Standard Employment Application

Position Applying to(Required)

Location(Required)

Available start date if offered employment(Required)

Would you like to work full time?(Required)

Yes

Preferred shift(Required)

1st shift

2nd shift

3rd shift

Personal Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

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

Have you lived at the above address longer than 3 years?(Required)

Yes

Previous Address(Required)

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

Education / Training Information

School Name, Address, and Degree(Required)

Additional Training(Required)

Summarize additional training such as correspondence courses, in-company courses, or other job training, etc.

Military Service Record(Required)

Were you in the US Armed Forces? If so, please list dates of duty, branch, duties in the service including special training.

Warehouse / Clerical Experience and Qualifications(Required)

Please list your experience with any of the following; Typing (WPM), CDL License, Forklift Operator, Other Equipment, Customer Service

Additional Information

How were you referred to this company?(Required)

Why do you want to work for our company?(Required)

What is your major field or career interest?(Required)

How and when did you become interested in your major field?(Required)

What do you consider your major achievements to date?(Required)

What types of settings or work situations appeal to you the least?(Required)

What duties appeal to you the most in your present or past positions?(Required)

What duties appeal to you the least in your present or past positions?(Required)

Do you have a current driver's license in good standing?(Required)

Yes

Employment History

Please list your past three employers starting with your most recent.

Current / Most Recent Employer(Required)

Please list Company Name, Address, Employment Dates, Position Title, Brief Job Description, Supervisor’s Name, Title, and Phone, Reason for leaving, and if we may contact this employer.

Previous Employer 2(Required)

Please list Company Name, Address, Employment Dates, Position Title, Brief Job Description, Supervisor’s Name, Title, and Phone, Reason for leaving, and if we may contact this employer.

Previous Employer 3(Required)

Please list Company Name, Address, Employment Dates, Position Title, Brief Job Description, Supervisor’s Name, Title, and Phone, Reason for leaving, and if we may contact this employer.