Application for Employment

A leader in custom plastic profile extrusions…

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, national origin, gender, disability, veteran status, age or any other protected characteristic.

Fields with an * are required.

Job Application

Name *

Home Phone*

Address*

Cell Phone

City*

State*

Zip*

E-mail*

Position Applied For*

Shift Preferred*

First Second Third

Salary Desired*

How were you referred to the company?*

Have you ever been employed here before?*

Yes No

If yes, what dates?

Do you have a legal right to be employed in the USA?*

Yes No

If you are under 18, can you provide a work permit if required?

Yes No

Educational Background

High School:

Name and Location*

Course of Study

Did you Graduate?*

Yes No

Degree or Diploma*

College:

Name and Location

Course of Study

Did you Graduate?

Yes No

Degree or Diploma

Vocational or other training:

Name and Location

Course of Study

Did you Graduate?

Yes No

Degree or Diploma

U.S. Military or Naval Service

Yes No

Rank

Special training or skills (languages, machine operation, etc.) that would benefit you in the job for which you are applying:

Employment Experience

Place an X by the employer(s) you do not want us to contact. List the most recent employer first.

1. Employer *

Address*

Position*

Supervisor

Phone*

E-mail (if applicable)

Dates Employed: From(mm/yy) - To(mm/yy)*

Hourly rate/salary: Starting - Final

Reason for leaving:

2. Employer *

Address*

Position*

Supervisor

Phone*

E-mail (if applicable)

Dates Employed: From(mm/yy) - To(mm/yy)*

Hourly rate/salary: Starting - Final

Reason for leaving:

3. Employer *

Address*

Position*

Supervisor

Phone*

E-mail (if applicable)

Dates Employed: From(mm/yy) - To(mm/yy)*

Hourly rate/salary: Starting - Final

Reason for leaving:

References

Give the names of three persons not related to you, whom you have known at least one year.

1. Name *

Address*

Business

Phone Number*

Years Acquainted*

2. Name *

Address*

Business

Phone Number*

Years Acquainted*

3. Name *

Address*

Business

Phone Number*

Years Acquainted*

Upload Resume and Cover Letter

"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same to you.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause."

Applicant's Signature*

Date*

1-800-369-9410
Send us an email.