugs during the course of employment? *---YesNoHave you ever been employed by The Material Works? *---YesNoAre you a relative of anyone who currently works for or was employed in the past by The Material Works? *---YesNoIf so, please list name.I UNDERSTAND THAT IF I AM SELECTED FOR AN INTERVIEW OR UPON A CONDITIONAL JOB OFFER BEING EXTENDED TO ME, THAT THE COMPANY MAY REQUIRE THAT I COMPLETE A CONVICTION INQUIRY QUESTIONNAIRE. By checking this box, I certify that the above answers are true and correct to the best of my information and knowledge. I understand that any falsification or any omission of material information discovered before or after I am employed may be cause for my being disqualified or immediately terminated from employment with the company.I-Understand-Check-Box *I Understand*Applicants Initials *Initial Date *By submitting this information, I acknowledge and affirm that I have read and fully understand & agree with the information included in this submission.*** THE COMPANY IS AN AT-WILL, EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER ***Click here to view Red Bud Industries, Inc.’s Privacy Policy.Checkbox* Field (consent) *I hereby consent to Red Bud Industries, Inc.’s Privacy Policy.*EmailSubmit