BLACKSTONE

 

Employment Application

All fields labeled in Red are required.
 

General Information
Date:
       
Last Name:
First Name:
Middle Int:
Street Address:
City:
State:
Zip:
Phone:
Social Security #:
Email:

Are you 18 years or older?
Yes No
If not, age:
Do you have the required working papers?
Yes No
Position Desired:
Date you can start:
Salary Desired:
Please select the shift you prefer:
1st Shift 2nd Shift 3rd Shift
Days you are available:
Mon Tues Wed Thurs Fri Sat Sun Anytime
Have you ever applied at Blackstone?
Yes No
If so, when?
Education
Education Level Name of School Grade Level Completed Subjects Studied or Degree
High School
College
Trade, Business or Correspondence School
Military Service Rank Years Discharge Status
References
List 3 references with a minimum of 2 professional references. Former or current supervisors preferred.
Name Address Phone Business Relationship
1.
2.
3.
Miscellaneous
Are you related to anyone employed at Blackstone?
Yes No  
If so, Who?
Relation?
Have you ever been convicted of a crime?
Yes No  
If you answered yes, please explain:
Proficiencies
Please mark which areas you are proficient in.

 

Mig Welding
Tig Welding
Spot Welding
Other Welding
CNC Machine Operation
CNC Machine Set-up
Non-CNC Machining
Forklift Driving
Powder/Wet Coat Painting
Machine Maintenance
Blueprint Reading
Quality Control Devices
Employment History
List all former employees (starting with most recent)

 

Start/End Dates
Name, Address, & Phone Number of Employer
Salary
Position
Reason for Leaving
Month/Year
Month/Year
List work performed in the box provided:
Start/End Dates
Name, Address, & Phone Number of Employer
Salary
Position
Reason for Leaving
Month/Year
Month/Year
List work performed in the box provided:
Start/End Dates
Name, Address, & Phone Number of Employer
Salary
Position
Reason for Leaving
Month/Year
Month/Year
List work performed in the box provided:
Start/End Dates
Name, Address, & Phone Number of Employer
Salary
Position
Reason for Leaving
Month/Year
Month/Year
List work performed in the box provided:

As indication that you have read and understood each item, please type your initials in the spaces provided below (required).


In exchange for the consideration of my job application by Blackstone, Inc, I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, shall serve to create an actual or implied contract of employment, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned. Both the undersigned and Blackstone may end the employment relationship at any time, without specified notice or reason.

In consideration for employment with Blackstone, Inc, if employed, I agree to conform to the rules, regulations, policies and procedures of Blackstone, Inc at all times and understand that such obedience is a condition of employment. I understand that due to the nature of business, attendance and punctuality are considered essential requirements of every job at Blackstone and that poor attendance or tardiness will result in disciplinary action.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give Blackstone permission to contact schools, all previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contact.

I understand that if offered a position with Blackstone, I will be required to submit to a new hire drug screening as a condition of employment. I understand that unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employment tests will result in withdrawal of any employment offer or termination of employment if already employed.

I further understand that my employment with the Company shall be probationary for a period of at least ninety (90) days, and further that at any time during the probationary period or thereafter, my employment relationship with the Company is terminable at will for any reason by either party.

Blackstone is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Blackstone, Inc depends solely on your qualifications.

BY SUBMITTING THIS APPLICATION, I UNDERSTAND THAT I AM DIGITALLY SIGNING THIS APPLICATION AND I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Please ensure you have read and initialed all paragraphs above before continuing with this application.

Self ID Form

Applicants are considered for all positions for which they qualify without regard to race, color, religion, age, national origin, sex, sexual orientation, disability or any other legally protected status. Blackstone Business Enterprises Inc. complies with applicable federal and state laws, including affirmative action regulations and responsibilities.

 

This data is for periodic government reporting and will be kept in a Confidential File separate from the Application for Employment. It will not be used in considering and/or selecting applicants for employment. Submission is voluntary. Failure to supply this information will not jeopardize or adversely affect any consideration you may receive for employment, or later advancement in employment.

 

Solely to help us comply with required record-keeping, reporting and other legal requirements, please fill out this form.


We appreciate your cooperation.

 

Select ONE option in each category below:
Gender:
Male Female
Veteran Status:




Race/Ethnic Group

Hispanic or Latino - A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish
        culture or origin, regardless of race

American Indian or Alaskan Native (not Hispanic or Latino) - A person having origins in any of the original peoples
        of North America and South America (including Central America), and who maintains tribal affiliation or
        community attachment

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

Black or African American (not Hispanic or Latino) - A person having origins in any of the Black racial groups of
        Africa. Terms such as "Haitian" or "Negro" can be used in addition to "Black or African American."

Native Hawaiian or Other Pacific Islander (not Hispanic or Latino) - A person having origins in any of the original
        peoples of Hawaii, Guam, Samoa, or other Pacific Island

White (not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, North Africa, or
        the Middle East

Two or More Races (not Hispanic or Latino) – All persons who identify with more than one of the above races.
Please identify where you learned about an employment opportunity with this organization.
Newspaper Ad
Walk-in
Website
Other
Government Employment Agency (Chaut. Works)
Private Employment Agency
School
Employee Referral
I do not wish to fill in the Self ID Form.



**Incomplete applications will not be considered**