APPLICATION INFORMATION:

Name: Date:
Address: Position:
City:
State:
Zip Code:
Phone Number:

AVAILABILITY:

Are you legally able to be employed in this country?
(If hired, verification will be required by law)
Are you able to get to work on time everyday?
Are you 18 years or older?
Hours available for work:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
From:
To:
What type of employment preferred?
Date available to start:

EDUCATION:

High School
Name Location Major Graduated Degree Earned

College, University, Technical School or Military
Name Location Major Graduated Degree Earned
Name Location Major Graduated Degree Earned

Other Relevant Training
Name Location Major Graduated Degree Earned

EMPLOYMENT:

Company: Position:
Address: Dates Worked - From:
Supervisor: Dates Worked - To:
Wage: Reason For Leaving:
Phone: May we contact this employer?

Company: Position:
Address: Dates Worked - From:
Supervisor: Dates Worked - To:
Wage: Reason For Leaving:
Phone: May we contact this employer?

Company: Position:
Address: Dates Worked - From:
Supervisor: Dates Worked - To:
Wage: Reason For Leaving:
Phone: May we contact this employer?

REFERENCES:

Work related only. Do not use family members.

Name and Working Relationship Address Work Telephone Home Telephone

EQUAL OPPORTUNITY QUESTIONS (OPTIONAL):

In compliance with Federal Equal Employment Opportunity Guidelines, Northwoods Paper Converting, Inc. is required to maintain statistical data on all job applicants. This information is requested for statistcal purposes only and will not become aprt of your employment file or affect your candidacy for employment. Thank you for your cooperation.
What is your sex?
What is your ethical status?





The type of work performing?





How did you hear about this opening?





PLEASE READ THE PARAGRAPHS BELOW CAREFULLY BEFORE SUBMITTING

If you have any questions regarding this statement, please discuss with a Human Resources Representative before submitting.

I certify that my answer to the questions are true to the best of my knowledge and I am aware that misrepresentation or omission of facts called for on this form is cause for rejection of my application or immediate discharge from the organization’s service. I voluntarily give Northwoods Paper Converting, Inc. the right to make a thorough investigation of my past employment, agree to cooperate in such investigation and release from all liability of responsibility all persons, companies or corporations supplying such information.

I understand that this application for employment shall be considered active for a period of time not to exceed (6) months.

It is hereby understood and acknowledged that 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 an 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 conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

If employed, I agreed to work the hours, days and shifts as scheduled by management and consent to take the pre-placement examination and such future physical and drug examinations as may be required by Northwoods Paper Convreting, Inc.