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Application Type




Name & Location of School

Course of Study

No. of Years Completed

Did you Graduate?


High School




List name, address, and years known for FOUR persons who have known you professionally for at least TWO years.

Last Name, First Name, Initial



Years Known

Employment Record

Please give accurate, complete full-time and part-time, employment record. Start with the present or most recent employer.





We may contact the employers listed above unless you indicate those you do not want us to contact.


EEOC Compliance

Fort Wayne Metals Research Products Corp is committed to providing an environment that is free from discrimination and harassment based on race, age, creed, color, religion, national origin or ancestry, sex, gender, disability, veteran status, genetic information, sexual orientation, gender identity or expression, or pregnancy and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. Fort Wayne Metals is an equal opportunity employer fully committed to achieving a diverse workforce and complies with all Federal and Indiana State laws, regulations, and executive orders regarding non-discrimination.


Ethnic Background:

Veteran Status:


Complete This Section if you Served in the U.S. Armed Forces

Period of Active Duty (Month and Year)

Upload Resume

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Fort Wayne Metals Research Products Corporation including its affiliates or subsidiaries to hire me. If I am hired, I understand that either Fort Wayne Metals or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Fort Wayne Metals has the authority to make any assurance to the contrary.

I have been informed that Fort Wayne Metals will comply with its obligation to provide reasonable accommodations to qualified individuals with disabilities.

I attest that with my signature below that I have given to Fort Wayne Metals true and complete information on this employment application. No requested information has been concealed. I authorize Fort Wayne Metals to contact references provided. I agree to hold such persons harmless with respect to any information they may give about me.

If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for denial of employment or immediate dismissal.

By signing this Employment Application, I authorize Fort Wayne Metals to investigate my background and qualifications for purposes of evaluating whether I am qualified for employment with Fort Wayne Metals. This includes but is not limited to a check of my criminal history, credit, sex offender status, Bureau of Motor Vehicle record, education, and references. I understand I have the right to request a copy of any report provided to Fort Wayne Metals obtained through a consumer reporting agency.