Employment Application : Company Information : Litho Press

Prospective employees will receive consideration without discrimination based on race, creed, color, sex, age, national origin, handicap, veteran status or any condition prescribed by state or local law.

PERSONAL

First and Last Name

First Name *

Last Name *

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone

Position Desired (if known)

Social Security Number - Last 4 Digits only

Preferred Response

Pay Expected

Will you work overtime as needed

Have you ever been convicted of any crimes in the past seven years, excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court?

If yes, describe in full

Have you ever been bonded?

If yes, with what employers?

When will you be available to begin work?

Apart from absence for religious observation, are you available for full-time work?

If not, what hours can you work?

Other Special Training or skills (languages, machine operation, etc.)

EDUCATION

GRADUATE / COLLEGE / TRADE SCHOOL

Name and Location of School

Course of Study

Number of Years Completed

Did you graduate?

Degree or Diploma

HIGH SCHOOL

Name and Location of School

Number of Years Completed

Did you graduate?

Degree or Diploma

EMPLOYMENT

COMPANY INFORMATION #1

Please start with your present or most recent employer.

Company Name

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Address

Name of Supervisor

State Job Title and Describe Your Work

Telephone

Beginning Date (Month & Year)

Ending Date (Month & Year)

Ending Pay

Reason for Leaving

COMPANY INFORMATION #2

Company Name

Address

Name of Supervisor

State Job Title and Describe Your Work

Telephone

Beginning Date (Month & Year)

Ending Date (Month & Year)

Ending Pay

Reason for Leaving

COMPANY INFORMATION #3

Company Name

Address

Name of Supervisor

State Job Title and Describe Your Work

Telephone

Beginning Date (Month & Year)

Ending Date (Month & Year)

Ending Pay

Reason for Leaving

We may contact the employers listed above unless you indicate those you do not want us to contact.

State employer(s) from above and reason for not contacting them.

Additional Information including Military

Membership in professional and civic organizations, special accomplishments, awards, military service, etc. (exclude those which may disclose your race, color, religion, age, or national origin). If Military, include any training received relevant to the position for which you are applying. Please include what branch of service.

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Applicant's Signature

Please read and understand this statement before sending your application: The information I have provided in this Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment. I authorize the employer to contact and obtain information about me from previous employers, education institutions and ‘references’ I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose. This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application. This application is not an employment agreement. If I accept an offer of employment I understand I may resign at any time, and the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer. By submitting this application I fully understand and accept all terms and conditions in the above statement.

Yes - I have read, agree, and acknowledge the statement above.