Antonini Radiator, Inc., has three(3) main job positions available. They are: 1)In-shop mechanic/radiator repairman/laborer, 2)Sales Representative/truck (delivery) driver, 3)In-shop welder.

Each of these jobs require specific criteria from a candidate. The criteria are listed with the job application, and potential candidates are well screened and tested during the interview process. Because of our strict quality control goals, only very selected individuals are considered for employment by Antonini Radiator, Inc., who must be well qualified in the particular position they are applying for. The applications can be printed on-line and returned to:

ANTONINI RADIATOR, INC.

ATTN: PERSONNEL

325 EAST RAILROAD STREET

POTTSVILLE, PA 17901

All applications received will be reviewed and processes. Antonini Radiator, Inc., is an equal opportunity employer.

1&2. IN SHOP WELDER/RADIATOR REPAIRMAN/GENERAL LABORER:

APPLICANTS:

1. FILL OUT EVERY QUESTION ON THE APPLICATION. DO NOT SKIP ANY, INCLUDING THE DUI QUESTIONS.

2. SIGN AND DATE THE AUTHORIZATION FORM, BOTH AT THE BOTTOM OF THE PAGE AND INCLUDING THE LAST PAGE.

3. LIST YOUR LAST THREE JOBS – PLEASE WRITE IT ON THE PAGE PROVIDED. YOU CAN THEN ATTACH A RESUME.

4. IF CALLED BACK FOR AN INTERVIEW COME IN PROFESSIONALLY BRING ACCOMPLISHMENT CERTIFICATES PROOF OF DIPLOMA, DRIVERS LICENSE, GED, ETC.

WE WILL LOOK OVER THE RESUME AND WE WILL CALL YOU IF YOUR APPLICATION MEETS OUR NEEDS.

7. REQUIREMENT FOR JOB: 1. HIGH SCHOOL DIPLOMA OR GED

2. HAND TOOLS

3. MECHANICAL ABILITY

ANTONINI RADIATOR, INC.

EMPLOYMENT APPLICATION:

1. DATE: _________________________ 2. POSITION APPLYING FOR:

2. NAME: 4. SOCIAL SECURITY #

5. ADDRESS: 6. CITY:

7. STATE & ZIP CODE:

8. PHONE NUMBER: 9. COUNTY:

· PENNSYLVANIA LAW REQUIRES WORKERS INVOLVED WITH WELDING TO BE AT LEAST 18 YEARS OF AGE. ARE YOU ABOVE 18? WHAT CAN YOU USE TO VERIFY YOUR AGE?

· PREVIOUS ADDRESS:

· LENGTH OF TIME THERE:

· CURRENT DRIVER’S LICENSE NUMBER:

· DO YOU HAVE YOUR OWN MEANS OF TRANSPORTATION TO THIS JOB?

· DO YOU HAVE ANY MEDICAL CONDITIONS WHICH WOULD RESTRICT YOUR ABILITY TO DO THIS JOB REQUIRING

LIFTING UP TO 45 POUNDS? IF SO, LIST THEM:

· NAME OF FAMILY PHYSICIAN:

· PHYSICIAN’S ADDRESS:

· DATE OF LAST PHYSICAL EXAM:

· DID YOU EVER HAVE A BLOOD LEAD TEST?

· IF YES, WHAT WERE THE RESULTS?

· HAVE YOU EVER WORKED AT A GAS STATION, BATTERY PLANT, OR ANY PLACE WHERE LEAD IS USED?

· HAVE YOU EVER WORKED IN A RADIATOR SHOP BEFORE?

· IF YES, WHEN AND WHERE”

· LENGTH OF TIME THERE?

· DO YOU HAVE ANY REASONS WHY YOU MIGHT BE UNABLE TO PERFORM ANY OF THE JOB DUTIES CONSISTENTLY AND PROPERLY? (Driver’s license revoked, parole, loss of transportation, etc.?)

· IF YES, PLEASE LIST THE INCIDENT AND DATE:

· HAVE YOU EVER BEEN CONVICTED? DUI?______________________________

· CAN YOU SUPPLY YOUR OWN HAND TOOLS?

EMPLOYMENT SUMMARY

· ARE YOU WORKING NOW?

· ARE YOU IMMEDIATELY AVAILABLE FOR THIS JOB?

· HAVE YOU EVER APPLIED HERE FOR A JOB BEFORE?

· IF YES, WHEN?

LIST YOUR LAST THREE JOBS, BEGINNING WITH THE MOST RECENT:

· 1. COMPANY NAME:

· DATE OF HIRE:

· JOB POSITION:

· DATE OF DISMISSAL AND REASON:

· NAME OF IMMEDIATE SUPERVISOR:

· 2. COMPANY NAME:

· DATE OF HIRE:

· JOB POSITION:

· DATE OF DISMISSAL AND REASON:

· NAME OF IMMEDIATE SUPERVISOR:

· 3. COMPANY NAME:

· DATE OF HIRE:

· JOB POSITION:

· DATE OF DISMISSAL AND REASON:

· NAME OF SUPERVISOR:

· HAVE YOU EVER BEEN DISCIPLINED OF FIRED?

· IF YES, WHEN?

RADIATOR REPAIRMAN/WELDER/GENERAL LABORER

· LIST ANY TYPE OF WELDING EXPERIENCE, SOLDERING EXPERIENCE, OR MECHANICAL EXPERIENCE YOU HAVE, EITHER FROM SCHOOLS OR PERVIOUS JOBS:

· DO YOU HAVE ANY OXYACETYLENE WELDING EXPERIENCE?

IF YES, TYPES OR METAL WELDED:

· HOW FREQUENT DID YOU OXYACETYLENE WELD ON THE JOB?

· DO YOU OBJECT TO SAFELY HANDLING AND USING CHEMICALS USED TO REPAIR RADIATORS AND FUEL

TANKS?

· DO YOU OBJECT TO COMPLYING WITH OSHA RULES AND REGULATIONS CONCERNING THIS JOB (steel toe safety shoes, safety glasses, restricted smoking and food areas, use of a respirator, necessity of short hair length, no facial hair, changing clothes and shoes prior to and leaving work, etc.)?

· DO YOU OBJECT TO SIGNING A NON-COMPETITIVE AGREEMENT?

· CAN YOU IDENTIFY NUT AND BOLT SIZES, THREADS, AND WRENCHES BY LOOKING AT THEM?

· IS YOUR DRIVER’S LICENSE CURRENT AND VALID IN THE STATE OF PA?

· HAVE YOU EVER HAD ANY INJURY THAT WOULD KEEP YOU FROM DOING THIS JOB?

IF SO, WILL THEY INTERFERE WITH YOUR ABILITY TO BE AT WORK ON TIME?

· LIST THE NAME OR NAMES OF ANY RELATIVES OR FRIENDS WHOM WORK HERE OR HAVE PREVIOUSLY

WORKED HERE:

AUTHORIZATION

· DO YOU GIVE ANTONINI RADIATOR, INC. THE AUTHORIZATION TO CHECK YOUR ANSWERS WITH PAST EMPLOYERS, ETC. FOR VERIFICATION?

· LIST ANY OTHER REFERENCES YOU MAY WANT TO INCLUDE:

· LIST ANY OTHER QUALIFICATIONS YOU FEEL WILL HELP YOU GET THIS JOB AND ANY PERSONAL INFORMATION YOU FEEL IS IMPORTANT (hobbies, mechanical abilities, dependability, reason for having to be dependable, etc.):

I, HEREBY AUTHORIZE ANTONINI RADIATOR, INC. TO CONTACT PRIOR EMPLOYERS TO OBTAIN ANY AND ALL

INFORMATION RELATED TO MY PAST WORK PERFORMANCE. I UNDERSTAND AND AGREE THAT THIS EMPLOYMENT APPLICATION, BY ITSELF OR TOGETHER, WITH OTHER FACILITY DOCUMENTS OR POLICY STATEMENTS, DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I ALSO UNDERSTAND THAT I MAY VOLUNTARILY LEAVE OR BE TERMINATED AT ANY TIME AND FOR ANY REASON – GOOD, BAD, OR NO REASON AT ALL.

SIGNED: DATE:

This application will be kept on file at Antonini Radiator, Inc. for a period of three (3) months. Antonini Radiator, Inc. is an equal

Opportunity employer.

APPLICANT AUTHORIZATION

I, ____________________________________________, also give Antonini Radiator, Inc. the right to run any

and all background checks, including, but not limited to Motor Vehicle Registration checks (MVR’S), credit checks,

criminal or incarceration checks, drug, alcohol, and DUI checks. I allow Antonini Radiator, Inc. the right to obtain

any information needed, which would allow me to be a potential employment candidate.

Signed: _________________________________________________

Date: ___________________________________________________

3. SALES REPRESENTATIVE/ROUTE (DELIVERY, TRUCK) DRIVER

NAME: ____________________________________________

DATE: _____________________________________________

SIGNATURE: _______________________________________

AN APPLICANT FOR THE TRUCK DRIVER/SALES REPRESENTATIVE/ROUTE DRIVER POSITION MUST HAVE THE FOLLOWING REQUIREMENTS TO BE CONSIDERED A CANDIDATE FOR EMPLOYMENT.

Fill out every question on the application. DO not skip any, including the DUI question.

CIRCLE ONE OF THE FOLLOWING:

YES NO 1. GOOD SAFE DRIVING RECORD FOR THE LAST FIVE YEARS (NO SPEEDING TICKETS, DUI,

AT FAULT ACCIDENT ON DRIVING RECORD.

YES NO 2. CURRENT PA LICENSE.

YES NO 3. PROOF OF MOTOR VEHICLE INSURANCE TO VERIFY DRIVING RECORD.

YES NO 4. ABILITY TO MANUALLY LIFT RADIATOR, ETC OF 50 LBS.

YES NO 5. ONE-YEAR ROUTE/DELIVERY EXPERIENCE.

YES NO 6. KNOWLEDGE OF THE FOLLOWING AREAS:

A. HARRISBURG

B. ALLENTOWN

C. READING

D. LANCASTER

E. LEBANON

YES NO 7. PAST SALES EXPERIENCE TO SELL OUR PRODUCTS TO ALL LEVELS OF CUSTOMERS.

YES NO 8. ABILITY TO DRIVE A PICKUP TRUCK WITH A CLUTCH.

YES NO 9. ABILITY TO READ A MAP, FIND A CUSTOMER, AND FOLLOWING

INSTRUCTIONS.

YES NO 10. ABILITY TO WORK ON A BASE RATE WAGE AND QUOTA SYSTEM FOR

MEDICAL BENEFITS, SALARY, ETC.

YES NO 11. MUST HAVE A HIGH SCHOOL DIPLOMA EQUIVANCY /GED.

EMPLOYMENT APPLICATION FOR TRUCK DRIVER

DATE: ____________________________________

1. NAME: ___________________________________ 2. SOCIAL SECURITY # ______________________

3. STREET ADDRESS: ________________________ 4. CITY _____________________________________

5. STATE & ZIP CODE: ______________________ 6. COUNTY _________________________________

6. PHONE NUMBER: ________________________ 8. CELL PHONE NUMBER:___________________

PREVIOUS ADDRESS: ____________________________________________________________________________

LENGTH OF TIME THERE: ________________________________________________________________________

· CURRENT DRIVER’S LICENSE NUMBER: _______________________________________________________

· DO YOU HAVE YOUR OWN MEANS OF TRANSPORTATION TO THIS JOB? ____________________________

DO YOU HAVE ANY MEDICAL CONDITIONS, WHICH WOULD RESTRICT YOUR ABILITY

TO DO THIS JOB?_________________________________________________________________________________

IF SO, LIST THEM: ________________________________________________________________________________

NAME OF FAMILY PHYSICIAN:____________________________________________________________________

PHYSICIAN’S ADDRESS: __________________________________________________________________________

DATE OF LAST PHYSICAL EXAM: _________________________________________________________________

· DID YOU EVER HAVE A BLOOD LEAD TEST? _______________________________________________________

· IF YES, WHAT WERE THE RESULTS? _______________________________________________________________

HAVE YOU EVER WORKED AT A GAS STATION, BATTERY PLANT, OR ANY PLACE WHERE LEAD IS USED? ___________________________________________________________________________________________

· HAVE YOU EVER WORKED IN A RADIATOR SHOP BEFORE? _________________________________________

IF YES, WHEN AND WHERE? ______________________________________________________________________

LENGTH OF TIME THERE? ________________________________________________________________________

DO YOU HAVE ANY REASONS WHY YOU MIGHT BE UNABLE TO PERFORM ANY OF THE

JOB DUTIES CONSISTENTLY AND PROPERLY? (Driver’s license revoked, parole, loss of transportation, etc.?) ___

_________________________________________________________________________________________________

IF YES, PLEASE LIST THE INCIDENT AND DATE: ____________________________________________________

· HAVE YOU EVER BEEN CONVICTED? ______________________________________________________________

· DUI?________________________________ IF YES, WHEN? ____________________________________

EMPLOYMENT SUMMARY

ARE YOU WORKING NOW? ________________________________________________________________________

ARE YOU IMMEDIATELY AVAILABLE FOR THIS JOB? ________________________________________________

HAVE YOU EVER APPLIED HERE FOR A JOB BEFORE?________________________________________________

IF YES, WHEN?____________________________________________________________________________________

LIST YOUR LAST THREE JOBS, BEGINNING WITH THE MOST RECENT:

1. COMPANY NAME: ____________________________________________________________________________

DATE OF HIRE: _______________________________________________________________________________

JOB POSITION: ________________________________________________________________________________

DATE OF DISMISSAL AND REASON: ____________________________________________________________

______________________________________________________________________________________________

NAME OF IMMEDIATE SUPERVISOR:_____________________________________________________________

2. COMPANY NAME: _____________________________________________________________________________

DATE OF HIRE: ________________________________________________________________________________

JOB POSITION: ________________________________________________________________________________

DATE OF DISMISSAL AND REASON: _____________________________________________________________

NAME OF IMMEDIATE SUPERVISOR: ____________________________________________________________

3. COMPANY NAME: ______________________________________________________________________________

DATE OF HIRE: _________________________________________________________________________________

JOB POSITION: __________________________________________________________________________________

DATE OF DISMISSAL AND REASON: _______________________________________________________________

_________________________________________________________________________________________________

__________________________________________________________________________________________________

NAME OF SUPERVISOR: ____________________________________________________________________________

· HAVE YOU EVER BEEN DISCIPLINED OF FIRED? ______________________________________________________

IF YES, WHEN? _____________________________________________________________________________________

____________________________________________________________________________________________________

HAVE YOU EVER LOST TIME ON A JOB DUE TO ILLNESS OR A WORK RELATED INCIDENT? ______________

IF YES, LENGTH OF TIME LOST: _____________________________________________________________________

WERE YOU CLEARED WITH A DOCTOR TO RETURN TO WORK? ________________________________________

DO YOU HAVE ANY PHYSICAL, MENTAL, OR LEGAL (driver’s license revoked, parole, lack of transportation, etc.)

DISABILITIES WHICH WOULD CAUSE ABSENTEEISM, OR RESULT IN TARDINESS, OR OTHERWISE HINDER

YOUR ABILITY TO DO THIS JOB? _____________________________________________________________________

____________________________________________________________________________________________________

_____________________________________________________________________________________________________

· LIST ANY ROUTE WORK, SALES REPRESENTATION, OR DELIVERY EXPERIENCE YOU HAVE: ____________________

________________________________________________________________________________________________________________

· IS YOUR DRIVER’S LICENSE CURRENT AND VALID IN THE STATE OF PA? ___________________________

· LIST ALL DRIVER LICENSE REVOCATIONS, VIOLATIONS, ACCIDENTS, OR WARNINGS RECEIVED

WITH EITHER YOUR VEHICLE OR COMPANY VEHICLES SINCE DRIVING: __________________________

___________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

· DATE OF YOUR LAST TRAFFIC OR MOVING VIOLATION? ____________________________________________

· DATE OF YOUR LAST ACCIDENT: ___________________________________________________________________

· WHAT IS YOUR PRESENT AUTOMOBILE INSURANCE COMPANY:________________________________________

AGENT: ____________________________________________________________________________________________

· HAVE YOU EVER BEEN ARRESTED FOR DUI? ________________________________________________________

ARE YOU PHYSICALLY CAPABLE OR LOADING AND UNLOADING RADIATORS? __________________________

CAN YOU DRIVE WITH A CLUTCH? __________ IF SO, HOW LONG HAS IT BEEN? ____________________

DO YOU DO YOUR VEHICLE MAINTENANCE?

LIST ANY OTHER QUALIFICATIONS YOU FEEL WILL HELP YOU GET THIS JOB:

DO YOU OBJECT TO SAFELY HANDLING CHEMICALS USED TO REPAIR RADIATORS AND FUEL TANKS? ______

______________________________________________________________________________________________________

DO YOU OBJECT TO SIGNING A NON-COMPETITIVE AGREEMENT? _______________________________________

_____________________________________________________________________________________________________

DO YOU OBJECT TO COMPLYING WITH OSHA RULES AND REGULATIONS CONCERNING THIS JOB

(RESTRICTED SMOKING AND FOOD AREA, DRESS CODE, ETC.?) _________________________________________

_____________________________________________________________________________________________________

LIST THE NAME OR NAMES OF ANY RELATIVES OR FRIENDS WHOM WORK HERE OR HAVE PREVIOUSLY WORKED

HERE: ___________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

AUTHORIZATION

I HEREBY AUTHORIZE ANTONINI RADIATOR, INC TO CONTACT PRIOR EMPLOYERS

TO OBTAIN ANY AND ALL INFORMATION RELATED TO MY PAST WORK PERFORMANCE.

I UNDERSTAND AND AGREE THAT THIS EMPLOYMENT APPLICATION, BY ITSELF OR

TOGETHER WITH OTHER FACILITY DOCUMENTS OR POLICY STATEMENTS, DOES

NOT CREATE A CONTRACT OF EMPLOYMENT. I ALSO UNDERSTAND THAT I MAY

VOLUNTARILY LEAVE OR BE TERMINATED AT ANY TIME AND FOR ANY REASON –

GOOD, BAD, OR NO REASON AT ALL.

SIGNED: ____________________________________

DATE: ______________________________

Antonini Radiator, Inc. is an equal opportunity employer. This application will be kept on file at Antonini Radiator, Inc. for a period of three months.

APPLICANT AUTHORIZATION

I, ____________________________________________, also give Antonini Radiator, Inc. the right

to run any and all background checks, including, but not limited to Motor Vehicle Registration

checks (MVR’S), credit checks, criminal or incarceration checks, drug, alcohol, and DUI checks.

I allow Antonini Radiator, Inc. the right to obtain any information needed, which would allow me

to be a potential employment candidate.

Please return the completed applications to :

ANTONINI RADIATOR, INC.

325 EAST RAILROAD STREET

POTTSVILLE, PA 17901