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Oregon, Washington, Northern California

www.marctech2.com

Mike Gunderson – President

mike@marctechnologies.com
(503) 789-2561

Jennifer Eby – Vice President

jennifer@marctech2.com
(206) 940-4528

Nick Fothergill – Solutions Expert

nick@marctech2.com
(888) 768-9058

Indiana, Michigan, Ohio, Western Pennsylvania

www.crptech.com

Chris Platt – Sales Engineer

chris@crptech.com
(317) 841-7273

John Barnes – Sales Engineer

john@crptech.com
(269) 348-0937

Steve Minhinnett – Sales Engineer

steve@crptech.com
(269) 348-0937

Southern California

bill@pcb.biz

Texas, Oklahoma, Louisiana, and Arkansas

www.holden-technologies.com

Buck Holden – President

buck@holden-tech.com
(281) 799-1788

Eastern Pennsylvania, Southern New Jersey, Delaware, Maryland, Virginia,
Washington D.C.

James Onushco

jimo@jtechcs.com
(610) 504-2433

Iowa

www.seltecsales.com

Mark Roskopf – President

markroskopf@seltecsales.com
(319) 364-7660

25830 Depot Street
Calumet, MI 49913

Office: (906) 337-1305
Fax: (906) 337-5359

Hours: 8am-5pm Monday-Friday

Calumet Electronics logo

Application for Employment

References:

List three individuals not related to you, whom you have known at least one year.

Reference #1
Reference #2
Reference #3

Current and former employers:

Most recent employer
Employer #2
Employer #3
Employer #4
Employer #5

Please read the following statement carefully before signing to indicate your understanding.

I understand that, prior to being offered employment, I may be requested to take an employment examination. In the event I have a disability that will affect my ability to take the test, I will so inform the Company prior to the test so that a reasonable accommodation can be made. The Company reserves the right to require medical documentation regarding the need for accommodation.

Calumet Electronics Corporation participates in pre-employment drug testing.

I understand and agree that, if hired, my employment is at-will, meaning it is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated with or without cause, at any time, with or without notice. This provision supersedes any oral or written representation to the contrary unless in writing and signed by both a Human Resources Representative and the person to whom the writing is directed. I authorize investigation of all statements contained in this application for any employment-related purpose. I release the listed references and all employers, except those specifically noted* to provide you with any applicable information they may have. I hereby release these references and former employers from all liability for any information they may give to the Company.

I certify that the facts contained in this application are true, accurate, and complete to the best of my knowledge, and understand that, if employed, falsified statements or omitted material facts on this application may result in my disqualification from consideration for employment, or termination from employment if I have been hired.

Calumet Electronics Corporation is an equal employment opportunity employer and will not discriminate against any applicant on the basis of any characteristic that is protected by State or Federal law.