Job Application

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Equal Opportunity Employer

FloWorks International LLC (the "Company") is an equal opportunity employer and does not discriminate against applicants or employees on the basis of race, color, religion, age (40 or older), sex, sexual orientation, national origin, ancestry, or disability or any other status protected under applicable federal, state, or local law. No question in this application is asked for the purpose of excluding any applicants from consideration for employment because of their membership in any protected class. Any candidates who need assistance or an accommodation due to a disability during the application and/or interview process should contact the Human Resources Department at careers@floworkspvf.com.

Contact Information

Employment


This information is collected for compliance purposes with respect to child labor laws.

Position

History and Status


If hired, verification of legal authorization to work and identity will be required, consistent with applicable law.

References

Three references are required.

Reference 1

Reference 2

Reference 3

Employment History

List all employment experience for the past seven years, starting with the most recent or present employer, including US military service or training. You may include any verifiable work performed on a volunteer basis.

Other

I DODO NOT have any relatives who work for, own, or are part owners of any customers, competitors, or suppliers of any FloWorks International LLC business(es). Companies are: Sunbelt Supply, Southwest Stainless & Alloy, J&J Bar Plus, J&J Alloy, and Major Inc. “Relative” as used here means a member of your family, including a parent (including step-parents and parents in-law), sibling (including step-siblings and siblings in-law), child (including step-child), uncle, aunt, cousin, niece, nephew, grandparent, grandchild, and spouse or domestic partner.

Please complete the information below.


FloWorks is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. To comply with these laws, FloWorks invites you to voluntary complete this form.

Disclaimer
Submission of this information is voluntary, should you elect to decline to state yourrace or gender it will have no bearing on the processing or status of your submission and will in no way have an impact upon your consideration for employment with FloWorks. The information will be kept confidential and may only be used in accordance with provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the government for civil rights enforcement. The information will not be maintained with your submission or, if hired, your personnel file.

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilitiesi. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I 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
  • Bipolar disorder
  • Blindness
  • Cancer
  • Cerebral palsy
  • Deafness
  • Diabetes
  • Epilepsy
  • HIV/AIDS
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)
  • Major depression
  • Missing limbs or partially missing limbs
  • Multiple sclerosis (MS)
  • Muscular dystrophy
  • Obsessive compulsive disorder
  • Post-traumatic stress disorder (PTSD)
  • Schizophrenia

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

iSection 503 of the Rehabilitation Act of 1973, as amended. 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.

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 Protected Veteran Self-Identification Form

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

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), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:

  • 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.
  • 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.
  • 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.
  • 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.

Protected veterans may have additional rights under USERRA—the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll-free, at 1-866-4-USA-DOL.

Please Read Carefully and Initial Each Paragraph Before Signing

I understand that as a condition of employment, I may be required to take a pre-employment drug test, in accordance with applicable law, on which I must receive a negative result before being permitted to commence employment with the Company.
I understand that I may be required to take a pre-employment medical examination after receiving a conditional offer of employment and I must meet the qualifications for the position, with or without a reasonable accommodation, before being permitted to commence employment with the Company.
I certify that, if employed, my employment with the Company will not violate or be limited in any way by any non-competition agreement, non-solicitation agreement, non-disclosure agreement, or any other agreement with any current or former employer or other third party.
I understand that, if employed, my employment will be at-will, which means that either I or the Company can terminate my employment for any reason or no reason and at any time.
I understand that any offer of employment is contingent on complying with the Company’s policies and requirements, including, but not limited to, entering a confidential information protection agreement.
I authorize the Company to verify any of the statements contained in this application for employment, and/or in any other document completed or statements made by me in connection with my consideration for employment.
I certify that the information I have provided on this application is correct to the best of my knowledge. I further understand that any false statement, misrepresentation, or omission of fact may disqualify me for consideration for employment, or if discovered after I am employed may result in termination.
I authorize the Company and its representatives to contact my current and former employers (with the exception of any current employer, if I have marked “No” in response to the question “May we contact” on this application), schools, references, and other persons or organizations I have named in this application for the purpose of verifying the information I provided. I release my current and former educational institutions and personal/business entities named in this application from any liability resulting from the information released. I authorize employers, schools, and other persons or organizations named in this application to provide any information, including transcripts, requested. I further understand that I may be subject to a pre-employment background check after receiving a conditional offer of employment and that a separate disclosure and consent form will be provided to me prior to any such background check.
By typing my name below, I certify that I have read, understand, and agree with the above statements.