Please detail your entire work history. Begin with your current or most recent employer. If you held multiple positions with the same organization, detail each position separately.Attach additional sheets if necessary. Omission of prior employment may be considered falsification of information. Please explain any gaps in employment. Include full-time military or volunteer commitments.PLEASE DO NOT complete this information with the notation “See Resume.” PLEASE NOTE: Hewitt Molding Company reserves the right to contact all current and former employers for reference information.

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize Hewitt Molding Company to investigate, without liability, all statements contained in this application and supporting materials. I authorize references and former employers, without liability, to make full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances or abuse of prescribed medications upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of Hewitt Molding Company serve at-will, and the employment relationship may be terminated at any time by either party, or any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a State security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only, and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis, I understand that I would be eligible to participate in a Simple IRA retirement program. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first NINE MONTHS of regular employment represent a provisional period, during which I would not be eligible to apply for transfer or promotion. I understand, in the State of Indiana, I may be terminated without right of appeal.