NMC Group: plastic clamps, grommets, custom molding, wiring devices, plastic clamps, grommets and wiring devices plastic clamps, grommets and wiring devices

Careers Menu

Job Listings

Information Technology
Engineering
Operation
Manufacturing
Shipping/Receiving
Sales
Administration
Customer Service

Employment Application

NMC Group, Inc
2755 Thompson Creek Rd.
Pomona, CA 91767

All areas with an * are required to process this application
Fill out the form below or print out and fax back to us at 909-451-2319

*Position(s) Applied for:
*Date of Application:
*Last Name:
*First Name:
Middle Name:
*Address:
*City
*State
*Zip
*Telephone:
Email Address
Social Security Number:

If you are under 18, can you furnish a work permit?
Have you ever been employed here before?
Are you legally eligible for employment in this country? (Proof of U.S. citizenship or immigration status will be required upon employment.)
Date available for work:

Type of employment desired:
Are you able to meet the attendance requirements of the position?
Have you been convicted of a felony in the last seven(7) years? (Such conviction may be relevant if job related, but does not bar you from employment)
If yes, please explain:
Driver's license number
State (if required by job)

Employment History List your last four(4) employers, assignments or volunteer activities, starting with the most recent, including military experience
Employer
Address
Phone
Date employed:	From To
Job Title
Immediate Supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Hourly Rate/Salary	Start $ per End $ per

Employer
Address
Phone
Date employed	From To
Job Title
Immediate Supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Hourly Rate/Salary	Start $ per End $ per

Employer
Address
Phone
Date employed	From To
Job Title
Immediate Supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Hourly Rate/Salary	Start $ per End $ per

Employer
Address
Phone
Date employed	From To
Job Title
Immediate Supervisor and title
Summarize the nature of work performed and job responsibilities
Reason for leaving
Hourly Rate/Salary	Start $ per End $ per

An Equal Opportunity Employer Skills and Qualifications - Summarize special skills and qualifications acquired from employment or other experiences that may qualify you for work with our company. Educational Background
Name and Location	Years completed	Did you graduate?	Course of study
High School

College

Other

References
Name	Telephone	Years Known

It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the Employer's service if I have been employed.

I give the Employer the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information, and all other persons, corporation or organization for furnishing such information.

The Employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application.

I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary.

I further understand and agree that, if employed, our employment relationship always will be at-will. Either the Company or I can terminate our employment relationship at anytime, with or without cause, and without prior notice. This at-will employment relationship will remain in effect throughout my employment with the Company unless it is specifically modified by an express written employment agreement executed by the President of the Company and me.

I understand and agree that this at-will employment relationship may not be modified by any oral or implied agreement and no course of conduct. Additionally, I understand that as a part of the pre-employment process, I may be requested to have a physical exam and drug screening, at the expense of the Company.

I further understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the Company, and myself for the providing of any benefit.

NMC Group, Inc - 2755 Thompson Creek Rd. - Pomona, CA 91767
Ph. 909 451-2290