Employment Application Application Position Applying For: Name * Name First First Last Last Address * City * State * Zip Code * Phone * Email Are you over 18? * Yes No Are you legally authorized to work in the United States? * Yes No Do you have your high school diploma or GED? * Yes No Are you able to perform the essential job functions of this position with or without reasonable accommodations? * Yes No Were you referred by a current employee? * Yes No If yes, please give the employee name: Salary/Hourly Wage Expected: * Date Available to Start: * Are you employed now? * Yes No If yes, can we contact you current employer? Yes No Have you ever worked for Industrial Molds, LLC or Pyramid Plastics, LLC? * Yes No If yes, where and when? Prior supervisors name: Employment History *Not Required if uploading a complete resume below* Employer Name Employer Phone Number Dates of Employment (To-From) Job Title and Description of Duties Employer Name Employer Phone Number Dates of Employment (To-From) Rate of Pay (Start-Finish) Job Title and Description of Duties Employer Name Employer Phone Number Dates of Employment (To-From) Rate of Pay (Start-Finish) Job Title and Description of Duties Employer Name Employer Phone Number Dates of Employment (To-From) Rate of Pay (Start-Finish) Job Title and Description of Duties Employer Name Employer Phone Number Dates of Employment (To-From) Rate of Pay (Start-Finish) Job Title and Description of Duties Education History High School (Name, City, State) * Course of Study Did you graduate? * Yes No College (Name, City, State) Course of Study Did you graduate? Yes No Technical or Degree Program (Name, City, State) Course of Study Did you graduate? Yes No Additional training or special skills you would like us to know about: References Name: Name: First First Last Last Phone: Type of Reference: Professional Personal How long known: Name: Name: First First Last Last Phone: Type of Reference: Professional Personal How long known: Name: Name: First First Last Last Phone: Type of Reference: Professional Personal How long known: Applicant Statement By checking this box, I certify that the information in this application are true and complete to the best of my knowledge. I understand that if employed, falsified statements on this application shall be grounds for termination. I understand that any offer of employment is subject to a pre-employment background investigation and drug screening. By checking this box, I authorize Industrial Molds, LLC and Pyramid Plastics, LLC to investigate all statements and information contained in this application and to contact the references listed above to gain knowledge of my previous work history. Upload Resumé & Cover Letter * Drop a file here or click to upload Choose File Maximum file size: 2MB reCAPTCHA Submit If you are human, leave this field blank.
