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    Personal Information





    Employment Desired




    Education

    Grammar School

    High School

    College

    Trade, Business or Correspondence School

    Former Employers

    List up to 4 of your previous employers below starting with the most recent one first

    Employer 1


    Employer 2


    Employer 3


    Employer 4


    References

    List up to three non-relatives who are familiar with your qualifications, work history, and ability (At least one is required)

    Reference 1

    Reference 2

    Reference 3

    In case of emergency notify




    - Summarize including volunteer activities, military experience, employment or other activities related to the job you are seeking



    PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION.
    ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED WILL BE CONSIDERED VALID.
    IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING


    I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions.
    By signing below, I authorize Topeka Foundry & Iron Works to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment
    decision. I understand that any false information provided by me can result in a refusal to hire or immediate discharge if I am employed.
    I authorize any of the person or organizations named in this application to give you complete information and records regarding my employment, education, character
    and qualifications.


    If hired I will be responsible for familiarizing myself with all rules and regulations of Topeka Foundry & Iron Works as they presently exist or are later modified. If hired, I
    understand my employment can be terminated at the discretion of Topeka Foundry & Iron Works or at my option, without notice, at any time and for any reason.


    I also understand that no representative of Topeka Foundry & Iron Works has any authority to enter into any employment agreement for any specified period of time, or to assure
    me of any future position, benefits, or terms and conditions of employments, except as specifically stated in a current written agreement signed by
    the President of Topeka Foundry & Iron Works






    HME Group Companies are Equal Opportunity Employers. All qualified applicants for employment will be considered without regard to an individual's race, color, sex, gender identity, gender expression, religion, age, or national origin.