Apply - United Plate Glass of Sunbury, PA

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Submit your Application

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.

First Name

Last Name

Address

Street Address Address Line 2 City State ZIP Code

Phone

Position Applied For

General Information

If you are under 18 years of age, can you provide required proof of eligibility to work?

Yes

Have you ever filed an application with us before?

Yes

If Yes, give date:

MM slash DD slash YYYY

Have you ever been employed with us before?

Yes

If Yes, give date:

MM slash DD slash YYYY

Are you currently employed?

Yes

May we contact your employer?

Yes

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment

Yes

On what date would you be available to work?

MM slash DD slash YYYY

You’re available to work:

Full-Time

Part-Time

Shift Work

Temporary

Are you currently on “lay-off” status and subject to recall?

Yes

Can you travel if a job requires it?

Yes

Have you been convicted of a felony in the last 7 years? Conviction will not necessarily disqualify an applicant from employment

Yes

If yes, please explain:

Education

School Name

Area of Study

Diploma/Degree

Do you speak additional languages?

Yes

If yes, please specify the language, and how fluent you are (speaking, reading, writing):

Describe any specialized training, apprenticeship, skills and extra-curricular activities:

Describe any job-related training received in the United States military:

Employment Experience

Employer

Job Title

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Job duties and responsibilities:

Employment Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

List professional trade, business or civic activities and offices held:

Additional Information

Summarize special job-related skills and qualifications acquired from employment or other experience.

Specialized Skills

CRT

Fax

Calculator

PBX System

Lotus 1-2-3

Typewriter

Wordperfect

Check skills/equipment operated

References

First Name

Last Name

Phone Number

Address Line 1

Address Line 2

List any skills/equipment operated related to Production/Mobile Machinery:

List any additional skills/equipment operated:

Applicant’s Statement

I certify that answers given herein are true and complete to the best of my knowledge.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, 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.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

I agree*

I agree

Comments

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