(Pre-employment Questionnaire) (An Equal Opportunity Employer)
Name*: (Last, First)
Street Address and Apt #*: City State & Zip Code*:
Phone Number*: Email:
Position applying to * ---Assembly Worker/Production Associate - 1st ShiftAssembly Worker/Production Associate - 2nd ShiftAssembly Worker/Production Associate - Weekend ShiftLine Lead I - WeekendFormulator IMachine Operator IQuality Assurance Technician - 1st ShiftQuality Assurance Technician - 2nd ShiftQuality Assurance Technician - WeekendQuality Control TechnicianMechanic II - 1st ShiftMechanic II - 2nd ShiftShipping Associate II - WeekendPlant Manager - 2nd ShiftSanitizer - 1st ShiftSanitizer - 2nd ShiftSanitizer - WeekendPre-Weight Tech IPre-Weight Tech IIWarehouse Associate I - 2nd ShiftWarehouse Associate IIAny
How did you hear about us?* IndeedLinkedInFacebookBillboardBuilding SignRadioEmployee Referral
If employee referral, what is their name?
Have you ever worked for this company? NoYes If yes, When?
Are you 18 Years or Older? YesNo
If hired, can you submit verification of your legal right to work in the United States? YesNo
Have you ever plead guilty or been convicted of a felony or misdemeanor?YesNo
If you answer yes, provide a detailed explanation.
Optional, if you already have education, job history, and references in your resume, please upload.
You may skip this section if the requested information below is found on your resume.
High School: Did you graduate?NoYes
College: Did you graduate?NoYes
Type of Degree and Major:
Company Name: Company Phone: Address: Job Title: Responsibilities: Hire Date: Ending Date: Supervisor Name: May Supervisor be contacted for reference?YesNo
What other skills or experiences have you had which may be relevant to this position? (example military, software, or technical experience).
If you are hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You will be required to submit to a pre-employment drug testing, background check, and COVID-19 Nasal Swab. You cannot be hired if you cannot comply with these requirements
If hired, I agree to abide by all Company work rules, policies, and procedures. The Company retains the right to revise its policies or procedures, in whole or in part, at any time.