Fast App for Seymour General Information Name * First Last Name * Last Email * Phone * Position Applied For * General Labor Student Work Program Industrial Maintenance Technician Diesel Mechanic Truck/Heavy Equipment and Fleet Mechanic Transportation Shop Assistant Trailer Mechanic Forklift 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 * Are you over 18 years of age? * Yes No Minimum Salary Requirement ($/hr) * What shift would you prefer to work? * A Shift (Monday-Thursday 6:30am-4:30pm) B Shift (Monday-Thursday 8:30pm-6:30am) C Shift (Friday-Sunday 6:30am-6:30pm) Have you ever applied here before? * Yes No When? * 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 Facebook FOX11 Online Indeed.com Craigslist Job Center of Wisconsin Radio Newspaper Employee Referral Postcard Flyer 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. * What makes you a good candidate for this position? * General Employment Questions Have you ever been discharged from a job or forced or asked to resign? * Yes No Please explain the circumstances behind the resignation * Have you ever had any manufacturing experience? * Yes No Where? * What type? * For how long? * Do you have experience operating any of the following equipment? Circular Saw Forklift Radial Arm Saw Pneumatic Nail Tool Automated Nailing Equipment Saw Mill Equipment Other Where did you get this experience? * Please list other equipment used * General Job Description for Pallet and Lumber Related Jobs Read this section carefully before answering any of the questions in this area. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. The questions below are believed by the employer to be needed for legally permissible reason.You may be required to use nail guns, hammers, saws, or operate various machines.This is a general written job description which includes essential job functions of the position for which you are applying. Are you able to perform each of the essential job functions listed for this position with or without accommodation? * Yes No If you can perform the job functions with an accommodation, please describe how you would perform them and with what accomodations. Authorization and Release I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements, misrepresentation, or omissions of facts on the application shall be grounds for dismissal.I understand that this application for employment does not in any way constitute an offer of employment or a contract of employment. Employment with Performance is not by contract express or implied. Furthermore, should I be employed, I understand that my employment is for no definite duration but is on "at-will" basis and no representative of the Company has the authority to make any assurances to the contrary except by the President of the Corporation.I give Performance Corp. the right to investigate all references and the right to secure additional information about me including the right to obtain investigative reports made through consumer reporting agencies. Furthermore, I authorize all current and former employers, school officials, instructors, licensing board(s), reporting agencies or any other persons whether or not named in this application to give Performance any information they may have regarding me, whether or not such is in their written records. I release this Company and its representatives from seeking such information, and I release those Companies, agencies, and individuals supplying such information from any liability for any damages whatsoever resulting from the giving of such information.I certify that I have read the job description which sets forth the essential functions of the job for which I have applied.I understand that if employed, all of Performance Corp.'s policies and procedures including its Employee Handbook (in whole or in part), do not constitute a contract of employment and that I agree to read and familiarize myself with all written policies and procedures (including the Employee Handbook).I understand that this application is current for thirty (30) days following the date entered below. At the conclusion of the thirty (30) day period, if I have not heard from this company and still wish to be considered for employment, it will be necessary to fill out a new application.My e-signature below certifies that I have read and understand the above seven (7) paragraphs. * Signature AR_Date * Date Attach Resume (optional) Drop a file here or click to upload Choose File Maximum upload size: 2.1MB
