JOB INFORMATION What plant are you applying to: * CONTACT INFORMATION Name *
* INFORMATION ABOUT YOU State * Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah U.S. Virgin Islands Vermont Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Americas Armed Forces Europe Armed Forces Pacific Are you claiming Veteran's Preference? * Choose Yes No
A copy of DD214 and/or service connected disability required
Have you ever been convicted of a felony since your 18th birthday? If you answered yes, please complete the following: (Conviction is not an automatic bar to employment. Each case is considered on its individual merits). * Choose Yes No
Inaccurate information here will result in disqualification.
Have you ever been discharged or forced to resign from any position? * Choose Yes No
If yes, please give employer, date and reason.
Do you have any relatives or friends working for North American Plastics? If yes, please complete the following: * Choose Yes No If hired, are you authorized to work in the United States? * Choose Yes No
For non citizens, a copy of your authorization to work issued by the U.S. Immigration and Naturalization Service must be submitted prior to appointment.
Have you ever applied with the company? * Choose Yes No REFERENCES Reference #1 Name *
Reference #2 Name *
Reference #3 Name *
Reference #4 Name
EDUCATION High School Education Highest Grade Completed (choose one) * First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Seventh Grade Eighth Grade Ninth Grade Tenth Grade Eleventh Grade Twelfth Grade Did you graduate from High School or obtain s GED? * Choose Yes No Colleges & Universities Attended (Undergraduate & Graduate)
Must be from a recognized accredited school -Bring original transcript with initial application
Did you Receive a Degree? Choose Yes No EMPLOYMENT HISTORY Employer #1 (most recent) May we contact your present employer? Employer Address
Job Type Describe job responsibilities in order of importance: Employer #2 Employer Address
Job Type Describe job responsibilities in order of importance: Employer #3 Employer Address
Job Type Describe job responsibilities in order of importance: Certification I certify to the statement below.
I certify that all the information submitted by me on this application is accurate and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected an, 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 it's president and then only when in writing and signed by the president, has any authority to enter into any agreement for the employment for any specific period of time, or to make any agreement to contrary to the foregoing.
The employment is "at will" - that is, both employer and employee are free to end the relationship at any time.