Personal Information
First name: *
State/Territory: *
Please select
US-AK
US-AL
US-AR
US-AZ
US-CA
US-CO
US-CT
US-DC
US-DE
US-FL
US-GA
US-HI
US-IA
US-ID
US-IL
US-IN
US-KS
US-KY
US-LA
US-ME
US-MA
US-MD
US-MI
US-MN
US-MO
US-MS
US-MT
US-NC
US-ND
US-NE
US-NH
US-NJ
US-NM
US-NV
US-NY
US-OH
US-OK
US-OR
US-PA
US-RI
US-SD
US-SC
US-TN
US-TX
US-UT
US-VT
US-VA
US-WA
US-WV
US-WI
US-WY
US-OTHER
Last name: *
ZIP/Postal code: *
Phone #:
Country:
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cayman Islands
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Lao Democratic Republic
Latvia
Lebanon
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Malta
Mexico
Micronesia
Moldova
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Lucia
Saint Vincent Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Mobile #: *
Date Available: Format: M/D/YY
Street address: *
Desired Position:
Please select
Sales- Field
Corporate Headquarters
Manufacturing - Various Locations
Branch - Various Location
Internship
City: *
Desired Salary:
Relocation assistance is available
Open to Relocation: *
Please select
Yes
No
Regions of Preference:
Northeast
Mid Atlantic
Southeast
Midwest
Upper Midwest
Northwest
West
Southwest
(You can hold down the Control key to select multiple regions.)
Addt'l Region Preference:
How did you hear about us?
Source: *
--None--
3rd Party Recruiter - NAME
Association/Trade Site
Career Fair
Careerbuilder.com
Careerlink
College Posting
College Visit
Contract Recruiter
Corporate Recruiter
Employee Referral
European College Posting
Express Pros- Leland, NC
Glassdoor.com
Indeed.com
Internal Employee
Internal Job Transfer
International Careerbuilder Ad
International Monster Ad
Internet Posting - Other (Name)
Internship
LinkedIn
Magazine Ad
Mobile Website
Monster
Monster.com
Network
Newspaper Ad
Other
Scout
Temp-to-Perm
Trade Show
University
Victaulic Website
Specify Source Above:
Referred By:
Email Registration
Your email address will be used as your login name allowing you to return to our website and update your profile. If you do not have an email address, you can obtain a free account at Yahoo or Gmail . Please make sure that the syntax of your email address is in the following form: username@example.com
Email: *
Please create your password
Passwords must be at least six(6) characters
Password: *
Re-type new password: *
Additional Information
Work Authorization: *
Please select
I am authorized to work in this country for any employer
I require sponsorship to work in this country
I am authorized to work in this country for my present employer only
My status to work in this country is unknown
Current Salary.:
Highest Education Level: *
Please select
Associates Degree
Bachelor's Degree
High School Diploma / GED
Master's Degree
Other
PhD
Trade or Technical School Diploma
Institution- Undergrad: *
Are you currently employed? If yes, may we contact your current employer?
Currently Employed: *
Please select
Yes
No
Contact Employer?:
Please select
Yes
No
Have you ever applied to this company before? If yes, please identify when.
Previous Applicant: *
Please select
Yes
No
When Applied (month/yr):
Format: ##/##
Have you ever been employed by Victaulic before? If yes, please identify when.
Previously Employee: *
Please select
Yes
No
When Employed (month/yr):
Format: ##/##
Resume Attachment
Your resume can be uploaded in any of the following formats: DOC, DOCX, RTF, PDF, TXT, HTML.
*
Required Information Add Resume & Attachments
Cover Letter
You can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.
Cover Letter:
Voluntary Equal Opportunity Questionnaire
Applicants are considered for all positions, and employees are treated during employment without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other legally protected status. Victaulic is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws
and regulations. In order to comply with these laws, Victaulic invites job applicants to voluntarily self-identify their race and
ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The
information will be kept confidential and will only be used in accordance with the provisions of applicable laws, executive orders,
and regulations, including those that require the information to be summarized and reported to the federal government for civil
rights enforcement. When reported, data will not identify any specific individual. This form is not part of your employment application. It is stored in a confidential file separate from your employment application. If you have any questions, please contact the Human Resources Office. YOUR COOPERATION IN COMPLETING THIS PORTION OF THE APPLICATION IS VOLUNTARY.
Gender:
Please select
Female
Male
Choose Not to Disclose
Ethnicity/Race Identification
Below are two questions. All applicants should answer Question A. Question B should be answered only by those applicants who answered no to Question A. The summarized information is reported to the Federal government for civil rights
enforcement and monitoring purposes. The summarized information on race will be reported in the following categories only: White; Black or African American; Asian; Native Hawaiian or Other Pacific Islander; American Indian or Alaska Native; and Two or More Races.
If you answer Question B, you may select one or more race. If you select more than one race, you will be reported to the Two or More Races category. For example, if you select Black and American Indian or Alaska Native, you will be reported in the Two or More Races category.
A. Ethnicity (All applicants should answer this question) Are you Hispanic or Latino?
Ethnicity:
Please select
No, not Hispanic or Latino.
Yes, Hispanic or Latino
B. Race (Only applicants who answered no to Question A should answer this question) What is your race? Please review the following definitions to assist you in selectingthe appropriate race.
White - a person having origins in any of the original peoples of Europe, the Middle East or North Africa
Black of African American - a person having origins in any of the Black racial groups of Africa
Asian - a person having origins in any of the orginal 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
Native Hawaiian or Other Pacific Islander - a person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
American Indian or Alaska Native - a person having origins in any of the original peoples of North and South
America
Race:
Please select
White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Two or more of the above races
Choose Not to Disclose
Military Service
INVITATION TO SELF-IDENTIFY VETERAN STATUS
Victaulic 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), which requires Government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined as follows:
A "disabled veteran" is one of the following: (1) 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. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.
Veteran Status:
Please select
I identify as a protected veteran listed above.
I am not a protected veteran.
I do not wish to answer.
Disability
Voluntary Self-Identification of Disability
Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.
If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.
How do I know if I 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: Blindness, Deafness, Cancer, Diabetes, Epilepsy, Autism, Cerebral palsy, HIV/AIDS, Schizophrenia, Muscular dystrophy, Bipolar disorder, Major depression, Multiple sclerosis (MS), Missing limbs or partially missing limbs, Post-traumatic stress disorder (PTSD), Obsessive compulsive disorder, Impairments requiring the use of a wheelchair, and Intellectual disability (previously called mental retardation).
Please select one of the choices below:
Disability Status:
Please select
Yes, I have a disability (or previously had a disability).
No, I do not have a disability.
I do not wish to answer.
Disability - Reasonable Accommodation Notice
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.
PLEASE READ CAREFULLY - APPLICANT'S CERTIFICATION AND AGREEMENT
By selecting SUBMIT, I certify that the information in this application is true, accurate and complete to the best of my knowledge, and I understand that misrepresentations, false, or omitted facts may result in termination, regardless of when such is discovered by the company.
I authorize investigation of the statements contained herein and the references listed to provide the Company with any and all information concerning my previous employment and any pertinent information such references may have, personal or otherwise, and hereby expressly release the Company from any and all liability for requesting, receiving or providing information in connection with such investigation.