Employment Application

About Applying

When you apply for an available position at Columbia Manufacturing your online application is submitted to the Human Resources department and will be kept on file for one year after submission.

You may submit an application for each individual opening in which you are interested. If you would like to contact us regarding the accessibility of this website or need assistance completing the application process, please use the email form on the Contact page and by selecting Human Resources in the Select Email Recipient field.

Note: The email form on the Contact page is for accommodation requests only and cannot be used to inquire about the status of applications.

Before You Start

The online application will take approximately 20 to 30 minutes to complete. Once you begin, you will need to complete the entire application. In order to complete the email form in an orderly and timely manner, you should have the following information available:

Contact information
The title of the available position you are applying for
Education history
Two to three references: reference name, company name. address and phone number
Previous employment history: company name, phone number, address, supervisor name, your job title, responsibilities and period of employment
If applicable, your military service history
A typed signature certifying your information and a second typed signature for consent to drug and alcohol screening
State driver’s license number

Prior to final submission, you may upload your resume.

Online Employment Application

"*" indicates required fields

Step 1 of 5

20%

Personal Information

Today's Date

MM slash DD slash YYYY

Your Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Your Email Address*

Enter Email Confirm Email

Your Phone*

Date Available*

MM slash DD slash YYYY

Position Applied for*

Are You Applying for a Salary or Wage Position?*

Salary

Wage

Enter Desired Salary

Enter Desired Hourly Wage

Hidden

Section Break

Full Time or Part Time*

Full Tme

Part Time

Special Skills*

Are You A Citizen of the United States?*

Yes

Have you ever worked for this company?*

Yes

If you are not a citizen, are you authorized to work in the U.S.

Yes

If you have worked for this company, when?

Please make a selection in the Position Applied for dropdown.

Previous Employment

Please list your previous employers, the dates you worked and the position you held.

Company One*

Address*

Phone*

Supervisor Name*

Your Job Title*

Responsibilities*

Reason for Leaving*

Start Date*

Enter Month | Year

End Date

Enter Month | Year

Is this is your current place of employment?

Yes

Please enter End Data above.

May we contact your previous supervisor for a reference?*

Yes

Company Two*

Address*

Phone*

Supervisor Name*

Your Job Title*

Responsibilities*

Reason for Leaving*

Start Date*

Enter Month/Year

End Date*

Enter Month/Year

May we contact your previous supervisor for a reference?*

Yes

Company Three

Address

Phone

Supervisor Name

Your Job Title

Responsibilities

Reason for Leaving

Start Date

Enter Month/Year

End Date

Enter Month/Year

May we contact your previous supervisor for a reference?

Yes

Professional References

Please list three professional references. A minimum of two are required.

Reference One Name*

Relationship*

Company*

Phone Number*

Address*

Reference Two Name*

Relationship*

Company*

Phone Number*

Address*

Reference Three Name

Relationship

Company

Phone Number

Address

Education

Highest Level of Eduction*

Name of School*

Degree*

Did you graduate?*

Yes

Military Service

Branch

From (Enter Year)

To (Enter Year)

Rank at Discharge

Type of Discharge

If other than honorable discharge, please explain.

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.*

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my dismissal. I hereby authorize you to investigate all statements in this application as necessary.

Agree

Please type in your full name as a signature:*

Date*

MM slash DD slash YYYY

Consent to Drug Test and Release

Thank you for completing this application form and for your interest in employment with our Company. Employment may be subject to satisfactory reference checks and may require a post-offer physical examination that may include a drug and alcohol screening.

I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon the Company. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the Company retains a similar right.

I certify that information contained in this application and resume is true and correct to the best of my knowledge, and I understand that falsification or materially incorrect information in this application is grounds for disqualification from further consideration, or for dismissal from employment.

I authorize the Company to contact any organization or individual that I have listed on my employment application or resume or mentioned in job interviews and obtain from them any relevant information about my job qualifications, experience, education, skills, abilities, work-related characteristics or traits, performance, credentials, or other characteristics or factors affecting my suitability for employment with the Company. I agree that the Company can conduct a comprehensive background check according to its Employment Background Policy, including the E-Verify process, as part of this application process. I further understand that the Company can initiate a background check if it deems it has reason to believe that any information supplied during the application or post-employment process needs verification.

I understand that I am consenting to the release of any such information about me held or known by my former (or current) employer(s), supervisors, co-workers, schools and educational institutions, professional or business associates, and friends and acquaintances an investigation of my suitability for employment may disclose.

In recognition of the Company’s legitimate business purpose in pursing information about me as an employee or a potential employee and in exchange for consideration of my employment application, I agree not to file or bring any complaints, claims or legal actions of any kind against any organization or individual that provides work-related information about me to the Company or its agents in accordance with the terms and intent of this release. I also agree not to file or bring any complaints, claims or legal action against the Company or any of their employees, representatives, or agents arising out of their efforts to obtain work-related information about me.

I hereby give my permission for the Company to conduct a drug and alcohol screening analysis, consisting of urinalysis or other screening methods, for the purposes of obtaining employment. I understand that as part of my conditional offer of employment, an independent laboratory testing facility will conduct this drug and alcohol screening to determine whether I have in the recent past used alcohol or dangerous or unlawful drugs, which would impair my ability to work. Although I have given my permission for this drug and alcohol screening, I understand that the test results will not be used for any purpose other than determining my eligibility for initial employment. I also give my permission for my drug and alcohol screening test results to be released to the Company.

Consent*

I consent to the statments above in regards to the terms of the Drug Test and Release.

Date*

MM slash DD slash YYYY

Please type in your full name as a signature further consenting to the Consent to Drug Test and Release:*

Driver's License Number*

State*

Upload A Document

Please Upload Your Resume

Upload your resume in .pdf, .doc or .docx format.

Accepted file types: pdf, doc, docx, Max. file size: 5 MB.

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