Shoretex - Fabric Products

Application for Employment

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Equal access to employment, services, and programs is available to all persons. Those applications requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

Applicant Name:

Date: 12/03/2024

Position(s) applied for or type of work desired:

Address:

Telephone #:

Social Security #:

Type of employment desired:

Full Time

Part Time

Temporary

Date available to start:

Are you able to meet the attendance requirements?

Yes

Do you have any objection to working overtime?

Yes

Have you ever been previously employed by our organization?

Yes

Can you submit proof of legal employment authorization and identity?

Yes

If you are under 18, can you furnish a work permit if it is required?

Yes

Have you been convicted of a crime in the last 7 years?

Yes

If yes, please explain (a conviction will not automatically bar employment):

Drivers license number:

How were you referred to us?

Employment History

Please provide all employment information for your past 3 employers starting with the most recent.

Employer:

Position held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

From

Salary:

Job Summary:

Reason for leaving:

Employer:

Position held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

From

Salary:

Job Summary:

Reason for leaving:

Employer:

Position held:

Address:

Telephone:

Immediate supervisor and title:

Dates employed:

From

Salary:

Job Summary:

Reason for leaving:

Other Skills and Qualifications:

Summarize any job-related training, skills, licenses, certificates and/or qualifications; include any experience relevant to the position applying for:

Educational History

High School

School Name:

Years Completed:

Course of Study:

Degrees Earned:

College

School Name:

Years Completed:

Course of Study:

Degrees Earned:

Technical Training

School Name:

Years Completed:

Course of Study:

Degrees Earned:

References

List 3 references; Names, telephone numbers, years known, and relationship (do not include relatives):

I give permission to contact employers listed on this application (check all that apply):

Current employer
Past employers

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, at the time of discovery.

I am the applicant listed in the Applicant Name box of this application and everything in this application is correct.