OptiMetrics, Inc.

Pre-Application For Employment

You must complete this pre-application form AND provide an electronic resume in order to apply for employment at OptiMetrics.  If you need assistance with this form, contact us. Once you have completed this form, please email a current resume (unless you have already done that within the past 5 days) to HRA@OptiMetrics.org for prompt consideration. 

Your resume can be sent in either plain text (.txt), rich text (.rtf), Microsoft Word (.doc), or Adobe (.pdf) format. Click here to review our current job openings before filling out the form. Qualified applicants receive consideration without regard to race, color, religion, sex, national origin, age, or disability.

First Name *
Last Name *
Address 1 *
Address 2
City *
State *	Select a State               Alabama Alaska Alberta Arizona Arkansas British Columbia California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick Newfoundland and Labrador New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northwest Territories Nunavut Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon
Zip *
Country
Phone
Email *
Position Applied for *	Select a Position 8104 - Research Scientist - Baltimore, MD 8105 - Sr. Research Chemist - Formulation Chemist - Baltimore, MD 8106 - Scientific Program Manager - Baltimore, MD 8108 - Scientist with Programming and Analytical Skills - Baltimore, MD 8109 - Research Scientist - Baltimore, MD 8110 - Chemical Engineer - Baltimore, MD 8111 - Mid-Level Programmer - Baltimore, MD 1060 - System Engineer/Project Engineer - Detroit, MI 1061 - Test Engineer - Detroit, MI
Referral Source *	Select... Amer Chem Society (acs.org) Amer Inst of Chem Engrs (aiche.org) Dice.com University Placement Office OptiMetrics Web Site Monster.com MLive.com Newspaper ad OptiMetrics employee Friend Relative Other web site State Unemployment Office Walk-In Other
Resume Status *	Select... Resume has been previously emailed to hra@optimetrics.org Plan to email resume after this application is submitted

 

*Are you a U.S. citizen?

Select... Yes No

*Are you able to travel if your job requires it?

Select... Yes No

*Are you able to travel by air?

Select... Yes No

*Have you ever been convicted of a crime, used illegal substances, or filed for bankruptcy?

Select... Yes No

*Do you have poor credit or know of any other reason you may not hold a Department of Defense security clearance?

Select... Yes No

OptiMetrics is an Affirmative Action Employer. The following Affirmative Action Survey information will be held in strict confidence and only used to comply with federal government reporting requirements. We encourage you to supply this information and appreciate your voluntary cooperation. If you would rather not provide, please select "I choose not to provide" from the list of options.

*Sex

Select... Male Female I choose not to provide

 

*Ethnicity - Please select the group that best applies to you. For the purposes of this survey, you may include yourself in the group to which you appear to belong, identify with, or are regarded in your community as belonging:
	Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.
	White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
	Black or African American (Not Hispanic or Latino) - A person having origins in any of the Black racial groups of Africa.
	Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
	Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
	American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
	Two or More Races (Not Hispanic or Latino) - All persons who identify with more than one of the above five groups.
	I choose not to provide

 

*Disability and Veteran Status - Please check one or more of the following boxes as applicable:
	Veteran
	Disabled Veteran
	Other Disabled Individual
	I choose not to provide, or none of the above