The Screen Print Dept. - Job Application

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Phone*

When can you start?*

What are your qualifications?*

Education Level*

Do you have reliable transportation?*

No
Yes

What job are you applying for?*

Salary requirements?*

Are you available 40 hours a week Monday thru Friday 8:00 am to 5:00 pm?*

No
Yes

Are you looking for long term employment?*

No
Yes

What about your character do you think makes you a good candidate for this job?*

Age*

I certify that I am 18 years or older.

Work History

1st Most Recent*

Please list company name, position, tenure and supervisor name and phone number.

2nd Most Recent*

Please list company name, position, tenure and supervisor name and phone number.

Criminal History

Are any criminal charges pending against you?*

No
Yes

I have been convicted of a misdemeanor or felony?*

No
Yes

Criminal History*

Common Felonies List

BY SUBMITTING THIS FORM, YOU ASSERT AND CONFIRM THAT ALL INFORMATION IS TRUE AND ACCURATE TO THE BEST OF YOUR ABILITY. ADDITIONALLY, SHOULD INFORMATION CONTAINED WITHIN THIS FORM BE RENDERED FALSE, WE RESERVE ALL RIGHT AS TO JUDGMENTS RELATED TO YOUR CANDIDACY.