ONLINE EMPLOYMENT APPLICATION

Federal and/or State legislation prohibits discrimination in employment because of race, color, religion, sex, national origin, age, height, weight, marital status, citizenship, veteran status, disability, or any other protected category.

APPLICATION FOR EMPLOYMENT

Position Applying For:
Available Shifts?
Name:
Address:
Phone Number:
Email:
Date Available for Work:

GENERAL:

How Did You Hear About Us?
Are you Eighteen Years or Older: —Please choose an option—NoYes
Have You Ever Been Convicted of a Felony? —Please choose an option—NoYes
Do you have a valid Michigan Driver’s License? —Please choose an option—NoYes
Do you have a Reliable Means of Transportation to Work? —Please choose an option—NoYes
Have you ever been employed by an injection molding company? —Please choose an option—NoYes

EDUCATION:

Highest Level of school completed:
Did you graduate High-School or earn a GED?: —Please choose an option—NoYes

EMPLOYMENT HISTORY:

Indicate all employers beginning with your current or most recent employer. Include dates of employment, duties performed, and contact information.

REFERENCES:

ADDITIONAL NOTES OR COMMENTS

I certify that all answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview may result in discharge.

I Agree