Katecho, Inc. | Hydrogels | Electrode Manufacturing | Wound Dressing Manufacturing

Step 1: Fill in your basic information

*First Name: Middle Initial: *Last Name: *Address: *City: *State: *Zip Code: *Phone Number: Email Address *Salary Expected. Enter ONLY a number, without any special characters or text.
WRONG: $10/hr
WRONG: $25-35K/year
RIGHT: 10
RIGHT: 30,000
List any other name by which you have been known which will help us to verify your education and work records:
*Have you previously been employed by this company? Yes No
If so, when? *How did you hear about the position? Name of employee or person who referred you: (Answering yes to either part of the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.)

*Have you ever pleaded guilty or no contest to or been convicted of, a crime? Yes No
If yes, describe in full: *Are you capable of performing in a reasonable manner, with or without a reasonable accommodation, the activities involved in the job or occupation for which you have applied? Yes No Need More Information *Are you currently employed? Yes No *On what date would you be available for work?
*Type of employment desired: Full Time Part Time Internship *Is this a request for reemployment following an extended military leave of absence from this company? Yes No (If yes, additional information may be requested.) *Can you travel if a job requires it? Yes No *If you are under 18 years of age, can you provide required proof of your eligibility to work? Yes No *If hired, can you provide proof that you are eligible to work in the United States? Yes No *May we contact your present employer? Yes No Summarize special job-related skills and qualifications acquired from employment or other experience:

Step 2: Tell us about your education history

Enter information for one school at a time. When you are finished entering a school's information, click Save. After you click Save, a summary of each school will appear a grid at the bottom of this section.

If you need to change the information you entered for a school, click the Edit button next to the school you want to change. Click Save when you are finished changing the information for that school. School Type: *Name: *City & State: Last Year Completed: *Graduated? Yes No Degree or diploma received: Specialized in what course:

Education History
	School Name	Graduated?	Last Yr.	Degree/Diploma	Specialization

Step 3: Tell us about your employment history. This section is VERY IMPORTANT to us as we consider your application.

Your application will not be considered unless every question in this section is answered. We will make every effort to contact previous employers.

Enter information for one previous job at a time. When you are finished entering a job's information, click Save. After you click Save, a summary of each job will appear a grid at the bottom of this section.

If you need to change the information you entered for a job, click the Edit button next to the job you want to change. Click Save when you are finished changing the information for that job.

*Employment start month: *Employment start year: Presently Employed *Employment end month: *Employment end year: *Employer name: *Address: *City: *State: *Zip code: *Phone number: *Job Responsibilities: *Job title: *Former supervisor:

*Starting rate of pay: *Final rate of pay:

*Reason for leaving:

Employment History
	Employer Name	Job Title	Job Responsibilities

Step 4: Provide references

Enter information for one reference at a time. When you are finished entering a reference's information, click Save. After you click Save, a summary of each reference will appear a grid at the bottom of this section.

If you need to change the information you entered for a reference, click the Edit button next to the reference you want to change. Click Save when you are finished changing the information for that reference.

*Name: *Address: *City: *State: *Zip code: *Phone number:

Work References
	Reference Name	Address	City	State	Zip	Phone Number

Step 5: Attach resume

Attach Resume: PDF (.pdf) or Word (.doc, .docx) formats only, MAXIMUM SIZE 4MB. If your resume is larger than this, please e-mail it to hrdept@katecho.net:

Step 6: Agree to Terms and Submit Application

I UNDERSTAND THAT ANY UNANSWERED QUESTIONS ON THIS APPLICATION MAY CAUSE THIS APPLICATION TO BE REJECTED.

I UNDERSTAND THAT ANY FALSE OR MISLEADING STATEMENTS ON THIS APPLICATION OR THE PHYSICAL QUESTIONNAIRE ARE CAUSE FOR DISMISSAL WITHOUT NOTICE.

I AGREE AND AUTHORIZE THAT ALL FORMER EMPLOYERS OR ANY OTHER PERSONS MAY FURNISH THE COMPANY WITH ALL INFORMATION REGARDING THEIR RECORD OF MY SERVICE, CHARACTER, AND REASON FOR LEAVING. I HEREBY RELEASE THIS COMPANY AND SUCH FORMER EMPLOYERS AND PERSONS FROM ANY AND ALL LIABILITY RESULTING FROM EFFORTS TO SEEK OR PROVIDE REFERENCE INFORMATION.

I AUTHORIZE THE COMPANY TO MAKE ANY INVESTIGATION OF MY BACKGROUND DEEMED NECESSARY.

I UNDERSTAND THAT THIS EMPLOYMENT APPLICATION AND ANY OTHER COMPANY DOCUMENTS ARE NOT CONTRACTS OF EMPLOYMENT AND THAT ANY INDIVIDUAL WHO IS HIRED MAY VOLUNTARILY LEAVE EMPLOYMENT UPON PROPER NOTICE AND MAY BE TERMINATED BY THE EMPLOYER AT ANY TIME AND FOR ANY REASON. I UNDERSTAND THAT ANY ORAL OR WRITTEN STATEMENTS MAY NOT BE REASONABLY RELIED UPON BY ANY PROSPECTIVE OR EXISTING EMPLOYEE.

Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, disability, veteran status, marital status, sexual orientation, or any other characteristic protected by law. WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Pursuant to the Iowa Smokefree Air Act, smoking is prohibited in all enclosed areas in places of employment.

By clicking the Submit button, I agree to the above listed terms of this application for employment.

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