Careers - Plato Woodwork

GENERAL INFORMATION

Position(s) Applied For *

Production

Office

*Other

*List Other Position Here

How Did You Learn About Us? *

*Friend or Relative Referral

PERSONAL INFORMATION

Last Name *

First Name *

Middle Name

Address *

City *

State *

Zip Code *

Email Address *

Telephone Numbers

Preferred Contact Method?

Have you ever worked under another name? *

No

*Yes

If Yes, what was your previous name?

Are you under 18 years of age? *

Yes

No

Have you ever filled out an application with us before? *

No

*Yes

filled out application before

*If Yes, Date?

Have you ever been employed with us before? *

No

*Yes

worked at Plato before

*If Yes, Date?

May we contact your present employer? *

Yes

No

Not currently employed

Are you prevented from lawfully becoming employed in this country because of VISA or Immigration Status? *

Yes

No

(Proof of citizenship or immigration status will be required upon employment)

What schedule would you prefer to work? *

Full Time

Part Time

Temporary (summer)

(Proof of citizenship or immigration status will be required upon employment)

Date available to start work? *

Salary Expectations? *

EDUCATION

High School *

Name and Address of School

Course of Study *

i.e. General Education

Years Completed *

example: 4

Diploma/G.E.D. *

List Degree if applicable

Undergraduate College

Name and Address of School

Course of Study

i.e. General Education

Years Completed

example: 4

Diploma/Diploma

List Degree if applicable

Graduate Professional

Name and Address of School

Course of Study

i.e. General Education

Years Completed

example: 4

Diploma/Degree

List Degree if applicable

Other (Specify)

Name and Address of School

Course of Study

i.e. General Education

Years Completed

example: 4

Diploma/Degree

List Degree if applicable

REFERENCES

Please provide the names of three business references who are not related to you.

If you do not have any employment related references, please list individuals who can comment on your work skills.

Reference 1 *

Name

Phone Number *

Years Known and in What Capacity *

example: 4, personal friend

Reference 2 *

Name

Phone Number *

Years Known and in What Capacity *

example: 4, personal friend

Reference 3 *

Name

Phone Number *

Years Known and in What Capacity *

example: 4, personal friend

EMPLOYMENT EXPERIENCE

Start with the present or last job. Please include your last four employers or last seven years of work experience.

Include any job-related military service assignments and volunteer activites. Please exclude organizations that indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer 1

Name

Start Date

From

End Date

To

Address

Salary

Starting

Salary

Final

Telephone Number(s)

Job Title

Supervisor

Work Performed

Reason For Leaving

Employer 2

Name

Start Date

From

End Date

To

Address

Salary

Starting

Salary

Final

Telephone Number(s)

Job Title

Supervisor

Work Performed

Reason For Leaving

Employer 3

Name

Start Date

From

End Date

To

Address

Salary

Starting

Salary

Final

Job Title

Supervisor

Work Performed

Reason For Leaving

Employer 4

Name

Start Date

From

End Date

To

Address

Salary

Starting

Salary

Final

Job Title

Supervisor

Work Performed

Reason For Leaving

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: *

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.

*List Other Here