Form 138 - Employment Application printable pdf download

Employment Application

Position applying for: ________________________________________________________________________

Name: _________________________________________________________

Date: __________________

First

Middle

Last

Preferred Name/Nickname: _______________________________________

S.S. # ______ ____ ______

Address: __________________________________________________

Home Phone: ________________

City: _____________________

State: ____ Zip Code: ___________

Mobile Phone: _________________

Relatives working for Alice Mfg. & Relationship: ___________________________________________________

___________________________________________________

Friends working for Alice Mfg.: _________________________________________________________________

How did you find out about us?  SCWorks  Greenville News  Career Builder  Other:_________________

Education

Last Grade

Are You Currently

Last School Attended

Completed

Attending School?

Work Experience

Rate

Employment

Employer

Job Duties

of Pay

Dates

Reason for Leaving

Present

From:

To:

Last Employer

From:

To:

Next to Last Employer

From:

To:

Check ALL shifts for which you are available: 1

_____ 2

_____ 3

_____

Have you ever worked for Alice Mfg. Co.? Yes _____, No _____. If yes, give Plant and Dept: ________

Have you ever been convicted of a crime other than a traffic violation? Yes _____ No _____

If yes, please note the date, crime and disposition on the back.

Convictions are not an automatic bar to employment. The

Company will consider the nature of the job for which you are applying; the nature of the crime; and the passage of time before making any

determination about whether a conviction will be a bar to employment.

Personal Reference (no relatives)

Name: _______________________ Occupation: _______________________ Phone: _____________

Address: ___________________________________________________________________________

The company conducts its business with the highest possible degree of safety and efficiency. Because of this, the company

requires all applicants for employment to undergo blood and/or urinalysis screening for drug use as part of their preplacement

examination. In addition, all employees of the company are subject to blood tests or urinalysis screening for drug use.

ALICE MANUFACTURING ADHERES TO CONCEPT OF EMPLOYMENT COMMONLY KNOWN AS EMPLOYMENT “AT

WILL." THIS MEANS THAT EITHER YOU OR THE COMPANY MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT

ANY TIME WITHOUT PRIOR NOTICE.

Signature___________________________________

Form #138 (revised 2/29/2016)

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Form 138 - Employment Application

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