It is the policy of the company to provide equal opportunity with regard to all terms and conditions of employment. The company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, creed, nation of origin, gender, disability, veteran staus, age or any other protected characteristic.
Basic Information
* Name: Last     * First     * MI
* Phone * Email
* Address
* City/State/Zip ,
* Position applied for * Shift preferred? 1:   2:   3:   Any:  
Don't forget to attach your resume
after completing the top of the form, or
do it now and
then come back to the top to finish.
* 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? Yes:   No:   * Would you accept part-time work? Yes:   No:  
* On what date would you be available for work? (YYYY-MM-DD)
* Have you ever been employed here before? Yes:   No:   * Dates (From - To)
* Do you have the legal right to be employed in the U.S.? Yes:   (If yes, proof is required if hired)   No:  
* Are you over 18, or can you provide a work permit if required? Yes:   No:  
Educational Background
Grammer School:
* Name and location
High School:
* Name and location
* Course of study * Graduate? Yes:   No:   * Degree or Diploma
College:
* Name and location
* Course of study Graduate? Yes:   No:   * Degree or Diploma
Graduate School:
* Name and location
* Course of study Graduate? Yes:   No:   * Degree or Diploma
Vocational or Other training:
* Name and location
* Course of study Graduate? Yes:   No:   * Degree or Diploma
Continuing
Education:
Previous Employers and Addresses
Place a ✓ by the employer(s) you do not want us to contact. List the most recent employer first.

*   1. Company Name * Phone
* Contact Name * Employed From * To (MM / YYYY)
* Address
* Position * Last Wage
* Reason for Leaving

*   2. Company Name * Phone
* Contact Name * Employed From * To (MM / YYYY)
* Address
* Position * Last Wage
* Reason for Leaving

*   3. Company Name * Phone
* Contact Name * Employed From * To (MM / YYYY)
* Address
* Position * Last Wage
* Reason for Leaving

*   4. Company Name * Phone
* Contact Name * Employed From * To (MM / YYYY)
* Address
* Position * Last Wage
* Reason for Leaving

Please upload your Resume file:

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the Company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the Company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the Company. I understand that no company representative, other than its President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.

By entering my name below, I certify my submission.

* Applicant's Name   19-Sep-2018  

* required
Background Check Authorization
Although completing this section online is optional, it will expedite your application to do so at this point.

In connection with my application for employment or ongoing employment with the Company, I understand that a "consumer report," as this term is defined in the Fair Credit Reporting Act ("FCRA"), as amended, 15 U.S.C. § 1681 et seq., may be obtained by the Company from a consumer reporting agency. I understand that "consumer reports" include, but are not limited to, credit reports, criminal background checks, and motor vehicle reports.

I further understand that the Company will provide a copy of the consumer report to me if the information contained in such report is, in any way, to be used in making decisions regarding my fitness for employment or ongoing employment with the Company. I understand that such report will be made available to me before any such decisions are made, along with "A Summary of Your Rights Under the Fair Credit Reporting Act."

By signing below, I hereby acknowledge that I have read the above disclosure and voluntarily authorized the Company, including its agents and representatives, to obtain a consumer report on me for use in connection with my application for employment or ongoing employment with the Company. If hired or currently employed, I understand that this authorization will remain on file and shall serve as an ongoing authorization for consumer report to be lawfully obtained at any time in connection with my employment.

By entering my name below, I give my consent.

* Applicant's Name
* Social Security Number     Date of Birth (YYYY-MM-DD)  

* required
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