Online Employment Application

GAR Plastics Employment 1


* fields are required.

Personal Information

+

08/20/2017


(example: 555-555-5555)

(example: 555-555-5555)

(example: myname@example.com)

(example: Columbus, WI 53925)
Yes
No

(example: Columbus, WI 53925)

Position Information

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Yes
No

3-4 Hours per Day
5-6 Hours per Day

Westside
Eastside
Other

Yes
No

Yes
No

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Employee
School
Other

Personal History

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Yes
No

Yes
No

Yes
No

Yes
No

High School Education

+

Yes
No

Yes
No

(example: Columbus, WI)

College/University Education

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Yes
No

Yes
No

(example: Columbus, WI)


Yes
No

Yes
No

(example: Columbus, WI)


Yes
No

Yes
No

(example: Columbus, WI)

Other Education

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Work Experience

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List all employment experience with the most recent first.

(example: Columbus, WI 53925)
(example: 555-555-5555)

Yes
No

to


(example: 01/01/2016)
Full Time
Part Time

Yes
No


(example: Columbus, WI 53925)
(example: 555-555-5555)

Yes
No

to


(example: 01/01/2016)
Full Time
Part Time

Yes
No


(example: Columbus, WI 53925)
(example: 555-555-5555)

Yes
No

to


(example: 01/01/2016)
Full Time
Part Time

Yes
No

References

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Work Related References (other than immediate supervisor)

(example: 555-555-5555)

(example: Columbus, WI 53925)

(example: 555-555-5555)

(example: Columbus, WI 53925)

(example: 555-555-5555)

(example: Columbus, WI 53925)

Applicant's Signature

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Please read the paragraphs below very carefully before signing.

I certify that my answers to the questions are true to the best of my knowledge and am aware that misrepresentation or omission of facts called for on this form is cause for rejection of my application or immediate discharge from the organization's service. I voluntarily give GAR Plastics the right to make a thorough investigation of my past employment, agree to cooperate in such investigation and release from all liability of responsibility all persons, companies or corporations supplying such information.

I understand that this application for employment shall be considered active for a period of time not to exceed six (6) months.

It is hereby understood and acknowledged that any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

If employed, I agree to work the hours, days and shifts as scheduled and consent to take the preplacement examination and such future physical examinations as may be required by GAR Plastics.


08/20/2017