Resume Upload & Application Form

You are applying for a position as

Packaging Maintenance Opportunities, Madison - Dane County area

All of your data will be kept confidential. Information is never released to employers without your permission.

Required fields are marked with an asterisk *

Resume

You can submit your resume in Word or WordPerfect for PC format.

If you are attaching a resume, it is not necessary to complete the rest of this form.
Simply use the "Browse" button to locate your resume, then click "Send Resume".

Personal

Last Name*

First*

Middle

Date

Address

Home Phone

City, State, ZIP

Business Phone

Email*

Have you ever applied for employment with us?
Yes No
If yes: Month & Year Location

Referral Source?

Apart from absence for religious observances, are you available for full-time work?
Yes No
If not, what hours can you work?

Are you legally eligible for employment in the U.S.?
Yes No
When will you be available to work?

Are you above the minimum working age of 18?
Yes No

Have you ever been convicted of a felony?
Yes No
If yes please explain

A positive response is not an automatic bar to employment with the company. The offense for which the person was convicted in relation to the position to which they have applied will be considered.

Apart from absence for religious observances, are you available for full-time work?
Yes No
If not, what hours can you work?

Position Desire

Will you work overtime if asked?
Yes No

Salary Expected
$

Other special training or skills (language, machine operations, etc.)

How did you learn of our organization?

Please indicate availability to work:

Education

Name & Location	Course of Study	No. of Years Completed	Did You Graduate?	Degree or Diploma
College
			Yes No
High School
			Yes No
Military
			Yes No
Membership in Professional or Civic Organizations Exclude those which may disclose your race, color, religion, or national origin)

Employment

Please give acccurate, complete full-time and part-time employment record. Start with present or most recent employer.

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

Company Name	Telephone
Address	Employed (state month & year) From To
Name of Supervisor	Weekly Pay Start Last
Job Title & Description of Work	Reason for Leaving

This application is not to be construed as a contract of employment. It is not intended as a guarantee to employment for any particular term and just as our employees are free to terminate their employment relationship with us at any time, the Company reserves the right to discharge employees, with or without cause, at will.

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decided to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name and address of the agency so I may obtain from them the nature and substance of the information contained in the report.

Signature

Date