Glasswerks Online Employment Application

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Application for Employment
Please Print
Notice to Applicants and Employees
Screening tests for illegal drug use may be required before hiring and during your employment here.
Equal access to programs, services and employment opportunities is available to all persons without regard to sex (including pregnancy, sexual orientation and gender identity), race, color, religion, national origin, citizenship, age, disability, genetic information, or any other basis protected by federal, state, and/or local law.
Please Note: Incomplete applications will not be considered void. To ensure your application is processed, kindly ensure all fields are completed.
Name - Last
First
Middle
Address - Street
City
State
ZIP Code
E-mail Address
Phone
Position applied for
Shift preferred
Special training or skills (languages, machine operation, etc.) that would benefit you in the job for which you are applying:
Would you accept full-time work? Would you accept part-time work?
On what date would you be available for work?
Have you ever been employed here? If yes, dates:
Are you lawfully authorized to work in the United States?
If you are under 18 years old, can you furnish a work permit if required?
Are you able to perform the essential functions of the job for which you are applying (with or without reasonable accommodation)?
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Notice to Rhode Island applicants: This Company is subject to the state's workers' compensation laws (Chapters 29-38) unless otherwise noted below:
(Employer to list applicable exemptions)
Educational Background
Starting with your most recent school attended, provide the following information.
School (include City and State) # of Years Completed Completed GPA / Class Rank Major / Minor
Employment History
Starting with your most recent employer, provide the following information. You may include any verified work performed on a volunteer basis.
Employer
Telephone #
Street address
City
State
Job Title & Supervisor
Dates employed - Month / Year
to Month / Year
Reason For Leaving
May we contact for reference?
E-mail
Summarize the type of work performed and job responsibilities.
Employer
Telephone #
Street address
City
State
Job Title & Supervisor
Dates employed - Month / Year
to Month / Year
Reason For Leaving
May we contact for reference?
E-mail
Summarize the type of work performed and job responsibilities.
Employer
Telephone #
Street address
City
State
Job Title & Supervisor
Dates employed - Month / Year
to Month / Year
Reason For Leaving
May we contact for reference?
E-mail
Summarize the type of work performed and job responsibilities.
Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete, and correct.

I expressly authorize, without reservation, the employer, its representatives, employees, or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives, for seeking, gathering, and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations, or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state, or federal law.

I understand that this application remains current for only 60 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that reasonable safeguards will be taken to protect all personal information provided or obtained in conjunction with this application for employment. My personal information may be shared with the employer's affiliate(s) and third parties engaged by the employer to perform services for the employer. Any personal information shared with an affiliate or third party is to be used solely to perform the services requested by the employer.

This Company does not tolerate unlawful discrimination in its employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex (including pregnancy, sexual orientation and gender identity), race, color, religion, national origin, citizenship, age, disability, genetic information, or any other protected status under applicable federal, state, or local law.

Mandatory Employer Disclosures

Notice to Illinois applicants: Please be advised pursuant to Illinois law, applicants are not obligated to disclose expunged juvenile records of adjudication, arrest, or conviction. Notice to Indiana applicants: This company complies with Indiana law prohibiting smoking in enclosed areas within places of employment. Notice to Maryland applicants: Under Maryland law, an employer may not require or demand, as a condition of employment, prospective employment, or continued employment, that an individual submit to or take a lie detector or similar test. Notice to Massachusetts applicants: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. Notice to North Dakota applicants: This company complies with North Dakota law prohibiting smoking within 20 feet of entrance and inside places of employment. Notice to Rhode Island applicants: This company complies with Rhode Island law prohibiting smoking in enclosed areas within places of employment.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) eliminate me from further consideration for employment, or (ii) may result in my immediate discharge from the employer's service, whenever it is discovered.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.
I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Signature of Applicant
Date
Glasswerks LA Inc. Test # 1
Name:
Date:
Department:
Shift:
Reading a Tape Measure
Glasswerks LA, Inc. Test # 3
Name:
Date:
Department:
Shift:
Reading a Tape Measure

NOTICE TO APPLICANTS

Please take notice that the GlassWerks Group of Companies, including Avalon Glass & Mirror (collectively referred to in this Notice as “GlassWerks”) collects certain information about applicants and employees. The California Consumer Privacy Act (“CCPA”) and California Privacy Rights Act (“CPRA”) provide California applicants and employees with certain rights, including the right to:

  • Knowledge of information collected;
  • Deletion of information collected, subject to legal exceptions;
  • Opt-out of certain information sale or sharing;
  • Opt-out of automated decision-making technology;
  • Correction of inaccurate information collected;
  • Limit use and disclosure of sensitive personal information collected;
  • Not be discriminated or retaliated against for exercising rights under the law.

Where We Get Your Information From. GlassWerks collects this information from the following sources: 1) you; 2) prior employers, references, recruiters, job-related social media platforms; 3) third-party sources of demographic information; 4) third-party companies, such as background check companies, drug testing facilities; 5) claim administrators and investigators; and 6) training providers. Depending on the GlassWerks’ interactions with you, we may or may not collect information about you from all of the sources identified.

The Personal and Sensitive Personal Information That We Are Collecting. We are collecting and/or attempting to collect the following information:

  • Identifiers, such as name, government-issued identifiers (e.g., Social Security number), and unique identifiers (e.g., employee ID);
  • Personal information, such as legal name, former names, signature, SSN, physical characteristics or description, address, telephone number, passport number, driver's license or state identification card number, passport number, federal identification authorizing work in the United States, access and/or passcodes, insurance policy number, education, employment history (including outdoor work acclimatization), bank account number, other financial information, medical information, or health insurance information;
  • Characteristics of protected classifications under California or federal law, such as age, marital status, gender, sex, race, ethnicity, color, disability, citizenship, primary and secondary languages, immigration status, military/veteran status, disability, request for leave, and medical conditions;
  • Commercial information, such as transaction information and purchase history (e.g., in connection with travel or other reimbursements);
  • Internet or network activity information, such as browsing history and interactions with our online systems and websites and any personal information that you provide while accessing Company computer systems, such as credit card information and passwords;
  • Geolocation data, such as device location from usage of the Company's devices or vehicles;
  • Audio, electronic, visual, and similar information;
  • Professional or employment-related information, such as work history and prior employer;
  • Non-public education information; and
  • Inferences drawn from any of the Personal and Sensitive Personal Information listed above to create a profile or summary about, for example, an individual's preferences and characteristics.

How Your Personal and Sensitive Personal Information is Used. We may use Personal and Sensitive Personal Information:

  • To operate, manage, and maintain our businesses;
  • For hiring, retention, and employment purposes;
  • To otherwise accomplish our business purposes and objectives, including, for example:
    • Emergency services;
    • Conducting research, analytics, and data analysis;
    • Maintaining our facilities and infrastructure;
    • Quality and safety assurance measures;
    • Conducting risk and security controls and monitoring;
    • Protecting confidential and trade secret information;
    • Detecting and preventing fraud;
    • Performing identity verification;
    • Performing accounting, audit, and other internal functions, such as internal investigations;
    • Complying with the law, legal process, and internal policies, including maintaining records, claims processing, responding to legal requests for information and subpoenas, and exercising and defending legal claims.
  • Any purposes authorized by the California Privacy Protection Agency or applicable law.

Depending on your past employment and/or application history, we may or may not have previously used Personal and Sensitive Personal Information about you for each of the above purposes. If so, we may combine that information with any new information we collect.

Sharing of Personal Information. We only share your information with the following third-party entities, unless otherwise required by applicable law: Equifax, Dayforce, UHC, Kaiser, John Hancock, Symetra, Colonial, Tristar, Actuarial Benefits Cop, Foy & Associates and Liberty Insurance.

Selling of Personal Information. The Company does not sell your personal information.

Data Retention. The Company retains the information it receives about you for a period of four years after receipt or separation of employment (whichever is longer), unless a shorter or longer period is required by applicable law.

For Inquiries and/or to Submit Requests for Information, Deletion, or Correction. Please either: (1) contact Human Resources at hr@glasswerks.com; (2) visit the office at 8600 Rheem Avenue, South Gate, CA 90280; or (3) call (323) 789-7800 ext. ____ for inquiries about this policy, or to initiate requests for information, deletion, or correction.

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