Employment Form Manufacturing Engineer

Middle Name

Last Name(required)

First Name(required)

Address(required)

City(required)

State(required)

Zip(required)

Home Phone(required)

Cell Phone

Email address(required)

Position Applying For(required)

Salary Desired(required)

Have you ever been employed with us before?(required)

Yes

No

If yes, Who was your supervisor?

Do you now or will you in the future require visa sponsorship for employment at Champion? (required)

Yes

No

Can you work nights?(required)

Yes

No

When could you start?(required)

If hired, are you willing to submit to and pass a controlled substance test?(required)

Yes

No

If no state reason.

Have you ever been in the armed forces?(required)

Yes

No

Date Entered

Specialty

Are you now a member of the National Guard?(required)

Yes

No

Discharged Date

Typical Physical Demand Requirements Include: Full range of body motion, normal range of vision, frequent bending and stooping, standing for long periods of time, lift up to 75 pounds on a regular basis.

Typical General Duty Requirements: Read a tape measurer, basic arithmetic, reading and writing, computer work, following directions from supervisor, learn job an

Are you able to perform the essential functions listed above for the job in which you are applying, either with or without reasonable accommodation?(required)

Yes

No

If NO, describe the functions that cannot be performed.

Please describe any additional information that may be helpful to us in considering your application.

Work Experience

Please list your 3 most recent jobs, beginning with the most recent job held.

1

Company

Job Title

Address

City

State

Zip

Phone

Salary/Wage

Per

Employed From

Employed To

Still Employed?

Yes

No

Reason For Leaving

2

Company

Job Title

Address

City

State

Zip

Phone

Salary/Wage

Per

Employed From

Employed To

Still Employed?

Yes

No

Reason for Leaving

3

Company

Job Title

Address

City

State

Zip

Phone

Salary/Wage

Per

Employed From

Employed To

Still Employed?

Yes

No

Reason for Leaving

Attach A Resume

Maximum size 10MB

I authorize investigation on all statements contained in this application.
I understand and agree that myemployment may be terminated at any time without cause and without previous notice.

Signature(required)

Date

Champion Aerospace, LLC is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Champion Aerospace, LLC is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Champion Aerospace, LLC are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Champion Aerospace, LLC will not tolerate discrimination or harassment based on any of these characteristics.

Voluntary EEO Survey

Yes

No

Voluntary Self-Identification of Disability Form

Yes

No

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?
We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.

Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so. Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?
You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Disabilities include, but are not limited to:

• Autism
• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, or HIV/AIDS
• Blind or low vision
• Cancer
• Cardiovascular or heart disease
• Celiac disease
• Cerebral palsy
• Deaf or hard of hearing
• Depression or anxiety
• Diabetes
• Epilepsy
• Gastrointestinal disorders, for example, Crohn's Disease, or irritable bowel syndrome
• Intellectual disability
• Missing limbs or partially missing limbs
• Nervous system condition for example, migraine headaches, Parkinson’s disease, or Multiple sclerosis (MS)
• Psychiatric condition, for example, bipolar disorder, schizophrenia, PTSD, or major depression

Please check one of the boxes below:

Yes, I Have A Disability, Or Have A History/Record Of Having A Disability

No, I Don’t Have A Disability, Or A History/Record Of Having A Disability

I Don’t Wish To Answer

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Voluntary Self-Identification of ‘Protected’ Veteran Status’

Yes

No

Protected Veteran Form

Why Are You Being Asked to Complete This Form?
This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA). VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA. Completing this form is completely voluntary, but we hope you fill it out. Any answer you give will be kept private and will not be used against you in any way.

For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How Do You Know if You Are a Veteran Protected by VEVRAA?
Contrary to the name, VEVRAA does not just cover Vietnam Era veterans. It covers several categories of veterans from World War II, the Korean conflict, the Vietnam era, and the Persian Gulf War which is defined as occurring from August 2, 1990 to the present.

If you believe you belong to any of the categories of protected veterans please indicate by checking the appropriate box below.

I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED BELOW

I AM NOT A PROTECTED VETERAN

I DO NOT WISH TO ANSWER

The categories are defined on the below and explained further in an Am I a Protected Veteran?” infographic provided by OFCCP.

What Categories of Veterans Are “Protected” by VEVRAA?
“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below.

1. A “disabled veteran” is one of the following:
• a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
• a person who was discharged or released from active duty because of a service-connected disability.
2. A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
3. An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
4. An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Please review your answers before you submit your application form