Employment Application – Aurora Page 1 of 7Full Name*Middle Name*Last Name*Street Address*City*State*Zip Code*E-Mail Address*Cell Phone*Home PhoneNextAre you eligible to work in the U.S.?*YesNoAre you at least 18 years or older? (If no, you may be required to provide authorization to work.)*YesNoHave you ever been terminated from employment or asked to resign by an employer?*YesNoPlease provide company names and details*Can you work overtime, including occasional Saturdays?*YesNoAre you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*YesNoBackNextEmployment DesiredDate you are available*Are you currently employed?*YesNoMay we inquire of your present employer?*YesNoHow did you hear about us?*Please selectWalk InReferralAdvertisementEmployee ReferralKANSASWORKSIndeedGoogleWebsiteOtherWhat is the Employee’s name who referred you?Have you ever worked for Manko Window before?*YesNoPlease Explain*Do you know anyone who works for Manko Window?*YesNoPlease Explain*BackNextEmployment History Include your last five (5) years of employment history, starting with the most recent and working backwards in time. Incomplete information could disqualify you from further consideration.From*To*Company Name*Telephone #*Job Title*Company Address*Summarize the nature of work performed and job responsibilities*Reason for leaving*FromToCompany NameTelephone #Job TitleCompany AddressSummarize the nature of work performed and job responsibilitiesReason for leavingFromToCompany NameTelephone #Job TitleCompany AddressSummarize the nature of work performed and job responsibilitiesReason for leavingFromToCompany NameTelephone #Job TitleCompany AddressSummarize the nature of work performed and job responsibilitiesReason for leavingAdd another?YesNoFromToCompany NameTelephone #Job TitleCompany AddressSummarize the nature of work performed and job responsibilitiesReason for leavingAdd another?YesNoFromToCompany NameTelephone #Job TitleCompany AddressSummarize the nature of work performed and job responsibilitiesReason for leavingBackNextEducationHigh School Name/Location# of years attendedDegree ReceivedSubjects studied/majoredVocational School Name/Location# of years attendedDegree ReceivedSubjects studied/majoredCollege/University Name/Location# of years attendedDegree ReceivedSubjects studied/majoredBackNextReferences Please provide three professional references, whom you have known at least three (3) years and not related to you. Name*Phone number or email address*Company*Company Location*Name*Phone number or email address*Company*Company Location*Name*Phone number or email address*Company*Company Location*BackNextApplication Statement Please read carefully before submitting. Manko Windows System, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service or any other characteristic protected by law. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Manko to hire me. If I am hired, I understand that either Manko 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 Manko has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Manko true and complete information on this application. No requested information has been concealed. I authorize Manko to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal. Proof of Identity and Eligibility to Work Under the Immigration Reform and Control Act of 1986, Manko Window Systems, Inc. is required to verify the identity and work authorization of all new employees. Manko Window Systems also participates in E-Verify, the federal online verification system. To comply with these requirements, you should complete, and sign Section 1 of the I-9 form prior to your start date, if possible, but no later than the first day of employment. Additionally, you must present documents that verify your identity and work authorization within the first three business days of your start date. Should you fail to provide the appropriate documentation by the end of the third business day as required by law, your appointment will be terminated. Manko Window Systems, Inc. implements a Drug Free Workplace Program. Drug Testing is required of applicants in accordance with relevant laws. APPLICATION WILL BE KEPT ON FILE FOR 30 DAYS FROM THE DATE SUBMITTED.DateElectronic Signature*BackSendThis field should be left blank