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Home
Products
Rolling Metal Ladders™
Series 1000
Series 1200
Series 1500
Series 1700
Series 2600
Series 6500
Series “A”
Aluminum Wheelbarrow Ladder
TiltNRoll®
Straddle Base TiltNRoll®
Trailer Access Platform
Workmaster™ Super Duty Ladders
Steel Workmaster™
Aluminum Workmaster™
StepMaster (ALL NEW!)
StockNStore™ Folding Ladders
Steel StockNStore™
Aluminum StockNStore™
Work Stands / Platforms
Work Platforms
Dual Access Work Platforms
Adjustable Height Work Platforms
Office Ladders
MasterStep®
AlumaStep®
Step Stands & Stools
Crossover Bridges
Standard Crossover Bridges
Space Saver Crossover Bridges
Specialty Products
Series 3000
Series 4000
Series 5000
Series PC
Dock Ladders
Stockmaster® Overhead Work Platform
Workmaster® Overhead Work Platform
Storage Tank Ladders
Fold-Up Step
Self-Closing Safety Gates
Aluminum Railings
Fixed Ladders
Track Ladders
Custom Solutions
Replacement Parts
About
Coronavirus Update
Our Company
Locations
Michigan / NSC
Michigan
National Support Center
Georgia
Texas
California
News
Trade Shows
Library
Literature
Videos
Instructions, Manuals, and Forms
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Contact
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ONLINE APPLICATION
ONLINE APPLICATION
ONLINE APPLICATION
Online Application for Cotterman
MATERIAL CONTROL, INC., COTTERMAN COMPANY, CONVEYOR COMPONENTS COMPANY
Please read this application thoroughly before completing.
GENERAL INFORMATION
Date
*
MM slash DD slash YYYY
Applicant's Name
*
First
Middle
Last
Applicant Email
*
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Applicant's Resume
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Please attach your resume or enter it into the below space.
Resume, Manual Input. If attached, please write "ATTACHED" in this section
*
Applicant's Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Applicant's Phone
*
Previous Address (If applicable)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
In case of emergency, the Company should notify:
First
Last
Phone (Emergency Contact)
Address (Emergency Contact)
Street Address
City
State / Province / Region
ZIP / Postal Code
Please provide any special information we may need about your name or your use of another name for the Company to be able to check your work record and otherwise verify the information given in this Application.
Are you 18 years of age or over?
*
Select one
YES
NO
If under age 18, can you, after offer of employment, submit a work permit?
*
Select one
YES
NO
Have you filed an application here before?
Select one
YES
NO
If you have applied before, give dates
MM slash DD slash YYYY
Have you ever been employed here before?
*
Select one
YES
NO
If you have been employed here before, give dates
MM slash DD slash YYYY
Are any of your relatives current or former employees of the Company?
Select one
YES
NO
If yes, identify
Are you employed now?
Select one
YES
NO
If so, may we contact your present employer?
*
Select one
YES
NO
Are you on a lay-off and subject to recall?
Select one
YES
NO
What days and hours are you available to work?
*
Position desired:
Pay desired: ($_____ per______)
*
On what date would you be available to begin work?
*
MM slash DD slash YYYY
At what location are you available to work?
*
Select one
Croswell, Michigan
Atlanta, Georgia
Arlington, Texas
Bakersfield, California
If applying for part-time work, specify hours desired by day and time.
*
Example: Day, time desired
The job for which you are applying may require work on Saturdays, Sundays, holidays and evenings and substantial travel. If so, are you willing to work such a schedule
*
Select one
YES
NO
If hired, can you provide the documents required by law to prove that you are legally able to work in the U.S.?
*
Select one
YES
NO
Have you ever been convicted of a felony?
*
Select one
YES
NO
If yes, explain. NOTE: A criminal conviction is not necessarily a bar to employment, factors such as your age at the time, nature of the offense, and completion of rehabilitation will be taken into consideration.
Is there any reason your prompt and regular attendance at work will be affected? If yes, describe
Select one
YES
NO
Has an employer for other than lack of work ever terminated you? If yes, please explain.
*
Select one
YES
NO
Can you perform the functions of the job for which you are applying (essential and/or marginal), without accommodation? If no, what reasonable accommodation would you require?
*
Select one
YES
NO
EDUCATION
HIGH SCHOOL (Name and location of School)
HIGH SCHOOL (Major Subject(s) Studied)
HIGH SCHOOL (G.P.A.)
HIGH SCHOOL (Degree, Diploma or Certificate)
TECHNICAL TRAINING (Name and Location of School or Company)
TECHNICAL TRAINING (Major Subject(s) studied)
TECHNICAL TRAINING (Periods Attended)
TECHNICAL TRAINING (G.P.A.)
TECHNICAL TRAINING (Degree, Diploma or Certificate)
COLLEGE (Name and Location of School)
COLLEGE (Major Subject(s) Studied)
COLLEGE (Major Periods Attended)
COLLEGE (G.P.A.)
COLLEGE (Degree, Diploma or Certificate)
EMPLOYER TRAINING (Name and Location of Company)
EMPLOYER TRAINING (Major Subject(s) Studied)
EMPLOYER TRAINING (Periods Attended)
EMPLOYER TRAINING (Degree, Diploma or Certificate)
OTHER (List all training and certificates applicable)
EMPLOYMENT HISTORY
EMPLOYER 1
*
Please list: DATES EMPLOYED - START / END EMPLOYER NAME, ADDRESS and PHONE NUMBER SUPERVISOR'S NAME and TITLE, and REASON FOR LEAVING POSITION SALARY - START / END
EMPLOYER 2
*
Please list: DATES EMPLOYED - START / END EMPLOYER NAME, ADDRESS and PHONE NUMBER SUPERVISOR'S NAME and TITLE, and REASON FOR LEAVING POSITION SALARY - START / END
EMPLOYER 3
Please list: DATES EMPLOYED - START / END EMPLOYER NAME, ADDRESS and PHONE NUMBER SUPERVISOR'S NAME and TITLE, and REASON FOR LEAVING POSITION SALARY - START / END
EMPLOYER 4
Please list: DATES EMPLOYED - START / END EMPLOYER NAME, ADDRESS and PHONE NUMBER SUPERVISOR'S NAME and TITLE, and REASON FOR LEAVING POSITION SALARY - START / END
SPECIAL SKILLS AND QUALIFICATIONS
Summarize special skills and qualifications acquired from employment or experience.
What languages can you read, write and speak fluently?
What licenses or certifications do you have or have had?
Please give issuing bodies and dates, and attach copies.
Licenses or Certifications
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Max. file size: 128 MB.
What professional associations do you belong to?
OFFICE SKILLS (Typing)
WORDS PER MINUTE
OFFICE SKILLS (Shorthand)
WORDS PER MINUTE
OFFICE SKILLS (Dictaphone)
Select One
YES
NO
CAREER OBJECTIVES
Describe your career and income objectives, and how your employment with the Company fits those objectives.
Short-term
*
Long-term
*
REFERENCES
Give the name of three persons not related to you, whom you have known at least one year.
REFERENCE 1
*
Include: Name Address & Phone Employer & Title Years Acquainted
REFERENCE 2
*
Include: Name Address & Phone Employer & Title Years Acquainted
REFERENCE 3
*
Include: Name Address & Phone Employer & Title Years Acquainted
I HAVE READ CARFULLY AND AGREE TO THE ACKNOWLEDGEMENTS, RELEASE OF CLAIMS AND OTHER IMPORTANT INFORMATION
*
I certify that the information above and/or other information I furnish you is true and complete to the best of my knowledge. I understand that the firm may investigate my work and personal history and verify all data given on this application, on related papers, and in interviews, but that it is not required to do so. I authorize all individuals, schools and employers named and all financial institutions, law enforcement agencies and other persons, except as specifically limited on this application, to provide information requested about me, and I release them from liability for damages in providing this information. I understand and acknowledge that any misrepresentation or omission of fact by me can result in immediate discharge.
I understand and acknowledge that, if employed, my employment and compensation will be at the will of Cotterman Company / Conveyor Components Company and can be terminated, with or without cause, and with or without notice, at any time at my option or the option of Cotterman Company / Conveyor Components Company. I further understand and agree that no officer, manager, or employee of the Company other than it's President has now or has had in the past any authority to enter into any agreement for employment for any specified period of time or to make any agreement which is contrary to or a modification of the above described employment relationship, and that any such agreement or representation must be in writing and signed by myself and the President of Cotterman Company / Conveyor Components Company.
I consent to random drug testing and searches of my personal property on the Company's premises, at the Company's expense. I understand a refusal to take a test on request may result in a proper termination of the application process or my employment. All applicants being considered for employment may be tested for the following drugs or their metabolites:
AMPHETAMINE - Uppers/Speed
BARBITURATES - Sleeping Pills
BENZODIAZ - Valium
OPIATE - Heroin/Codeine
METHADONE - Heroin Addicts
COCAINE - Crack/Cocaine
METHAQUALONE - Quaalude's/Sleeping Pills
PHECYC-PCP - Animal Tranquilizer
PROPAXYPHENE - Darvon
CANNABINOID-THC - Marijuana
I authorize the medical clinic/testing laboratory to release any test results to the Company and the Company to use them as a determining factor in the selection and retention of employees. Applicants offered positions may be required to pass a job-related physical examination before beginning work. I authorize release of examination results to the Company.
If I am applying for a position in Michigan, I acknowledge that if I am disabled and require an accommodation to enable me to perform a job, under Michigan law, I must notify the Company of such an accommodation, in writing, within 182 days of when I knew or should have known of such a need, or I will be unable to rely on the Company's statutory duty under Michigan law to accommodate, if any.
ACKNOWLEDGEMENT DATE
*
MM slash DD slash YYYY
ELECTRONIC SIGNATURE FOR ACKNOWLEDGEMENT
*
First
Last
By selecting the "Submit" button, you are confirming that you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Online Application. By selecting "Submit" using any device, means or action, you consent to the legally binding terms and conditions of this document. You further agree that your signature on this document (hereafter referred to as your "Electronic Signature ") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your Electronic Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your signature or any resulting agreement between you and the Company.
PLEASE READ
This application will only be considered for the 1 year period after its receipt by Cotterman Company / Conveyor Components Company. Should you wish to be considered after the expiration of this period, you must reapply. Cotterman Company / Conveyor Components Company is an equal opportunity employer and complies with all laws prohibiting discrimination on the basis of race, color, age, sex, national origin, religion, citizenship, disability, height, weight and marital status.
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