Careers

First Name

Last Name

Address

City

State

Zip

Email Address

Phone

Position Applying For: Position Applying For: Production Office Other (please specify below)

position

How did you learn about us? How did you learn about us? Advertisement Job Service Walk-in Friend / Relative (please list name below) Other

Name of referring friend or family member

Preferred Contact Method Preferred Contact Method Email Phone

Have you ever worked under another name? Have you ever worked under another name? No Yes (please specify below)

Previous Names

Are you under 18 years of age? Are you under 18 years of age? Yes No

Have you ever submitted an application with us before? Have you ever submitted an application with us before? No Yes (please specify the date below)

Date of previous application

Have you ever been employed with us before? Have you ever been employed with us before? No Yes (please specify the date below)

Date of previous employment with us

May we contact your current employer? May we contact your current employer? Yes No Not currently employed

Are you prevented from lawfully becoming employed in this country because of VISA or Immigration Status? Are you prevented from lawfully becoming employed in this country because of VISA or Immigration Status? Yes No

What schedule would you prefer to work? What schedule would you prefer to work? Full time Part time Temporary (summer)

What date are you available to start?

What are your Sslary Expectations?

Name & address of high school

Course of Study

Years Completed

Diploma/GED (Y / N)

Name & address of undergraduate college

Course of Study

Years Completed

Degree (Y / N - list degree)

Name & address of graduate college

Course of Study

Years Completed

Degree (Y / N - list degree)

Name & address of other education

Course of Study

Years Completed

Degree (Y / N - list degree)

Reference 1 Name

Phone no of Reference 1

Years Known and in What Capacity, Personal Friend

Reference 2 Name

Phone no of Reference 2

Years Known and in What Capacity, Personal Friend

Reference 3

Phone no of Reference 3

Years Known and in What Capacity, Personal Friend

Employment Experience: Employer 1 Name

Employment Experience Start Date

Employment Experience End Date

Address

Experience Starting Salary

Experience Final Salary

Telephone No

Job Title

Supervisor

Reason For Leaving

Work Performed

Employment Experience: Employer 2 Name

Employment Experience Start Date

Employment Experience End Date

Address

Experience Starting Salary

Experience Final Salary

Telephone No

Job Title

Supervisor

Reason For Leaving

Work Performed

Employment Experience: Employer 3 Name

Employment Experience Start Date

Employment Experience End Date

Address

Experience Starting Salary

Experience Final Salary

Telephone No

Job Title

Supervisor

Reason For Leaving

Work Performed

Employment Experience: Employer 4 Name

Employment Experience Start Date

Employment Experience End Date

Address

Experience Starting Salary

Experience Final Salary

Telephone No

Job Title

Supervisor

Reason For Leaving

Work Performed

EMPLOYMENT EXPERIENCE SPECIAL: Please describe any special job-related skills and qualifications acquired from employment, other education or volunteer experiences, etc. Do not include experiences which would indicate race, color, creed, religion, sex, sexual orientation, national origin, marital status, Vietnam-era status, special disabled veteran status, status with regard to public assistance, membership or activity in a local commission, disability or age.

AGREEMENT:- Please read the following statements carefully, as they represent matters of importance to both you and Plato Woodwork in connection with this application for employment: AGREEMENT:- Please read the following statements carefully, as they represent matters of importance to both you and Plato Woodwork in connection with this application for employment: I understand and agree with the statement below and certify that all information entered on this form is valid and correct. I understand and agree that: 1. The information I have provided on this application is accurate to the best of my knowledge. Any misrepresentation or deliberate omission of any fact in my application, resume or any other materials will be justification for refusal of employment, or if employed, termination from Plato Woodwork employment. 2. All job offers are conditional and contingent upon the successful completion of a pre-placement substance abuse test (urinalysis) and pre-placement physical evaluation. 3. Prior to the commencement of any employment, I will comply with the 1986 Immigration Reform and Control Act by providing appropriate documents establishing my identity and employment authorization for Plato Woodwork's review and completing the U.S. government Employment Eligibility Verification form. 4. Employment at Plato Woodwork is at-will. This means that if Plato Woodwork offers employment to me and I accept the offer, they may terminate my employment at any time for any reason with or without notice. No statement to the contrary is binding on Plato Woodwork unless it is in writing and signed by an authorized Plato Woodwork executive.

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