Apply Online - Daikin America

DAIKIN AMERICA, INC. APPLICATION FOR EMPLOYMENT

Please provide only information sought. Providing information not sought or otherwise defacing the application will immediately disqualify the applicant from consideration.

Daikin America, Inc. (hereinafter “DAI” and together with any affiliates collectively “Daikin”) is an equal opportunity employer. It is our policy and practice to provide equal employment opportunities to all applicants and employees without regard to unlawful discrimination based on race, color, religion, sex, sexual orientation, national origin, age, veteran or reservist status, marital status, disability or any other category protected by law.

This policy applies to all aspects of the employment relationship, including hiring and all terms, conditions, and privileges of employment.

PERSONAL INFORMATION

Name*

First Middle Last

Present Address*

Street Address Address Line 2 City State ZIP Code

Permanent Address

Street Address Address Line 2 City State ZIP Code

If different from above

Primary Telephone*

Secondary Telephone

Email*

Are you over 18 years of age?*

Yes
No

Can you furnish proof of your eligibility to work in the United States?*

Yes
No

Referral Source (How did you hear about us?)

GENERAL INFORMATION

Location Applied For*

Position Applied For

Orangeburg, NY

Position Applied For

Decatur, AL

Position Applied For

Decatur, AL Technical Center

Position Applied For

Detroit, MI

Position Applied For

Hanover, MA

Position Applied For

San Jose, CA

Position Applied For

Work From Home

Position Applied For

Desired Pay*

Seeking Work*

Full-Time
Part-Time
Temporary

Available Start Date*

Days Available*

Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Can you work rotating shifts?*

Yes
No

Have you previously worked for Daikin?*

Yes
No

Position Held

Start Date

Ending Date

Reason for Leaving

Do you know anyone who works for Daikin?*

Yes
No

If Yes, whom?

Do you have any relatives who work at Daikin?*

Yes
No

If Yes, whom, and how are you related?

Have you ever pleaded “guilty” or “no contest” to, or been convicted of a crime?*

Yes
No

If yes, please provide date(s) and details:

*PLEASE NOTE: A conviction for a criminal offense will not automatically disqualify you from employment with DAI. DAI will consider the nature and gravity of the offense, the time that has passed since the conviction, and the nature of the position sought with DAI.

EDUCATION INFORMATION

High/Trade School

Name	Location	Grade/Degree

College/University

Name	Location	Grade/Degree

Graduate School

Name	Location	Grade/Degree

EMPLOYMENT HISTORY

Starting with your most recent employer, provide the following information

Employer*

From*

To*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Your Job Title*

Supervisor*

First Last

May we contact?*

Yes
No

Reason for Leaving*

Your Responsibilities*

Employer

From

To

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Your Job Title

Supervisor

First Last

May we contact?

Yes
No

Reason for Leaving

Your Responsibilities

Employer

From

To

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Your Job Title

Supervisor

First Last

May we contact?

Yes
No

Reason for Leaving

Your Responsibilities

If you are presently employed, state why you desire a change in job:*

Other specific skills, experience, abilities and knowledge, which help qualify you for the position applied for:*

READ CAREFULLY BEFORE SIGNING

I authorize Daikin America, Inc. (DAI) to investigate all information provided above and to obtain additional information, if necessary, including a criminal background and pre-employment screenings. I understand that if employed, I am an employee-at-will, and that either DAI or I may terminate my employment at any time, with or without cause and with or without notice. I further understand that no representative or agent of DAI, other than the President by written document has any authority to enter an agreement of employment for any specified period of time or otherwise to alter or modify that at-will employment relationship, and that any agreement with the President which does alter or modify employment-at-will relationship must be in writing and signed by the President.

I understand that completion of this application or other steps in the DAI hiring process is not a guarantee of employment with DAI, and that any offer of employment is an offer of employment at will. I understand that any offer of employment I may receive is conditional on my undergoing and passing a screen for illegal drugs and alcohol, and that if I receive a conditional offer I must cooperate fully with any such test and approve the disclosure of results to DAI.

I understand that any offer of employment I may receive requires that I agree to and execute and abide by a confidentiality and intellectual property agreement in which I agree: (1) to maintain the confidentiality of propriety information and protect trademarks and service marks belonging to Daikin during my employment with DAI, as well as after such relationship ends, whether voluntarily or involuntary; and (2) that any designs, processes, formulas, compounds, inventions or other intellectual property covered by the intellectual property laws and regulations of the United States, Japan, and other pertinent locations which I develop within the scope of my employment with DAI are the exclusive property of Daikin.

I have told the whole truth on this application. I certify that the answers and information provided on this application are accurate and true and understand that DAI will discipline me up to and including immediate discharge, if DAI determines there has been any falsification, misrepresentation, or nondisclosure of information on this application.

I understand this application will remain active for 12 months, and that I must reapply if I do not receive a decision within that time.

Signature*

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