Application for Employment – Seymour, WI

General Information

Name *

First

Last Name *

Last

Email *

Phone *

Other Position Applying For *

Current Address *

City *

State *

Postal Code *

If you have lived at the above address for less than 12 months, list the previous address

Are you over 18 years of age? *

Yes

Minimum Salary Requirement ($/hr) *

What shift would you prefer to work? *

1st Shift (Monday-Friday)

2nd Shift (Monday-Friday)

3rd Shift (Sunday-Thursday)

A Shift (1st Shift, Monday-Thursday)

B Shift (3rd Shift, Monday-Thursday)

C Shift (1st Shift, Friday-Sunday)

When are you able to start? *

Are you looking for full-time work? *

Yes

Why are you interested in working for Performance Corporation? *

Have you ever applied here before? *

Yes

When? *

Have you been convicted of any criminal offense within the last 7 years? *

Yes

Give the date, place, and nature of each such conviction. (The existence of a conviction will not necessarily preclude you from employment.) *

Are you related to anyone who works here? *

Yes

Please list the name and relationship of all employees you are related to. *

Are you prevented from lawfully becoming employed in this country because of Visa or immigration status? (Proof of citizenship or immigration status will be required upon employment.) *

Yes

Where did you hear about this position? *

Which newspaper? *

Which radio station? *

Who referred you to this position? *

Where did you hear about this position? Please name a specific website or location. *