Application For Employment
Mechanical Systems, Inc. (MSI) is an Equal Opportunity/Affirmative Action Employer. All
qualified applicants will receive consideration for employment without regard to race, color,
national origin, sex, sexual orientation, gender identity or expression, disability or protected
veteran status or any other factor that the law protects from employment discrimination
except where sex is a bona fide occupational qualification.
General Information Name *
MM slash DD slash YYYY
* Physical and Mailing Addresses Physical Address
* Phone No Alternate Phone Email
Date you can start
MM slash DD slash YYYY
Desired Salary How did you hear about us? Walk-In Advertisement Referral Other Please Indicate Name Other Are you 18 years or older? * Are you a legal Wyoming resident? * Do you have a valid Driver's License? * Have you had any vehicle moving violations in the last 5 years? * Have you ever been convicted of any drug/alcohol related offenses? * Have you been involved in any police activity within the past 10 years? * If yes, please explain Are you currently employed? * If yes, may we inquire of your present employer? * Are you legally eligible for employment in the United States? * Are you willing to submit to pre-hire, random and post-accident drug/alcohol testing? * Are you willing to submit to a background check? * Are you willing to accept overnight travel? * Are you willing to work nights, weekends, holidays, overtime, or hours outside of the normal work day? * If no, please explain Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodations? * If no, describe the functions that cannot be performed Skills and Qualifications Professional licenses, certifications or registrations Qualifications such as special skills, including equipment, supervision, other languages, etc. Additional skills, abilities or honors that should be considered Education Do you have a High School diploma or equivalent? * Highest grade/education level completed? * Where? * Employment History
List employment history for the past 10 years, starting with your most recent employer. Include summer or temporary
Employment History References References
List three personal references who are not relatives.
Click the + to add more
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge. As part of MSI’s procedure for processing my employment application, my personal and employment references, motor vehicle and criminal conviction records may be checked. It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future
benefits by MSI. I understand that if I have misrepresented or omitted any facts on this application, and are subsequently hired, I may be discharged. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for MSI to hire me. If I am hired, I understand that either MSI or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand
that no representative of MSI has the authority to make any assurance to the contrary. If necessary for employment, I may be required to supply my birth certificate or other proof or authorization to work in the United States, have a physical examination, or to sign a conflict of interest agreement and abide by its terms. Pre-employment, post-accident, and random drug/alcohol testing is required. MSI participates in E-Verify.
Please read carefully before submitting * Resume
You may also include your resume here.
Invitation To Self-Identify
Mechanical Systems, Inc. (MSI) is an Equal Opportunity/Affirmative Action employer. As a Federal contractor,
we are required to ensure that applicants are employed and that employees are treated during employment
without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity or expression,
disability, or protected veteran status or any other factor that the law protects from employment discrimination
except where sex is a bona fide occupational qualification. We are therefore requesting information about
gender, race, disability, and protected veteran status in order to comply with government reporting requirements
and ensure equal employment opportunity.
Completion of this information is voluntary, will not affect your opportunity for employment, or the terms or conditions of your employment and will be kept confidential. Refusal to provide it will not subject you
to any adverse treatment. The information provided will be used only in ways that are not inconsistent with
Federal affirmative action regulations. If you choose not to self-identify your race/ethnicity at this time, the Federal Government requires MSI to visual survey and/or other available information.
Self-Identification Participation INVITATION TO SELF-IDENTIFY Gender Identification Race/Ethnicity Identification
HISPANIC OR LATINO – A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
WHITE (not Hispanic or Latino) – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
BLACK or AFRICAN AMERICAN (not Hispanic or Latino) – A person having origins in any of the black racial groups of Africa.
NATIVE HAWAIIAN or PACIFIC ISLANDER (not Hispanic or Latino) – A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
ASIAN (not Hispanic or Latino) – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
AMERICAN INDIAN/ALASKA NATIVE (not Hispanic or Latino) – A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
TWO or MORE RACES (not Hispanic or Latino) – All persons who identify with more than one of the following races: White, Black, native Hawaiian or Pacific Islander, Asian, or American Indian or Alaskan Native.
I CHOOSE NOT TO SELF-IDENTIFY
VETERAN AND DISABLED VETERANS
MSI 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). VEVRAA requires
Government contractors to take affirmative action to employ and advance in employment veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered in the
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.
If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. 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 https://www.dol.gov/agencies/ofccp.
VETERAN AND DISABLED VETERANS IDENTIFICATION
VOLUNTARY SELF-IDENTIFICATION OF DISABILITY
Form CC-305; OMB Control Number 1250-0005 Expires 5/31/2023
Why are you being asked to complete this form?
We are a federal contractor or subcontractor required by law to provide equal employment opportunity to qualified people with disabilities. We are also required to measure our progress toward having at least 7% of our workforce be individuals with disabilities. To do this, we must ask applicants and employees if they have a disability or have ever had a disability. Because a person may become disabled at any time, we ask all of our employees to update their information at least every five years.
Identifying yourself as an individual with a disability is voluntary, and we hope that you will choose to do so Your answer will be maintained confidentially and not be seen by selecting officials or anyone else involved in making personnel decisions. Completing the form will not negatively impact you in any way, regardless of whether you have self-identified in the past. For more information about this form or the equal employment obligations of federal contractors under Section 503 of the Rehabilitation Act, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
How do you know if you 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:
Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid, arthritis, or HIV/AIDS
Blind or low vision
Cardiovascular or heart disease
Deaf or hard of hearing
Depression or anxiety
Gastrointestinal disorders, for example, Crohn's Diseases, or irritable bowel syndrome
Missing limbs or partially missing limbs
Nervous system condition for example, migraine headaches, Parkinson's disease, or Multiple sclerosis (MS)
Psychiatric condition, for example bipolar disorder, schizophrenia, PTSD, or major depression
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.
Please check one of the boxes below: