Please attach your resume at the bottom of this form.
Position applying for:
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Referred By:
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PERSONAL
First Name (*)
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Middle Initial
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Last Name (*)
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Street (*)
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Street or Apartment Number
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City (*)
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State (*)
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Zip Code (*)
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Phone Number (*)
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Email
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If younger then 18 state your age here
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Are you legally entitled to work in the United States? (*)
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You will be required to comply with the US Immigration regulations to prove your identity and right to work in the United States.
If convicted of a crime explain here:
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Have you ever been convicted of a moving traffic violation? (*)
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If Yes list all here:
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Have your driving priviledges ever been revoked or suspended? (*)
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If Yes list here:
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Do you currently hold a Commercial driving license? (*)
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If Yes in what state:
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EDUCATION
High School name and address: (*)
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Did you graduate? (*)
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If no what was the last grade you completed:
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If you did not complete high school did you get your G.E.D.
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Grade point average (*)
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College or University name and address:
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Did you graduate?
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If no, how many hours did you complete?
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Grade Point Average:
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Degree:
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Major:
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Minor:
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Other Education:
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Awards, Honors. or Leadership Roles:
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MILITARY
List Service in Military:
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Number of Years Served:
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Military experience that may be applicable to your employment here:
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GENERAL EMPLOYMENT INFORMATION
List equipment with which you have experience and training:
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Salary expected per hour or week:
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Number hours you are available per week:
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Type of employment sought: (*)
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Are you available to work days? (*)
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Are you available to work nights? (*)
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Are you available to work weekends? (*)
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Are you available to work holidays? (*)
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Are you available to work Shift Work? (*)
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Indicate the hours you are avaialble to work Sunday through Saturday. Enter "Anytime" if you have no restrictions: (*)
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Are you able and willing to perform the essential functions of the job for which you are applying including travel if necessary? (*)
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EXPERIENCE
List all present and past employment beginning with current employer
Employer (*)
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Address (*)
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Kind of Business
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Job Title
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Dates Employed (*)
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Last Salary per hour or week (*)
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Supervisor (*)
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Reason for leaving (*)
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Why did you leave
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For job reference call
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At
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Employer (*)
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Address (*)
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Kind of Business
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Job Title
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Dates Employed (*)
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Last Salary per hour or week (*)
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Supervisor (*)
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Reason for leaving (*)
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Why did you leave (*)
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For job reference call
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At
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Employer (*)
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Address (*)
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Kind of Business
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Job Title
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Dates Employed (*)
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Last Salary per hour or week (*)
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Supervisor (*)
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Reason for leaving (*)
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Why did you leave (*)
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For job reference call
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At
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In the space below, please describe briefly why you are applying for this position: (*)
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In the space below, please describe your strengths and talents and how Premier Packaging will benefit from your work: (*)
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CONDITIONS OF EMPLOYMENT, PLEASE READ BEFORE CLICKING SUBMIT.
I. THE FACTS AS STATED ON THIS APPLICATION ARE TRUE AND CORRECT. I UNDERSTAND THAT, IF EMPLOYED, FALSE STATEMENTS ON THIS APPLICATION MAY CAUSE MY IMMEDIATE DISMISSAL.
I AUTHORIZE SUCH BACKGROUND INVESTIGATIONS AND PERSONAL REPORTS AS DEEMED NECESSARY TO: (1) VERIFY THAT THE INFORMATION I HAVE SUPPLIED IS TRUE AND ACCURATE. (2)DETERMINE MY FITNESS FOR THIS JOB, AND (3) HOLD HARMLESS THOSE WHO HAVE THE RESPONSIBILITY TO DEVELOP SUCH A REPORT. A COPY OF THIS AUTHORIZATION IS AS VALID AS THE ORIGINAL.
I UNDERSTAND THAT OVERTIME WORK IS A CONDITION OF EMPLOYMENT.
IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE RULES AND REGULATIONS FOR EMPLOYEES. I UNDERSTAND: (1) I AM AN EMPLOYEE AT WILL, (2) THE APPLICATION IS NOT A CONTRACT OF EMPLOYMENT WITH PREMIER PACKAGING, (3) MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AT ANYTIME, AT THE OPTION OF EITHER PREMIER PACKAGING OR MYSELF. I UNDERSTAND THAT NO REPRESENTATIVE OF PREMIER PACKAGING, HAS ANY AUTHORITY TO ENTER INTO ANY VERBAL AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIED PERIOD OF TIME OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING AND THAT NO DOCUMENT, POLICY OR PRACTICE OF PREMIER PACKAGING, MAY CAUSE THE FOREGOING UNLESS IT IS EXPRESSLY TITLED "EMPLOYMENT AGREEMENT" AND SIGNED BY BOTH MYSELF AND AN EXECUTIVE OFFICER OF PREMIER PACKAGING.
I UNDERSTAND THAT I MAY BE REQUIRED TO SUBMIT TO A PRE-EMPLOYMENT TEST FOR FITNESS AND/OR SUBSTANCE ABUSE, IF NOT PROHIBITED BY LAW.
UPON SEPARATION OF EMPLOYMENT, I AUTHORIZE PREMIER PACKAGING TO WITHHOLD FROM MY FINAL PAY CHECK AND MONEY OWED TO THEM BY ME (IF NOT PROHIBITED BY LAW) FOR EQUIPMENT, LOANS, PRODUCTS, SERVICES, MATERIALS OR OTHER ASSETS IN MY POSSESSION NOT RETURNED.
IF NOT PROHIBITED BY LAW, I ACCEPT THAT ANY EMPLOYMENT ISSUE, COMPLAINT OR CONFLICT THAT CANNOT BE RESOLVED INTERNALLY MAY BE REFERRED TO ALTERNATIVE DISPUTE RESOLUTION.
BY CLICKING THE SUBMIT BUTTON BELOW, I AGREE WITH THE STATEMENTS ABOVE CONTAINED IN THE "CONDITIONS OF EMPLOYMENT".
SEND US YOUR RESUME. (We accept .doc, .docx, .rtf, & .txt files)
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