Alconex Application for Employment

For the past thirty years we have worked hard to build trust with our customers through persistence and dedication towards customer satisfaction. We pride ourselves on our ability to deliver quality products in a timely manner. Join our team of leaders in quality, innovation, service, and collaboration as we supply magnet wire to manufacturers around the world.

There are three major criteria that Alconex looks for in a applicant to become a successful team member:

Reliable Attendance

Pride in Workmanship

An Excellent Code of Ethics

Without employees having all of these attributes, success at Alconex is not possible for the entire team.

Every Alconex employee is obligated and empowered to play a role in supporting our commitment to quality. Alconex employees will constantly meet and strive to exceed internal and external customer expectations. The achievement of our commitment requires the delivery of products and services of such excellence that Alconex becomes the natural choice of customers.

Name *

First

Middle

Last

Email *

Phone Number *

Example: 2601234567

Are you 18 years old or older? *

Yes I am
No, I am not

Current Street Address *

Example: 1234 Sample Road

City *

Example: Fort Wayne

State *

Example: IN

Zip Code *

Example: 46825

What type of position are you seeking? *

What Shift Opportunities are you interested in? (Please select all that apply) *

1st Shift
2nd Shift
3rd Shift

How did you happen to apply for this position? *

What date can you start at Alconex? *

Format MM/DD/YYYY

What is your desired salary/wage?

Include yearly or per hour, dependent upon position

Have you applied to work at Alconex before? *

Yes I have
No I have not

If you have applied to work at Alconex before, where?

When did you apply to Alconex previously?

Are you employed now? *

Yes I am
No I am not

Are you able to work (please select all that apply): *

Full Time
Part Time
Shift Work
Temporary

Have you ever been employed by Alconex before? *

Yes I have
No I have not

If you have been employed by Alconex before, when?

If you have been employed by Alconex before, what was your reason for leaving?

Have you been convicted of a felony within the last 10 years? *

Yes I have
No I have not

If you have been convicted of a felony within the last 10 years, please explain:

Please note, conviction will not necessarily disqualify an applicant from employment at Alconex

Are you legally eligible for employment in this country? *

Yes I am
No I am not

Please note: proof of U.S. Citizenship or Immigration Status will be required upon employment

Did you attend college? *

Yes I did
No I did not

If you attended college, please name the university you attended:

Example: Indiana University

If you attended college, please name the city and state where you attended:

Example: Bloomington, IN

If you attended college, please define the major you studied:

Example: Business Administration

If you attended college, did you graduate?

Yes I graduated
No I did not graduate

If you graduated college, what type of degree did you receive?

Associates degree
Bachelors degree
Masters degree
Doctoral degree

Did you attend high school? *

Yes I did
No I did not

Please name the high school you attended:

Please name the city and state where you attended high school?

Example: Fort Wayne, IN

Did you graduate high school?

Yes I graduated
No I did not graduate

What diploma did you receive when graduating high school?

Have you taken any technical courses? *

Yes I have
No I have not

Please explain in detail any technical courses you have taken:

Please provide school name, city and state, as well as course of study and if you completed the program or not

Previous Employer #1 Name *

Enter the name of the company that you most recently worked for

Name of Supervisor at Previous Employer #1 *

First

Last

Address of Previous Employer #1 *

Example: 4321 Test Avenue, Fort Wayne, IN, 46825

State job and describe work at Previous Employer #1 *

Date of employment at Previous Employer #1 *

Format as MM/DD/YYYY

Date employment ended at Previous Employer #1 *

Format as MM/DD/YYYY

Reason for leaving Previous Employer #1 *

Previous Employer #2 Name *

Enter the name of the company that you most recently worked for

Name of Supervisor at Previous Employer #2 *

First

Last

Address of Previous Employer #2 *

Example: 4321 Test Avenue, Fort Wayne, IN, 46825

State job and describe work at Previous Employer #2 *

Date of employment at Previous Employer #2 *

Format as MM/DD/YYYY

Date employment ended at Previous Employer #2 *

Format as MM/DD/YYYY

Reason for leaving Previous Employer #2 *

Previous Employer #3 Name *

Enter the name of the company that you most recently worked for

Name of Supervisor at Previous Employer #3 *

First

Last

Address of Previous Employer #3 *

Example: 4321 Test Avenue, Fort Wayne, IN, 46825

State job and describe work at Previous Employer #3 *

Date of employment at Previous Employer #3 *

Format as MM/DD/YYYY

Date employment ended at Previous Employer #3 *

Format as MM/DD/YYYY

Reason for leaving Previous Employer #3 *

Previous Employer #4 Name *

Enter the name of the company that you most recently worked for

Name of Supervisor at Previous Employer #4 *

First

Last

Address of Previous Employer #4 *

Example: 4321 Test Avenue, Fort Wayne, IN, 46825

State job and describe work at Previous Employer #4 *

Date of employment at Previous Employer #4 *

Format as MM/DD/YYYY

Date employment ended at Previous Employer #4 *

Format as MM/DD/YYYY

Reason for leaving Previous Employer #4 *

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to Alconex. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice. In consideration of my employment, I agree to conform to the Alconex's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the Company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Company. I understand that no Company representation, other than its President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. *

First

Middle

Last

Date *

Format as MM/DD/YYYY

Phone