Application for Employment – Seymour, WI If you are human, leave this field blank. General Information Name * First Last Name * Last Email * Phone * Position Applied For * General Labor Student Work Program Diesel Mechanic Truck/Heavy Equipment and Fleet Mechanic Trailer Mechanic Forklift Operator Champion Machine Operator Other Other Position Applying For * Current Address * City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY 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 No Minimum Salary Requirement ($/hr) * What shift would you prefer to work? * 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 No Why are you interested in working for Performance Corporation? * Have you ever applied here before? * Yes No When? * Have you been convicted of any criminal offense within the last 7 years? * Yes No 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 No 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 No Where did you hear about this position? * Other FOX11 Online Indeed.com Craigslist Job Center of Wisconsin Radio Newspaper Employee Referral ZipRecruiter 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. *
