Join Our Team

Please provide complete and legible information. An incomplete application may affect your consideration for employment. If necessary, attach a separate sheet for additional information.

Mathias Die Company Inc. is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of race, color, religion, creed, national origin or ancestry, sex, pregnancy or childbirth, marital status, familial status, sexual orientation, status with regard to public assistance, membership or activity in a local commission, age, physical, sensory or mental disability, veteran or military status, genetic information, gender identity, or any other legally recognized protected basis under federal, state, or local laws, regulations, or ordinances. The information collected by this application is solely to determine suitability for employment, verify identity, and maintain employment statistics on applicants.

Applicants with disabilities may be entitled to reasonable accommodation under the terms of the Americans with Disabilities Act, the Minnesota Human Rights Act, and other state or local laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Mathias Die Company Inc.. Please inform the company's personnel representative if you need assistance completing any forms or to otherwise participate in the application process.

Your application will be active for [30] calendar days. If you are not hired during that time period, but wish to continue to be considered for available positions, you must complete a new application.

Upon employment, employees of Mathias Die Company Inc. may be required to have their picture taken or to provide Mathias Die Company Inc. with a picture of themselves.

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Are you legally authorized to work in the United States? *

Yes

No

Do you now, or will you in the future, require immigration sponsorship for work authorization (e.g., H-1B)? (If hired, verification will be required consistent with federal law.) *

Yes

No

Are you under the age of 18? *

Yes

No

If under the age of 18, please state your age (The primary reason for this question is to address any child labor laws.)

How were you referred to Mathias Die Company Inc.? *

Position Information

Type of work desired? *

Salary range expected *

Applying For *

Full Time

Part Time

Seasonal

Are you willing to work overtime? *

Yes

No

Education

High School *

Highest Grade Completed *

College or University

Number of Years completed

Major

GPA

Vocational or Trade School

Number of Years completed

Major

GPA

Graduate School

Number of Years completed

Major

GPA

Other (including military training)

Number of Years completed

Major

GPA

List any work related certifications or licenses you currently possess.

BACKGROUND INFORMATION

During the past seven years, have you ever been discharged, suspended, or asked to resign from any position? *

Yes

No

If yes, please explain

For the purpose of verifying information on this application, have you ever worked or attended school under a different name at any of the organizations you have listed? *

Yes

No

If yes, specify name

Employment History

List all employment experience for the past seven years, starting with the most recent or present employer. Using a separate section for each position, describe in detail all work experience including periods of unemployment. You may include as part of your employment history any verified work performed on a volunteer basis. Resumes may not be substituted in lieu of completing the following employment information.

Employer 1

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

Primary responsibilities

Employer 2

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

Primary responsibilities

Employer 3

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact?

Yes

No

Phone Number

Primary responsibilities

Have you ever worked for Mathias Die Company before? *

Yes

No

If you receive a conditional offer of employment, you may be asked to identify any relative who is a current employee of Mathias Die Company Inc. For purposes of this policy, “relative” is defined as any person who is related by blood or marriage, or whose relationship with the employee is similar to that of people who are related by blood or marriage.

Have you signed or otherwise agreed to any non-solicitation, non-competition, or other similar agreement with any prior employer? *

Yes

No

If yes, explain:

Please explain any gaps of employment

Please comment on how your prior education and experiences qualify you for the type of employment you are seeking. Detail any past responsibilities and achievements. Note any special coursework, honors, activities, special projects, or any other data that will assist us in considering your application for employment.

References

Reference 1

Name

Title

Email Address

Phone

Type of Acquaintance

Reference 2

Name

Title

Email Address

Phone

Type of Acquaintance

Reference 3

Name

Title

Email Address

Phone

Type of Acquaintance

Additional Skills

List any additional skills that you would like to mention.

Please submit a copy of your resume.

PLEASE READ CAREFULLY AND INITIAL EACH PARAGRAPH BEFORE SIGNING

I have disclosed all information that is relevant and should be considered applicable to my candidacy for employment. *

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment drug test after receiving a conditional offer of employment, and must receive a negative result for illegal drugs before being permitted to commence work with Mathias Die Company Inc.. *

I understand, where permissible under applicable state and local law, I may be subject to a pre-employment medical examination after receiving a conditional offer of employment, and must meet the qualifications for the position, with or without reasonable accommodation, before being permitted to commence work with Mathias Die Company Inc.. *

I hereby certify that the information given by me is true in all respects. I authorize Mathias Die Company Inc. and its representatives to contact my prior employers and all others for the purpose of verification of the information I have supplied and release same from any liability resulting from the information released. I authorize employers, schools and other persons named on this application to provide any information or transcripts requested. *

I understand employment with Mathias Die Company Inc. is also contingent on my providing sufficient documentation necessary to establish my identity and eligibility to work in the United States. *

I expressly understand and agree that, if employed, my employment, having no specified term, is based upon mutual consent and may be terminated at will, with or without cause, by either party (Mathias Die Company Inc. or me) without prior notice to the other, unless otherwise prohibited by law. *

I understand that no representation, whether oral or written, by any representative or agent of Mathias Die Company Inc., at any time, can constitute an implied or expressed contract of employment. I further understand no representative or agent of Mathias Die Company Inc. has the authority to enter into an agreement for employment for any specified period of time or to make any change in any policy, procedure, benefit, or other terms or condition of employment other than in a document signed by the Director of Human Resources or an authorized representative. *

I certify, under penalty of perjury, that all of the above information is true and complete, and I understand that any falsification or omission of information may result in denial of employment or, if hired, may result in termination regardless of the time lapse before discovery. Note: An offer of employment is conditioned upon complying with Mathias Die Company Inc.'s requirements including, but not limited to signing a consent to conduct a background investigation. MY SIGNATURE IS EVIDENCE THAT I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS. *